Illness appraisals and self-esteem as correlates of anxiety and affective comorbid disorders in schizophrenia.

Karatzias, Thanos, Gumley, Andrew, Power, Kevin and O'Grady, Margaret (2007) Illness appraisals and self-esteem as correlates of anxiety and affective comorbid disorders in schizophrenia. Comprehensive Psychiatry, 48 (4). pp. 371-375. ISSN 0010440X

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    Comorbidity of anxiety and affective disorders in people with a diagnosis of schizophrenia is common. This study investigated the hypothesis that greater negative beliefs about illness and lower self-esteem will be significantly associated with the presence of anxiety or affective comorbidity in a sample of persons (n = 138) diagnosed with schizophrenia. The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition; the Positive and Negative Syndrome Scale; the Global Assessment of Functioning Scale; the Personal Beliefs about Illness Questionnaire; and the Rosenberg Self-Esteem Scale were all completed for each participant. Of the total sample, 62 (44.9%) had a comorbid anxiety or affective disorder. Logistic regression revealed that those with a comorbid anxiety or affective disorder had significantly lower levels of functioning (Global Assessment of Functioning), more negative appraisals of entrapment in psychosis (Personal Beliefs about Illness Questionnaire), and lower levels of self-esteem (Rosenberg Self-Esteem Scale). Although further research is required, the strong association between personal beliefs about self and illness and comorbidity suggests that negative beliefs about psychotic experiences and self-esteem may be linked to the development and maintenance of anxiety and affective comorbid conditions among people with a diagnosis of schizophrenia or the like.

    Item Type: Article
    Print ISSN: 0010440X
    Uncontrolled Keywords: comorbidity; anxiety; schizophrenia; affective disorder; illness;
    University Divisions/Research Centres: Faculty of Health, Life & Social Sciences > School of Nursing, Midwifery and Social Care
    Dewey Decimal Subjects: 300 Social sciences > 360 Social problems & social services > 362 Social welfare problems & services
    600 Technology > 610 Medicine & health > 616 Diseases
    Library of Congress Subjects: R Medicine > R Medicine (General)
    H Social Sciences > HN Social history and conditions. Social problems. Social reform
    Item ID: 2254
    Depositing User: RAE Import
    Date Deposited: 03 Apr 2008 11:46
    Last Modified: 15 Feb 2013 13:26

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