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强迫症及有亚临床强迫问题个体的人格特征。

Personality characteristics in obsessive-compulsive disorder and individuals with subclinical obsessive-compulsive problems.

作者信息

Fullana Miquel Angel, Mataix-Cols David, Trujillo José Luis, Caseras Xavier, Serrano Francisco, Alonso Pino, Menchón Josep M, Vallejo Julio, Torrubia Rafael

机构信息

Department of Psychiatry and Forensic Medicine, Autonomous University of Barcelona, Spain.

出版信息

Br J Clin Psychol. 2004 Nov;43(Pt 4):387-98. doi: 10.1348/0144665042388937.

Abstract

OBJECTIVE

To assess the relationship between normal personality traits and obsessive-compulsive (OC) phenomena in individuals with subclinical OC problems and patients whose problems met diagnostic criteria for obsessive-compulsive disorder (OCD).

METHOD

In Study 1, 25 healthy volunteers with high scores on the Padua Inventory (PI) and 28 controls with low scores on the PI were compared on the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ), the Eysenck Personality Questionnaire (EPQ), and measures of depression and state anxiety. In Study 2, 56 treatment-seeking participants meeting DSM-IV criteria for OCD and 40 healthy volunteers of similar sociodemographic characteristics were compared on the same measures.

RESULTS

Both individuals with subclinical OC problems and OCD patients scored significantly higher than their respective control groups on sensitivity to punishment, neuroticism and psychoticism. OCD patients, but not individuals with subclinical OC problems, scored lower in extraversion than their respective controls. Neuroticism was the strongest predictor of high scores on the PI in Study 1, while psychoticism was the strongest predictor of the presence of an OCD diagnosis in Study 2.

CONCLUSION

Healthy participants with high scores on OC measures and OCD patients share various personality traits but can also be distinguished according to the level of extraversion, neuroticism and psychoticism.

摘要

目的

评估具有亚临床强迫症状的个体以及符合强迫症(OCD)诊断标准的患者的正常人格特质与强迫(OC)现象之间的关系。

方法

在研究1中,比较了帕多瓦量表(PI)得分高的25名健康志愿者和PI得分低的28名对照者在惩罚敏感性与奖励敏感性问卷(SPSRQ)、艾森克人格问卷(EPQ)以及抑郁和状态焦虑测量方面的差异。在研究2中,比较了56名符合DSM-IV强迫症标准的寻求治疗的参与者和40名具有相似社会人口学特征的健康志愿者在相同测量指标上的差异。

结果

具有亚临床强迫症状的个体和强迫症患者在惩罚敏感性、神经质和精神质方面的得分均显著高于各自的对照组。强迫症患者在外向性方面的得分低于各自的对照组,但具有亚临床强迫症状的个体并非如此。在研究1中,神经质是PI高分的最强预测因素,而在研究2中,精神质是强迫症诊断存在的最强预测因素。

结论

OC测量得分高的健康参与者和强迫症患者具有多种共同的人格特质,但也可根据外向性、神经质和精神质水平进行区分。

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