Self-disorders in individuals with attenuated psychotic symptoms: Contribution of a dysfunction of autobiographical memory.

Abstract:

:Patients with schizophrenia and people with subclinical psychotic symptoms have difficulties getting a clear and stable representation of their self. The cognitive mechanisms involved in this reduced clarity of self-concept remain poorly understood. The present study examined whether an altered way of thinking or reasoning about one's past may account for the reduced clarity of self-concept in individuals with attenuated psychotic symptoms (APS). An online study comprising 667 participants examined the capacity to give a meaning to past events and to scrutinize autobiographical memory to better understand him/herself. Our results showed that in this sample, individuals with APS (n=49) have a lower clarity of self-concept and a higher tendency to scrutinize autobiographical memory than controls subjects (n=147). A mediation analysis performed on the full sample revealed that the relation between APS and clarity of self-concept was mediated by a tendency to scrutinize autobiographical memory. Our results suggest that the weakness of self-concept, which increases with the intensity of psychotic symptoms, may be related to an altered function of autobiographical memory, so that examining past events may fail to sustain a stable and clear representation of the self when psychotic symptoms increase.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Berna F,Göritz AS,Schröder J,Martin B,Cermolacce M,Allé MC,Danion JM,Cuervo-Lombard CV,Moritz S

doi

10.1016/j.psychres.2016.03.029

subject

Has Abstract

pub_date

2016-05-30 00:00:00

pages

333-41

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(16)30126-3

journal_volume

239

pub_type

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