Pictorial representation of illness and self-measure as an instrument for diagnostic of illness representation in youth with ultra-high risk for psychosisстатьяТезисы
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Дата последнего поиска статьи во внешних источниках: 21 августа 2017 г.
Аннотация:Introduction: Pictorial representation of illness and self-measure
(PRISM) was developed as screening tool assessing implicit reaction
to somatic illnesses. Conclusion is based on comparisons of
the positions of illness-related (“Illness” and major symptoms) and
unrelated (“Me”, “Family”, “Work/study”) objects on the list.
Objectives: Due to its easiness and implicitness PRISM could
be promising addition to illness representation questionnaires in
mental illnesses.
Aim was to reveal validity of the PRISM in youth with ultra-high
risk for psychosis.
Methods: Eighty-one male patients 16–25 years old meeting
criteria of ultra-high risk for psychosis; preliminary diagnoses of
mood disorders 34, personality disorders 26, schizotypal disorder
21 patients) filled PRISM, beck cognitive insight scale, symptom
checklist 90-r, illness perception questionnaire, quality of life and
enjoyment questionnaire and happiness scale.
Results: According to hierarchical regression, conditional “Self-
Illness” distance (after control for mean distances on the list) was
related to less psychopathological complaints, lower subjective
illness severity and emotional representations, higher treatment
control and better quality of life. “Self-symptoms” distance was
related to better cognitive insight, lower emotional representations
and consequences and moderated the relationship between
“Self-Illness” distance and appraisals of illness length and dynamic.
Conclusions: Conditional “Self-Illness” distance in PRISM could
reflect cognitive appraisal of illness based on symptoms and related
to life satisfaction while “Self-Symptoms” distance reflects merely
emotional reaction based on cognitive insight.
Disclosure of interest: The authors have not supplied their declaration
of competing interest.