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有自杀未遂史的抑郁症患者的人格特征。

Personality profile of depressive patients with a history of suicide attempts.

作者信息

Stanković Zana, Saula-Marojević Biljana, Potrebić Aleksandra

机构信息

Institute of Psychiatry, Clinical Centre of Serbia, Pasterova 2, 11000 Belgrade, Serbia.

出版信息

Psychiatr Danub. 2006 Dec;18(3-4):159-68.

PMID:17099606
Abstract

AIM

To examine the dimensions and appropriate aspects of personality according to the five-factor model of personality of depressive patients with a suicide attempt history compared to depressive patients without a suicide attempt history and healthy persons.

METHOD

Sample of 35 outpatients of both gender (< 60 years), with a diagnosis of ICD-10 non-psychotic recurrent depression in remission (F 33.4) and a group of healthy persons (N = 20) were included in the study. Patients were classified into a group of patients with a suicide attempt history (N = 15) and a group of patients without a suicide attempt history (N = 20). The exclusion criteria were determined. The NEO PI-R (240 self-report items) has been used to evaluate personality dimensions and aspects.

RESULTS

Both patient groups had a significantly higher score on the dimension of Neuroticism (p < 0.001), as well as significantly lower scores on the dimensions of Extroversion, (p < 0.001) Openness (p < 0.01) and Conscientiousness (p < 0.001; p < 0.01) compared with a group of healthy persons (ANOVA; Fisher's test-LSD).

CONCLUSIONS

Depressive patients with a suicide attempt history were significantly different in all personality domains except in Agreeableness from healthy persons (higher Neuroticism and lower Extroversion, Openness and Conscientiousness). There were no considerable differences in personality domains when major depressives with and without suicide attempt history were compared.

摘要

目的

根据五因素人格模型,研究有自杀未遂史的抑郁症患者与无自杀未遂史的抑郁症患者及健康人相比,其人格维度和相关方面的情况。

方法

研究纳入了35名年龄小于60岁的门诊患者(男女不限),诊断为ICD - 10非精神病性复发性缓解期抑郁症(F 33.4),以及一组健康人(N = 20)。患者被分为有自杀未遂史的患者组(N = 15)和无自杀未遂史的患者组(N = 20)。确定了排除标准。使用NEO PI - R(240项自我报告项目)评估人格维度和方面。

结果

与健康人组相比,两个患者组在神经质维度上的得分均显著更高(p < 0.001),在外向性、开放性和尽责性维度上的得分均显著更低(外向性:p < 0.001;开放性:p < 0.01;尽责性:p < 0.001;p < 0.01)(方差分析;Fisher检验 - LSD)。

结论

有自杀未遂史的抑郁症患者与健康人相比,除宜人性外,在所有人格领域均存在显著差异(神经质更高,外向性、开放性和尽责性更低)。有自杀未遂史和无自杀未遂史的重度抑郁症患者在人格领域没有明显差异。

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