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[精神分裂症患者及情感性精神病患者一级亲属的人格维度与神经心理表现]

[Personality dimensions and neuropsychological performance in first-degree relatives of patients with schizophrenia and by affective psychosis].

作者信息

Laurent A, Gilvarry C, Russel A, Mathieu-Cura C, Murray R

机构信息

Service de Psychologie Médicale Infantile, BP 217, 38043 Grenoble.

出版信息

Encephale. 2003 Nov-Dec;29(6):527-34.

PMID:15029087
Abstract

Several studies have found a significant increase in the prevalence of some personality disorders in the first-degree relatives of patients with schizophrenia; other studies have found subtle neuropsychological deficits in these relatives. However, little is known about the specificity of the personality traits reported or about the relationship between these traits and the neuropsychological deficits. One hundred first-degree relatives of patients with schizophrenia (AS) and 88 first-degree relatives of affective psychotic (APA) patients completed the Eysenck Personality Questionnaire which measures extraversion, neuroticism, psychoticism. They were also administered the National Adult Reading Test (NART), the Trail Making Test (TMT) and a Verbal Fluency Test (VFT). In the AS group, the male relatives scored significantly higher on the psychoticism scale than the male relatives in the APA group. There were no significant differences in personality between female relatives of the 2 patients groups. In the AS group, the NART scores were superior when the psychoticism scores were lower and the TMT performance was better when the extraversion scores were higher. These results seem to indicate some specificity as well as sex differences of the psychoticism dimension. Moreover, the relationship between the personality dimensions and the neuropsychological performance could indicate that psychoticism increases vulnerability to schizophrenia whereas extraversion decreases it.

摘要

多项研究发现,精神分裂症患者的一级亲属中某些人格障碍的患病率显著增加;其他研究则发现这些亲属存在细微的神经心理学缺陷。然而,对于所报告的人格特质的特异性,以及这些特质与神经心理学缺陷之间的关系,人们知之甚少。100名精神分裂症患者的一级亲属(AS组)和88名情感性精神病患者的一级亲属(APA组)完成了艾森克人格问卷,该问卷测量外向性、神经质和精神质。他们还接受了国家成人阅读测试(NART)、连线测验(TMT)和语言流畅性测试(VFT)。在AS组中,男性亲属在精神质量表上的得分显著高于APA组的男性亲属。两组患者的女性亲属在人格方面没有显著差异。在AS组中,精神质得分较低时NART得分较高,外向性得分较高时TMT表现较好。这些结果似乎表明了精神质维度的某些特异性以及性别差异。此外,人格维度与神经心理学表现之间的关系可能表明,精神质会增加患精神分裂症的易感性,而外向性则会降低这种易感性。

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