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从五因素模型角度比较双相 I 型和 II 型障碍患者的人格特征。

Comparative Study of Personality Traits in Patients with Bipolar I and II Disorder from the Five-Factor Model Perspective.

机构信息

Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2012 Dec;9(4):347-53. doi: 10.4306/pi.2012.9.4.347. Epub 2012 Nov 12.

Abstract

OBJECTIVE

The distinguishing features of Bipolar I Disorder (BD I) from Bipolar II Disorder (BD II) may reflect a separation in enduring trait dimension between the two subtypes. We therefore assessed the similarities and differences in personality traits in patients with BD I and BD II from the perspective of the Five-Factor Model (FFM).

METHODS

The revised NEO Personality Inventory (NEO-PI-R) was administered to 85 BD I (47 females, 38 males) and 43 BD II (23 females, 20 males) patients. All included patients were in remission from their most recent episode and in a euthymic state for at least 8 weeks prior to study entry.

RESULTS

BDII patients scored higher than BD I patients on the Neuroticism dimension and its four corresponding facets (Anxiety, Depression, Self-consciousness, and Vulnerability). In contrast, BD II patients scored lower than BD I patients on the Extraversion dimension and its facet, Positive emotion. Competence and Achievement-striving facets within the Conscientiousness dimension were significantly lower for BD II than for BD I patients. There were no significant between-group differences in the Openness and Agreeableness dimensions.

CONCLUSION

Disparities in personality traits were observed between BD I and BD II patients from the FFM perspective. BD II patients had higher Neuroticism and lower Extraversion than BD I patients, which are differentiating natures between the two subtypes based on the FFM.

摘要

目的

双相情感障碍 I 型(BD I)与双相情感障碍 II 型(BD II)的区别特征可能反映了这两种亚型之间持久特质维度的分离。因此,我们从五因素模型(FFM)的角度评估了 BD I 和 BD II 患者的人格特质的异同。

方法

对 85 名 BD I(47 名女性,38 名男性)和 43 名 BD II(23 名女性,20 名男性)患者进行了修订版 NEO 人格量表(NEO-PI-R)的评估。所有纳入的患者在研究入组前最近一次发作后已缓解,且在至少 8 周内处于心境稳定状态。

结果

BD II 患者在神经质维度及其四个对应的方面(焦虑、抑郁、自我意识和脆弱性)上的得分高于 BD I 患者。相比之下,BD II 患者在外向性维度及其积极情绪方面的得分低于 BD I 患者。BD II 患者在尽责性维度的能力和成就追求方面的得分显著低于 BD I 患者。BD I 和 BD II 患者在开放性和宜人性维度上没有显著的组间差异。

结论

从 FFM 的角度来看,BD I 和 BD II 患者的人格特质存在差异。BD II 患者的神经质得分高于 BD I 患者,外向性得分低于 BD I 患者,这是基于 FFM 区分两种亚型的特质。

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