Erschienen in:
01.01.2007 | ORIGINAL PAPER
Instability in self-esteem and paranoia in a general population sample
verfasst von:
Viviane Thewissen, Inez Myin-Germeys, Richard Bentall, Ron de Graaf, Wilma Vollebergh, Prof. Jim van Os
Erschienen in:
Social Psychiatry and Psychiatric Epidemiology
|
Ausgabe 1/2007
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Abstract
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.