Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
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Influence of Anhedonia and Self-Esteem on Daily-Life Decision-Making in Patients with Schizophrenia

조현병 환자들의 일상적 의사결정 과정에서 무쾌감증 및 자아존중감의 영향

  • Kim, Soo-Jeong (Department of Psychiatry, Yonsei University College of Medicine) ;
  • Kim, Min-Kyeong (Department of Psychiatry, Yonsei University College of Medicine) ;
  • Hong, Yeon-Ju (Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Lee, Seon-Koo (Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Kim, Jae-Jin (Department of Psychiatry, Yonsei University College of Medicine)
  • 김수정 (연세대학교 의과대학 정신건강의학교실) ;
  • 김민경 (연세대학교 의과대학 정신건강의학교실) ;
  • 홍연주 (연세대학교 의과대학 의학행동과학연구소) ;
  • 이선구 (연세대학교 의과대학 의학행동과학연구소) ;
  • 김재진 (연세대학교 의과대학 정신건강의학교실)
  • Received : 2017.05.31
  • Accepted : 2017.08.08
  • Published : 2017.08.31
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Abstract

Objectives Decision-making in patients with schizophrenia has been known to be inefficient in both cognitive and affective aspects. The purpose of this study was to investigate the influence of anhedonia and self-esteem on the decision-making process in schizophrenia. Methods Twenty patients with schizophrenia and 21 healthy controls performed the 'apparel purchase decision-making task', during which they were asked to respond to the preference, fitness, and price suitability, before making the final purchase decision. Generalized estimating equation and correlation analysis were conducted to explore for the difference of decision making patterns and influential factors between the two groups. Results The patients showed lower odds ratio (OR) of the fitness on the apparel purchase decision than the controls [OR 0.190 ; 95% confidence interval (CI) 0.047-0.762, p = 0.019). In the patient group, there was no correlation between the number of purchased trials and the severity of anhedonia, but the number of purchased trials was negatively correlated with the Rosenberg Self-Esteem Scale score at a trend level (R = -0.436, p = 0.055). Conclusions Patients with schizophrenia considered the fitness of clothes less than healthy controls on apparel purchasing decisions. Schizophrenia patients with lower self-esteem were intended to buy more clothes.

Keywords

References

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