PERSONALITY, SELF-PERCEPTION, PSYCHOLOGICAL PROBLEMS, DEFENSE MECHANISMS AND COPING STRATEGIES IN PATIENTS WITH PARANOID DISORDER; A QUALITATIVE RESEARCH

Main Article Content

PARMIDA SOLEIMANI, KHADIJEH ABOLMAALI ALHOSSEINI

Abstract

Purpose: The purpose of this study was to analyze the personality, self-perception, psychological problems, defense mechanisms and coping strategies in patients with paranoid disorder in their life.


Methods and materials: The qualitative research method was used for narrative analysis based on the McAdams review form to analyze the life stories of patients with paranoid disorder. The research population consisted of paranoid patients admitted to Razi psychiatric hospital in Tehran and sampling method was purposive and the interviews eventually saturated with 8 people. The perception and understanding of the patients about identity and disease, values and beliefs, similarity in their narrative, the important individuals and events were studied. Data analysis was carried out using coding at three levels of open, axial, core using MAXQDA version 12.3.


Results and conclusion: Coping strategies including problem-solving strategies, emotional coping strategies, emotional dysregulation; defense mechanisms including pathological defense mechanisms; health and problems related to physical illness and psychological problems, which all of this express the experience and dimensions of patients' perception of their lives.

Article Details

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Author Biography

PARMIDA SOLEIMANI, KHADIJEH ABOLMAALI ALHOSSEINI

Parmida Soleimani 1, Khadijeh Abolmaali ALhosseini 1

Department of Psychology, Tehran North Branch, Islamic Azad University, Tehran, Iran

References

Fenigstein A, Vanable PA. Paranoia and self-consciousness. J Pers Soc Psychol. 1992 Jan;62(1):129.

van Nierop M, Lecei A, Myin-Germeys I, Collip D, Viechtbauer W, Jacobs N, Derom C, Thiery E, van Os J, van Winkel R. Stress reactivity links childhood trauma exposure to an admixture of depressive, anxiety, and psychosis symptoms. Psychiatry Res. 2018 Feb;260:451-457. doi: 10.1016/j.psychres.2017.12.012.

Valiente C, Provencio M, Espinosa R, Duque A, Everts F. Insight in paranoia: The role of experiential avoidance and internalized stigma. Schizophr Res. 2015 May;164(1-3):214-20. doi: 10.1016/j.schres.2015.03.010.

Tarbiah NI, Alkhattabi NA, Aldamen SA, Qutah BM, Al-Zahrani MH, Tayeb HO. Effect of Psychological Stress during the COVID-19 on Patients with Irritable Bowel Syndrome in Saudi Arabia. J Biochem Technol. 2021;12(3):14-21. https://doi.org/10.51847/b8QU0H2tMU

Kirilmaz SK. Mediating Role of Positive Psychological Capital in The Effect of Perceived Organizational Support on Work Engagement. J Organ Behav Res. 2022;7(1):72-85. https://doi.org/10.51847/xNeqENPv4Y

Udachina A, Bentall RP. Developmental pathway to paranoia is mediated by negative self-concept and experiential avoidance. Psychosis. 2014 Apr 3;6(2):143-54. doi:10.1080/17522439.2013.810301

McIntyre JC, Wickham S, Barr B, Bentall RP. Social Identity and Psychosis: Associations and Psychological Mechanisms. Schizophr Bull. 2018 Apr 6;44(3):681-690. doi: 10.1093/schbul/sbx110.

Karvat Gracia DF, Lara DR, Ottoni GL, Araújo RMF. Analysis of association between temperament and psychological symptoms using the Affective and Emotional Composite Temperament (AFECT) model: An internet-based survey. J Affect Disord. 2020 Mar 1;264:446-454. doi: 10.1016/j.jad.2019.11.073.

Tabas MY, Momeni F, Bakhshani NM, Pourshahbaz A, Rezaei O. Psychological Intervention for Bipolar Disorder in Iran: A Systematic Review. Entomol Appl Sci Lett. 2023;10(1):53-64. https://doi.org/10.51847/284TUNfrCr

Wang M, Wang X, Liu L. Paternal and maternal psychological and physical aggression and chil’ren's anxiety in China. Child Abuse Negl. 2016 Jan;51:12-20. doi: 10.1016/j.chiabu.2015.11.018.

Chen P, Coccaro EF, Lee R, Jacobson KC. Moderating effects of childhood maltreatment on associations between social information processing and adult aggression. Psychol Med. 2012 Jun;42(6):1293-304. doi: 10.1017/S0033291711002212.

Pompili M, Innamorati M, Lamis DA, Erbuto D, Venturini P, Ricci F, Serafini G, Amore M, Girardi P. The associations among childhood maltreatme“t, "male depres”ion" and suicide risk in psychiatric patients. Psychiatry Res. 2014 Dec 15;220(1-2):571-8. doi: 10.1016/j.psychres.2014.07.056.

