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Journal of Nervous & Mental Disease:
doi: 10.1097/NMD.0b013e3182848ae0
Original Articles

Object Relations, Reality Testing, and Social Withdrawal in Schizophrenia and Bipolar Disorder

Hansen, Charlotte Fredslund MA*†; Torgalsbøen, Anne-Kari PhD*; Røssberg, Jan Ivar PhD†‡; Romm, Kristin Lie PhD; Andreassen, Ole Andreas PhD†‡; Bell, Morris D. PhD§; Melle, Ingrid PhD†‡

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Abstract: In this study, we investigated the relationships between observed social withdrawal (Positive and Negative Syndrome Scale [PANSS] Passive Social Withdrawal and PANSS Active Social Avoidance), subjectively experienced social withdrawal (Social Functioning Scale [SFS] Withdrawal and SFS Interpersonal Behavior), and their associations to the underlying psychological patterns of Object Relations and Reality Testing. Patients with schizophrenia (n = 55) and bipolar disorder (n = 51) from the ongoing Thematically Organized Psychosis project, Oslo University Hospital, Norway, were evaluated using the Bell Object Relations and Reality Testing Inventory, the PANSS, and the SFS. Object relations and reality testing subscales related differentially to PANSS Passive Social Withdrawal and PANSS Active Social Avoidance. These two measures, together with the level of alienation, explained a significant amount of variance in self-experienced social dysfunction. Findings reveal the multidimensional nature of social dysfunction in severe mental disorders.

© 2013 Lippincott Williams & Wilkins, Inc.


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