期刊
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
卷 42, 期 1, 页码 1-5出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00127-006-0136-1
关键词
paranoia; population; psychosis; self-esteem
类别
Background Research on the association between paranoia and self-esteem has yielded inconsistent findings. Some studies have indicated an association between paranoia and low self-esteem, while other studies have shown an association with high self-esteem. A plausible explanation for these inconsistencies is that self-esteem is unstable in paranoid individuals. Method The association between instability in self-esteem and paranoia was assessed in a general population risk set of 4636 individuals using logistic regression analysis. Results Self-esteem instability was significantly associated with the presence of paranoid symptoms (OR 1.27 95% CI 1.12-1.45) and not with other positive psychotic symptoms (OR 1.09 95% CI 0.96-1.23), adjusted for a range of a priori selected confounders. Conclusion The finding of a specific association between unstable self-esteem and paranoia is in line with a recent psychological model suggesting that paranoid beliefs arise partly as a consequence of dysfunctional efforts to regulate self-esteem.
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