Department of Mental Health, Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Málaga University, Campus de Teatinos, Málaga, Spain.
Department of Mental Health, Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain.
Compr Psychiatry. 2017 Apr;74:109-117. doi: 10.1016/j.comppsych.2017.01.006. Epub 2017 Jan 14.
Personality in patients with psychosis, and particularly its relation to psychotic symptoms in recent onset of psychosis (ROP) patients, is understudied. The aims of this research were to study the relation between dimensional and categorical clinical personality traits and symptoms, as well as the effects that symptoms, sex and age have on clinically significant personality traits.
Data for these analyses were obtained from 94 ROP patients. The Millon Clinical Multiaxial Inventory and the Positive and Negative Syndrome Scale were used to assess personality and symptoms. Correlational Analysis, Mann-Whitney test, and, finally, logistic regression were carried out.
The negative dimension was higher in patients with schizoid traits. The excited dimension was lower for those with avoidant and depressive traits. The anxiety and depression dimension was higher for patients with dependent traits. The positive dimension was lower for patients with histrionic and higher for patients with compulsive traits. Logistic regression demonstrated that gender and the positive and negative dimensions explained 35.9% of the variance of the schizoid trait. The excited dimension explained 9.1% of the variance of avoidant trait. The anxiety and depression dimension and age explained 31.3% of the dependent trait. Gender explained 11.6% of the histrionic trait, 14.5% of the narcissistic trait and 11.6% of the paranoid trait. Finally gender and positive dimension explained 16.1% of the compulsive trait.
The study highlights the importance of studying personality in patients with psychosis as it broadens understating of the patients themselves and the symptoms suffered.
精神分裂症患者的人格，尤其是在近期精神分裂症发病（ROP）患者中人格与精神病症状的关系，尚未得到充分研究。本研究旨在研究维度和分类临床人格特征与症状之间的关系，以及症状、性别和年龄对临床显著人格特征的影响。
这些分析的数据来自 94 名 ROP 患者。采用明尼苏达多相人格问卷和阳性与阴性症状量表评估人格和症状。进行相关分析、Mann-Whitney 检验，最后进行逻辑回归。
分裂型特质患者的负性维度较高。回避和抑郁特质患者的兴奋维度较低。依赖特质患者的焦虑和抑郁维度较高。表现型特质患者的正性维度较低，强迫特质患者的正性维度较高。逻辑回归表明，性别以及阳性和阴性维度解释了分裂型特质 35.9%的变异。兴奋维度解释了回避型特质变异的 9.1%。焦虑和抑郁维度以及年龄解释了依赖型特质变异的 31.3%。性别解释了表现型特质的 11.6%、自恋型特质的 14.5%和偏执型特质的 11.6%。最后，性别和阳性维度解释了强迫型特质变异的 16.1%。
该研究强调了在精神病患者中研究人格的重要性，因为它拓宽了对患者自身和所患症状的理解。
