PMID- 32294097 OWN - NLM STAT- MEDLINE DCOM- 20200706 LR - 20200706 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 15 IP - 4 DP - 2020 TI - Basic self-disturbances are associated with Sense of Coherence in patients with psychotic disorders. PG - e0230956 LID - 10.1371/journal.pone.0230956 [doi] LID - e0230956 AB - BACKGROUND: The Sense of Coherence (SOC) theory gives a possible explanation of how people can experience subjective good health despite severe illness. Basic self-disturbances (BSDs) are subtle non-psychotic disturbances that may destabilize the person's sense of self, identity, corporeality, and the overall 'grip' of the world. AIM: Our objective was to investigate associations between BSDs and SOC in patients with psychotic disorders. DESIGN: This is a cross-sectional study of 56 patients diagnosed with psychotic disorders inside and outside the schizophrenia spectrum (35 schizophrenia, 13 bipolar, and eight other psychoses). SOC was measured using Antonovsky's 13-item SOC questionnaire, and BSDs were assessed using the Examination of Anomalous Self-Experience (EASE) manual. Diagnosis, symptoms, and social and occupational performance were assessed using standardized clinical instruments. RESULTS: We found a statistically significant correlation (r = ) between high levels of BSDs and low levels of SOC (r = -0.64/p<0.001). This association was not influenced by diagnostics, clinical symptoms or level of functioning in follow-up multivariate analyses. CONCLUSION: A statistically significant association between BSDs and SOC indicates that the presence and level of self-disturbances may influence the person's ability to experience life as comprehensive, manageable and meaningful. However, the cross-sectional nature of the study precludes conclusions regarding the direction of this association. FAU - Svendsen, Ingrid Hartveit AU - Svendsen IH AUID- ORCID: 0000-0003-3343-2187 AD - Department of Acute Psychiatry and Psychosis Treatment, Division of Mental Health, Innlandet Hospital Trust, Reinsvoll, Norway. AD - Faculty of Medicine, University of Oslo, Blindern, Oslo, Norway. FAU - Oie, Merete Glenne AU - Oie MG AD - Department of Psychology, University of Oslo, Oslo, Norway. AD - Division of Research, Innlandet Hospital Trust, Brumunddal, Norway. FAU - Moller, Paul AU - Moller P AD - Department of Mental Health Research and Development, Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, Norway. FAU - Nelson, Barnaby AU - Nelson B AD - Orygen, The National Centre of Excellence in Youth Mental Health, The University of Melbourne, Victoria, Australia. AD - Centre for Youth Mental Health, The University of Melbourne, Victoria, Australia. FAU - Melle, Ingrid AU - Melle I AD - NORMENT KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. AD - Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. FAU - Haug, Elisabeth AU - Haug E AD - Department of Acute Psychiatry and Psychosis Treatment, Division of Mental Health, Innlandet Hospital Trust, Reinsvoll, Norway. LA - eng SI - Dryad/10.5061/dryad.h70rxwdg0 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200415 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Psychiatric Status Rating Scales MH - Psychometrics/methods MH - Psychotic Disorders/*psychology MH - Quality of Life/psychology MH - Schizophrenia/physiopathology MH - Sense of Coherence/*physiology MH - Surveys and Questionnaires PMC - PMC7159222 COIS- The authors have declared that no competing interests exist. EDAT- 2020/04/16 06:00 MHDA- 2020/07/07 06:00 PMCR- 2020/04/15 CRDT- 2020/04/16 06:00 PHST- 2019/08/29 00:00 [received] PHST- 2020/03/12 00:00 [accepted] PHST- 2020/04/16 06:00 [entrez] PHST- 2020/04/16 06:00 [pubmed] PHST- 2020/07/07 06:00 [medline] PHST- 2020/04/15 00:00 [pmc-release] AID - PONE-D-19-24343 [pii] AID - 10.1371/journal.pone.0230956 [doi] PST - epublish SO - PLoS One. 2020 Apr 15;15(4):e0230956. doi: 10.1371/journal.pone.0230956. eCollection 2020.