Self-image and outcome in first-episode psychosis

This study examines self-image in a sample of first-episode psychosis (N = 97) at baseline and as predictor for outcome. Self-image was measured using the Structural Analysis of Social Behavior Questionnaire (=SASB-Intrex) at the perceived best and at worst state. The main findings are that persons with psychosis and a more positive self-image at their perceived best state have a better remission from negative and positive psychotic symptoms and an increased level of social functioning after one year in treatment. Further, some support was found for the presence of defensive processes in forming the self-image in psychosis, as reduced acknowledgement of present illness and grandiosity were associated with a less negative self-image at worst state. This defensive strategy might be helpful in remission, as a less negative self-image at worst state was related to better remission in positive psychotic symptoms after one year in treatment. Copyright (c) 2006 John Wiley & Sons, Ltd.