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.
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In trait vulnerability, one study found more negative valence in high trait vulnerability group.
“one reporting more negative valence in the high trait vulnerability group (Berna, Göritz, et al., 2016)”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
In trait vulnerability, no relationship between meaning-making and a nonclinical measure of negative symptoms.
“and no relationship between meaning-making and a nonclinical measure of negative symptoms”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
In trait vulnerability samples, no differences between high and low trait vulnerability groups on self-rated event centrality.
“two studies found no differences between high and low trait vulnerability groups on self-rated event centrality”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
In trait vulnerability, no differences in meaning-making between high and low trait vulnerability groups.
“one trait vulnerability study found no differences in meaning-making between high and low trait vulnerability groups”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
The effect of higher trait vulnerability on thinking about life more frequently partially mediated the relationship between psychotic-like experiences and lower self-concept clarity.
“the effect partially mediated the relationship between psychotic-like experiences and lower self-concept clarity (Berna, Göritz, et al., 2016)”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
Individuals with trait vulnerability to psychosis may exhibit more self-focus and exploratory processing than their peers.
“If anything, they exhibit more self-focus and exploratory processing than their peers (Berna, Göritz, et al., 2016; Hallford & Burgat, 2014).”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
The tendency to scrutinize and make meaning of autobiographical experience is associated with poorer self-concept clarity in individuals with trait vulnerability to psychosis.
“The tendency to scrutinize and make meaning of autobiographical experience is associated with poorer self-concept clarity in individuals with trait vulnerability to psychosis (Berna, Göritz, et al., 2016; Cicero, 2017), suggesting that attempts to make meaning of experience actually lead to more confusion about the self.”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Berna, Göritz, et al., 2016
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References 77 · Cited by 50
- Authors
- Berna, F., Göritz, A. S., Schröder, J., Martin, B., Cermolacce, M., Allé, M. C., Danion, J.-M., Cuervo-Lombard, C. V., & Moritz, S.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- University of Freiburg (DE)
- Lyon 1 Université (FR)
- Centre National de la Recherche Scientifique (FR)
- Fondation FondaMental (FR)
- Inserm (FR)
- Centre Hospitalier Universitaire de Reims (FR)
- Corresponding author
- Berna, Fabrice
- ORCID
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2016-05
- Volume
- 239
- Pages
- 333-341
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2299731887
- Cited by
- 50
- References
- 77
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2023: 20 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 2
- FWCI
- 10.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- HAL AMU (submittedVersion)
- OPUS (Augsburg University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- attenuated psychotic symptoms, self-concept, autobiographical memory, self-representation, mediation, schizophrenia, subclinical psychosis, self-disorder
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Psychotic Disorders, Schizophrenic Psychology, Self Concept, Thinking, Memory, Episodic
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