Couture Shannon, Lecomte Tania, Leclerc Claude
Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
J Nerv Ment Dis. 2007 Aug;195(8):631-9. doi: 10.1097/NMD.0b013e31811f4021.
Research has suggested those with chronic schizophrenia are impaired in social functioning, and that those early in the illness also exhibit these impairments. However, the factors underlying and contributing to social dysfunction have not yet been well delineated, particularly within a first episode sample. The current study sought to investigate the role of attachment style and personality characteristics in the social dysfunction of those diagnosed with a first episode of psychosis. Ninety-six participants experiencing a first episode of psychosis were compared with control participants from 2 different samples on attachment and personality variables. Results suggested that those with a first episode of psychosis may experience more problematic attachment in peer relationships compared with nonclinical controls, and that the type and amount of differences observed may vary by gender. In addition, those experiencing a first episode of psychosis report different levels of the "big five" personality traits when compared with nonclinical controls. Finally, within the first episode sample, both personality and attachment appear to contribute variance to 3 domains of social functioning: social and individual living skills, inappropriate community behavior, and quality of life. These findings have implications for the functional significance of these psychological constructs.
研究表明，慢性精神分裂症患者的社会功能受损，且疾病早期患者也表现出这些损害。然而，导致社会功能障碍的潜在因素尚未得到很好的界定，尤其是在首发样本中。当前研究旨在调查依恋风格和人格特征在首次发作精神病患者社会功能障碍中的作用。将96名首次发作精神病的参与者与来自2个不同样本的对照参与者在依恋和人格变量方面进行比较。结果表明，与非临床对照相比，首次发作精神病的患者在同伴关系中可能经历更多有问题的依恋，并且观察到的差异类型和程度可能因性别而异。此外，与非临床对照相比，首次发作精神病的患者报告的“大五”人格特质水平不同。最后，在首发样本中，人格和依恋似乎都对社会功能的三个领域产生影响：社会和个人生活技能、不适当的社区行为以及生活质量。这些发现对这些心理结构的功能意义具有启示作用。
