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探究情感障碍患者及有自杀未遂史患者的人格特征:与他们的父母及对照受试者的比较研究。

Exploring personality features in patients with affective disorders and history of suicide attempts: a comparative study with their parents and control subjects.

作者信息

Camarena Beatriz, Fresán Ana, Sarmiento Emmanuel

机构信息

Subdirección de Investigaciones Clínicas, Genética Psiquiátrica, Instituto Nacional de Psiquiatría Ramón de la Fuente, Calz. México-Xochimilco 101, 14370 Mexico City, Mexico.

Subdirección de Investigaciones Clínicas, Epidemiología Psiquiátrica, Instituto Nacional de Psiquiatría Ramón de la Fuente, Calz. México-Xochimilco 101, 14370 Mexico City, Mexico.

出版信息

Depress Res Treat. 2014;2014:291802. doi: 10.1155/2014/291802. Epub 2014 Mar 2.

Abstract

Personality traits are important candidate predictors of suicidal behavior. Several studies have reported an association between personality/temperament traits and suicidal behavior, suggesting personality traits as intermediary phenotypes related to suicidal behavior. Thus, it is possible that suicide attempts can be accounted for by increased familial rates of risk personality traits. The aim of this work was to evaluate personality traits in affective disorder patients with attempted suicide and to compare them with the personality trait scores of their parents. In addition, ITC scores in the two groups were compared with a healthy control sample. The patients evaluated met the DSM-IV criteria for major depression disorder or dysthymia and had a documented history of suicide attempts. Psychiatric diagnoses of patients and parents were done according to the SCID-I and the personality was assessed using the Temperament and Character Inventory. We analyzed 49 suicide attempt subjects and their parents (n = 95) and 89 control subjects. We observed that temperament and character dimensions were similar between patients and their parents (P > 0.05). In particular, we observed that high HA and low P, SD, and CO were shared among families. Our study is the first to report that the personality traits of affective disorder patients with a history of attempted suicide are shared between patients and their parents.

摘要

人格特质是自杀行为重要的潜在预测因素。多项研究报告了人格/气质特质与自杀行为之间的关联,表明人格特质是与自杀行为相关的中间表型。因此,自杀未遂可能是由于具有风险人格特质的家族发病率增加所致。这项工作的目的是评估有自杀未遂史的情感障碍患者的人格特质,并将其与他们父母的人格特质得分进行比较。此外,还将两组的ITC得分与一个健康对照样本进行了比较。接受评估的患者符合DSM-IV中重度抑郁症或心境恶劣的标准,并有自杀未遂的记录。根据SCID-I对患者和父母进行精神科诊断,并使用气质和性格量表评估人格。我们分析了49名有自杀未遂经历的受试者及其父母(n = 95)和89名对照受试者。我们观察到患者与其父母之间的气质和性格维度相似(P > 0.05)。特别是,我们观察到高HA以及低P、SD和CO在家族中具有共性。我们的研究首次报告了有自杀未遂史的情感障碍患者的人格特质在患者及其父母之间具有共性。

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