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Cited by 70Schizophrenia research and treatmentMental Health and PsychiatryIdentity, Memory, and Therapy

Schizophrenia and the sense of self

Open access
Moe, Aubrey M., Docherty, Nancy M.·2014·Schizophrenia Bulletin
DOI 10.1093/schbul/sbt121PMC PMC3885303
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Abstract

Sense of self (SOS)--understood as the foundation upon which individuals experience their daily lives--has been increasingly investigated in schizophrenia. A disrupted SOS is thought to represent a platform for the experience of psychiatric symptoms, social cognitive deficits, and other abnormalities of consciousness. Few studies, however, have investigated the specificity of disrupted SOS to schizophrenia. The primary objective of the present study was to test the hypothesis that SOS is deficient in schizophrenia patients compared to both nonpsychiatric controls and patients with psychotic bipolar disorder. Using select scales from the Assessment of Self Descriptions, the present study assessed SOS from spontaneous narratives provided by schizophrenia patients (N = 50), bipolar patients with psychotic features (N = 17), and nonpsychiatric controls (N = 24). Our findings indicate that facets of SOS-in particular, certain aspects of agency and relatedness to others-are deficient in schizophrenia compared to nonpsychiatric controls and bipolar patients with psychotic features, even when overall level of functioning and psychiatric symptoms are accounted for. Implications of these results are discussed.

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Crossref · 10.1093/schbul/sbt121

Cites

34 of 34 references verified0 citation errors · 0 not checkable

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  • In SSD, narrative self-evaluations are more negative than in bipolar disorder with psychotic features.

    “narrative self-evaluations were even more negative in SSD than in bipolar disorder with psychotic features”

    From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Moe and Docherty (2014)

    The Sense of agency section defines lower negative-positive self-regard scores as a more negative view of the self. The Discussion reports that this measure significantly distinguished schizophrenia patients from patients with psychotic bipolar disorder, with lower scores in the schizophrenia group. The study examined schizophrenia patients, however, not the broader schizophrenia spectrum disorders (SSD) population named in the claim. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Individuals with SSD report lower levels of communion than healthy controls.

    “lower levels of communion compared to healthy controls”

    From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Moe & Docherty, 2014

    The Abstract reports deficient relatedness to others in schizophrenia patients compared with nonpsychiatric controls, and the MANOVA for SOS Scores finds significant differences on two relatedness scales. The study assessed coded self-descriptions, not a measure called communion, and its patient group had schizophrenia rather than the broader range of schizophrenia-spectrum disorders (SSD). (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • Individuals with SSD narrate their lives with less agency than healthy controls.

    “individuals with SSD narrate their lives with less agency than controls”

    From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Moe & Docherty, 2014

    The Discussion (page unavailable) reports that schizophrenia patients had deficient aspects of agency compared with healthy controls, based on their narrative self-descriptions. The Schizophrenia Patients section (page unavailable) specifies that the patient group consisted of stable outpatients diagnosed with schizophrenia; the finding does not establish the same result across the broader SSD population. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • In bipolar disorder with psychotic features, narrative self-evaluations are more negative than in healthy controls.

    “both of which were more negative than healthy controls”

    From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Moe and Docherty (2014)

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Cites

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Research works printed but not linked: 1

  1. Insel T, Cuthbert B, Garvey M, et al. Research Domain Criteria (RDoC): developing a valid diagnostic frame- work for research on mental disorders. Am J Psychiatry. 2010;167:748-751.

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Authors
Moe, A. M., & Docherty, N. M.
Affiliations
Kent State University (US)
ORCID
Moe, Aubrey M.
Venue
Schizophrenia Bulletin
Publisher
Oxford University Press (OUP)
Published
2013-08-22
Volume
40
Issue
1
Pages
161-168
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
DOI
10.1093/schbul/sbt121
PMC
PMC3885303
OpenAlex
W2134505738
Cited by
70
References
34
Citations by year
2026: 7 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 2
FWCI
3.32
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • OhioLink ETD Center (Ohio Library and Information Network) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (R01MH058783)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
Keywords
schizophrenia, selfhood
MeSH terms
Adult, Bipolar Disorder, Ego, Female, Humans, Male, Middle Aged, Schizophrenia, Schizophrenic Psychology, Self-Assessment, Self Concept

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