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Korean J Schizophr Res > Volume 16(2); 2013 > Article
Korean Journal of Schizophrenia Research 2013;16(2):86-92.
DOI: https://doi.org/10.16946/kjsr.2013.16.2.86    Published online October 31, 2013.
Relations of Self-Esteem with Paranoia in Healthy Controls, Individuals at Ultra-High Risk for Psychosis and with Recent Onset Schizophrenia.
Hui Woo Yoon, Yun Young Song, Jee In Kang, Suk Kyoon An
1Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea. ansk@yuhs.ac
2Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
Abstract
OBJECTIVES
Some emotional components, such as self-esteem, depression and anxiety, have been reported to be associated with paranoia in non-clinical population and schizophrenia patients. The aim of this study was to investigate the correlation between self-esteem and paranoia in healthy controls, in ultra-high risk for psychosis and schizophrenia patients.
METHODS
34 subjects with recent onset schizophrenia, 36 subjects with ultra-high risk for psychosis, and 44 healthy volunteers participated in this study. A detailed assessment was made of the paranoia, self-esteem, depression, and anxiety.
RESULTS
In all three groups, there were a negative correlation between paranoia and self-esteem, and positive correlations between paranoia and depression and anxiety. In healthy control, lower self-esteem showed a trend to predict higher paranoia, and in ultra-high risk for psychosis, this trend tern on statistically significant level, and in recent onset schizophrenia group, this correlation was disappeared.
CONCLUSION
The individual who have lower self-esteem showed higher paranoia tendency under delusional level, but after formation of persecutory delusion, the tendency was disappeared. This result supports the hypothesis that persecutory delusions are a defense against negative affective process.
Key Words: Paranoia · Self-esteem · Depression · Anxiety


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