Basic self-disturbances are associated with Sense of Coherence in patients with psychotic disorders

The Sense of Coherence (SOC) theory gives a possible explanation of how people can experience subjective good health despite severe illness. Basic self-disturbances (BSDs) are subtle non-psychotic disturbances that may destabilize the person's sense of self, identity, corporeality, and the over...

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Veröffentlicht in:PloS one 2020, Vol.15 (4), p.e0230956-e0230956
Hauptverfasser: Svendsen, Ingrid Hartveit, Øie, Merete Glenne, Møller, Paul, Nelson, Barnaby, Melle, Ingrid, Haug, Elisabeth
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Øie, Merete Glenne
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Haug, Elisabeth
description The Sense of Coherence (SOC) theory gives a possible explanation of how people can experience subjective good health despite severe illness. Basic self-disturbances (BSDs) are subtle non-psychotic disturbances that may destabilize the person's sense of self, identity, corporeality, and the overall 'grip' of the world. Our objective was to investigate associations between BSDs and SOC in patients with psychotic disorders. This is a cross-sectional study of 56 patients diagnosed with psychotic disorders inside and outside the schizophrenia spectrum (35 schizophrenia, 13 bipolar, and eight other psychoses). SOC was measured using Antonovsky's 13-item SOC questionnaire, and BSDs were assessed using the Examination of Anomalous Self-Experience (EASE) manual. Diagnosis, symptoms, and social and occupational performance were assessed using standardized clinical instruments. We found a statistically significant correlation (r = ) between high levels of BSDs and low levels of SOC (r = -0.64/p
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Basic self-disturbances (BSDs) are subtle non-psychotic disturbances that may destabilize the person's sense of self, identity, corporeality, and the overall 'grip' of the world. Our objective was to investigate associations between BSDs and SOC in patients with psychotic disorders. This is a cross-sectional study of 56 patients diagnosed with psychotic disorders inside and outside the schizophrenia spectrum (35 schizophrenia, 13 bipolar, and eight other psychoses). SOC was measured using Antonovsky's 13-item SOC questionnaire, and BSDs were assessed using the Examination of Anomalous Self-Experience (EASE) manual. Diagnosis, symptoms, and social and occupational performance were assessed using standardized clinical instruments. We found a statistically significant correlation (r = ) between high levels of BSDs and low levels of SOC (r = -0.64/p&lt;0.001). This association was not influenced by diagnostics, clinical symptoms or level of functioning in follow-up multivariate analyses. 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A statistically significant association between BSDs and SOC indicates that the presence and level of self-disturbances may influence the person's ability to experience life as comprehensive, manageable and meaningful. However, the cross-sectional nature of the study precludes conclusions regarding the direction of this association.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32294097</pmid><doi>10.1371/journal.pone.0230956</doi><orcidid>https://orcid.org/0000-0003-3343-2187</orcidid><oa>free_for_read</oa></addata></record>
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subjects Anxiety
Biology and Life Sciences
Coherence
Consent
Disorders
Disturbances
Hospitals
Levels
Medical diagnosis
Medicine and Health Sciences
Mental disorders
Mental health care
Psychosis
Questionnaires
R&D
Research & development
Schizophrenia
Signs and symptoms
Social Sciences
Statistical analysis
Statistical significance
Studies
title Basic self-disturbances are associated with Sense of Coherence in patients with psychotic disorders
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