焦虑和抑郁障碍与人格五因素模型:社区样本中的高阶和低阶人格特质调查
Anxiety and depressive disorders and the five-factor model of personality: a higher- and lower-order personality trait investigation in a community sample.
作者信息
Bienvenu O Joseph, Samuels Jack F, Costa Paul T, Reti Irving M, Eaton William W, Nestadt Gerald
机构信息
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
出版信息
Depress Anxiety. 2004;20(2):92-7. doi: 10.1002/da.20026.
We describe in detail normal personality traits in persons with psychiatrist-ascertained anxiety and depressive disorders in a general population sample. We investigated Revised NEO Personality Inventory traits in 731 community subjects examined by psychiatrists with the Schedules for Clinical Assessment in Neuropsychiatry. All of the lifetime disorders of interest (simple phobia, social phobia, agoraphobia, panic disorder, obsessive-compulsive disorder (OCD), generalized anxiety disorder, major depressive disorder (MDD), and dysthymia) were associated with high neuroticism. Social phobia, agoraphobia, and dysthymia were associated with low extraversion, and OCD was associated with high openness to experience. In addition, lower-order facets of extraversion (E), openness (O), agreeableness (A), and conscientiousness (C) were associated with certain disorders (specifically, low assertiveness (E) and high openness to feelings (O) with MDD, low trust (A) with social phobia and agoraphobia, low self-discipline (C) with several of the disorders, and low competence and achievement striving (C) with social phobia). Neuroticism in particular was related to acuity of disorder. Longitudinal study is necessary to differentiate state versus pathoplastic effects.
我们详细描述了普通人群样本中经精神科医生确诊患有焦虑症和抑郁症的个体的正常人格特质。我们在731名接受精神科医生使用神经精神病临床评估量表检查的社区受试者中,对修订版大五人格量表的特质进行了调查。所有感兴趣的终生性疾病(单纯恐惧症、社交恐惧症、广场恐惧症、惊恐障碍、强迫症(OCD)、广泛性焦虑症、重度抑郁症(MDD)和心境恶劣障碍)均与高神经质相关。社交恐惧症、广场恐惧症和心境恶劣障碍与低外向性相关,而强迫症与高开放性体验相关。此外,外向性(E)、开放性(O)、宜人性(A)和尽责性(C)的低阶方面与某些疾病相关(具体而言,MDD与低自信(E)和高情感开放性(O)相关,社交恐惧症和广场恐惧症与低信任(A)相关,几种疾病与低自律(C)相关,社交恐惧症与低能力和成就追求(C)相关)。尤其是神经质与疾病的严重程度相关。需要进行纵向研究以区分状态效应与病理塑造效应。