Mehrpisheh S, Memarian A, Mahyar A, Valiahdi NS. Correlation between serum vitamin D level and neonatal indirect hyperbilirubinemia. BMC Pediatr. 2018 May;18:178. doi: 10.1186/s12887-018-1140-9.

Fakunmoju SB, Bammeke FO. Anxiety disorders and depression among high school adolescents and youths in Nigeria: Understanding differential effects of physical abuse at home and school. J Adolesc. 2015 Jul;42:1-10. doi: 10.1016/j.adolescence.2015.03.012.

Memarian A, Farhidnia N, Fallahi F. Generalized Tonic Colonic Seizure Followed by Loss of Consciousness Early After Using Low Dose of Tramadol: A Case Report. Anesth Pain Med. 2018 Jun 3;8:e64707. doi: 10.5812/aapm.64707.

Memarian A, Mehrpisheh S. Therapeutic and Ethical Dilemma of Puberty and Menstruation Problems in an Intellectually Disabled (Autistic) Female: a Case Report. Acta Med Iran. 2015;53:663-666.

Cui N, Deatrick JA, Liu J. Maternal and paternal physical abuse: Unique and joint associations with child behavioral problems. Child Abuse Negl. 2018 Feb;76:524-532. doi: 10.1016/j.chiabu.2017.05.003.

Tellawi G, Williams MT, Chasson GS. Interpersonal hostility and suspicious thinking in obsessive-compulsive disorder. Psychiatry Res. 2016 Sep 30;243:295-302. doi: 10.1016/j.psychres.2016.06.038.

Varma L. Effect of Home Environment upon Inferiority among School Going Students. Int J Indian Psychol. 2016 Jul 27;3(4):115-22.

Tabatabaii S A, Soltani P, Khanbabaee G, Sharma D. SARS Coronavirus 2, Severe Acute Respiratory Syndrome, and Middle East Respiratory Syndrome in Children: A Review on Epidemiology, Clinical Presentation, and Diagnosis. Arch Pediatr Infect Dis.8(4):e104860. doi: 10.5812/apid.104860.

Dadashzadeh N, Farshid S, Valizadeh R, Nanbakhsh M, Mohammad Rahimi M. Acute respiratory distress syndrome in COVID-19. Immunopathol Persa. 2020;6(2): e16. doi: 10.34172/ipp.2020.16

Mirshamsi M, Ghiasi N, Heidari S, Hosseinpour P, Hassanlouei B, Hashemipour SMA, et al. Conjunctivitis and other ocular manifestation following COVID-19; updated information about transmission of COVID-19 by eye. Immunopathol Persa. 2021;7(2):e28. doi:10.34172/ipp.2021.28.

Besharat S AN, Dadashzadeh N, Talaie R, Mousavi SS, Barzegar A, Tavana S, et al . Clinical and Demographic Characteristics of Patients with COVID-19 Who Died in Modarres Hospital. Open Access Maced J Med Sci 2020;8(T1):144-9. doi: 10.3889/oamjms.2020.5013

Barzegar A, Ghadipasha M, Rezaei N, Forouzesh M. New hope for treatment of respiratory involvement following COVID-19 by bromhexine. J Nephropharmacol. 2021; 10(2):e11. doi: 10.34172/npj.2021.11.

Memarian A, Ameri E, Aghakhani K, Mehrpisheh S, Ameri M. The Epidemiology of Lower Extremities Injuries in Iranian Population. Iran J Public Health. 2016 Jul;45:960-1.

Sykes DL, Holdsworth L, Jawad N, Gunasekera P, Morice AH, Crooks MG. Post-COVID-19 symptom burden: what is long-COVID and how should we manage it?. Lung. 2021 Apr;199:113-9.

Parizad N, Hajimohammadi K, Goli R, Mohammadpour Y, Faraji N, Makhdomi K. Surgical debridement and maggot debridement therapy (MDT) bring the light of hope to patients with diabetic foot ulcers (DFUs): A case report. Int J Surg Case Rep. 2022 Oct;99:107723. doi: 10.1016/j.ijscr.2022.107723.

Aghakhani K, Heidari M, Ameri M, Mehrpisheh S, Memarian A. Characteristics of Traumatic Brain Injury among Accident and Falling Down Cases. Acta Med Iran. 2015 Oct;53:652-5.

Joli J, Buck P, Zipfel S, Stengel A. Post-COVID-19 fatigue: A systematic review. Frontiers in Psychiatry. 2022;13.

Renaud-Charest O, Lui LM, Eskander S, Ceban F, Ho R, Di Vincenzo JD, Rosenblat JD, Lee Y, Subramaniapillai M, McIntyre RS. Onset and frequency of depression in post-COVID-19 syndrome: A systematic review. Journal of psychiatric research. 2021 Dec 1;144:129-37.

Smith CM, Gilbert EB, Riordan PA, Helmke N, von Isenburg M, Kincaid BR, Shirey KG. COVID-19-associated psychosis: A systematic review of case reports. General hospital psychiatry. 2021 Nov 1;73:84-100.