Ostacoli L, Zuffranieri M, Cavallo M, Zennaro A, Rainero I, Pinessi L, Pacchiana Parravicini M V, Ladisa E, Furlan P M, Picci R L
Department of Mental Health, "San Luigi Gonzaga" Hospital Medical School, ASL TO3, University of Turin, Regione Gonzole 10, 10043 Orbassano, Italy.
ISRN Psychiatry. 2013 Apr 23;2013:246358. doi: 10.1155/2013/246358. Print 2013.
Objective. The aim of the present study is to evaluate the link between the age of onset of mood disorders and the complexity of the personality traits. Methods. 209 patients with major depressive or manic/hypomanic episodes were assessed using the Structured Clinical Interview for DSM Axis I diagnoses and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Results. 17.2% of the patients had no elevated MCMI-III scores, 45.9% had one peak, and 36.9% had a complex personality disorder with two or more elevated scores. Mood disorders onset of 29 years or less was the variable most related to the complexity of personality disorders as indicated from a recursive partitioning analysis. Conclusions. The relationship between mood disorders and personality traits differ in reference to age of onset of the mood disorder. In younger patients, maladaptive personality traits can evolve both in a mood disorder onset and in a complex personality disorder, while the later development of a severe mood disorder can increase the personality symptomatology. Our results suggest a threshold of mood disorder onset higher compared to previous studies. Maladaptive personality traits should be assessed not only during adolescence but also in young adults to identify and treat potential severe mood disorders.
目的。本研究旨在评估情绪障碍的发病年龄与人格特质复杂性之间的联系。方法。使用《精神疾病诊断与统计手册》第一轴障碍的结构化临床访谈和米隆临床多轴问卷第三版（MCMI-III）对209例患有重度抑郁或躁狂/轻躁狂发作的患者进行评估。结果。17.2%的患者MCMI-III得分未升高，45.9%有一个峰值，36.9%有复杂人格障碍且两个或更多得分升高。递归划分分析表明，29岁及以下的情绪障碍发病是与人格障碍复杂性最相关的变量。结论。情绪障碍与人格特质之间的关系因情绪障碍的发病年龄而异。在年轻患者中，适应不良的人格特质可能在情绪障碍发病和复杂人格障碍中都有所发展，而严重情绪障碍的后期发展可能会增加人格症状。我们的结果表明，与先前研究相比，情绪障碍发病存在一个更高的阈值。不仅在青少年时期，而且在年轻人中都应评估适应不良的人格特质，以识别和治疗潜在的严重情绪障碍。
