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精神分裂症中的性与性别差异:正常人格差异的案例。

Sex versus gender differences in schizophrenia: The case for normal personality differences.

机构信息

Department of Psychological and Brain Sciences, University of Louisville, Belknap Campus, Louisville, KY 40292, USA.

Department of Psychological and Brain Sciences, University of Louisville, Belknap Campus, Louisville, KY 40292, USA.

出版信息

Schizophr Res. 2017 Nov;189:57-60. doi: 10.1016/j.schres.2017.02.015. Epub 2017 Feb 16.

DOI:10.1016/j.schres.2017.02.015
PMID:28215470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5559345/
Abstract

Schizophrenia has generally been viewed as having a unique preschizophrenia personality or destructive to the personality post-onset. This view is reflected in the scarcity of studies of personality in schizophrenia with the exception of schizotypal personality considered by many as an endophenotype of schizophrenia. What is missing is the study of personality as independent of schizophrenia and as a potential source of schizophrenia heterogeneity. In this study we examine sex versus gender as an initial effort to introduce personality as a normal variant that influences how schizophrenia is expressed. Gender, a personality construct, was associated with the presence of depression in a large sample of schizophrenia patients controlling for sex, age of onset, severity of disorder, and education. The results suggest that gender, rather than sex, as a representative personality trait may yield important insights into how schizophrenia is expressed.

摘要

精神分裂症通常被认为具有独特的前驱期人格或发病后对人格的破坏性。这种观点反映在精神分裂症人格研究的稀缺性上,除了许多人认为是精神分裂症的内表型的精神分裂型人格外。缺失的是将人格作为独立于精神分裂症的研究,以及作为精神分裂症异质性的潜在来源。在这项研究中,我们研究了性别与性别之间的差异,作为引入人格作为影响精神分裂症表现的正常变异的初步尝试。在控制了性别、发病年龄、疾病严重程度和教育程度后,人格结构性别与大量精神分裂症患者的抑郁存在相关。研究结果表明,作为代表性人格特征的性别,而不是性,可能会为了解精神分裂症的表现方式提供重要的见解。

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本文引用的文献

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The Five-Factor Model personality traits in schizophrenia: A meta-analysis.精神分裂症的五因素模型人格特质:荟萃分析。
Psychiatry Res. 2016 Jun 30;240:34-41. doi: 10.1016/j.psychres.2016.04.004. Epub 2016 Apr 7.
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The role of schizotypy in the study of the etiology of schizophrenia spectrum disorders.分裂型人格特质在精神分裂症谱系障碍病因学研究中的作用。
Schizophr Bull. 2015 Mar;41 Suppl 2(Suppl 2):S408-16. doi: 10.1093/schbul/sbu191.
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A critical test of the assumption that men prefer conformist women and women prefer nonconformist men.
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Gender differences in the association between childhood abuse and psychosis.童年期虐待与精神病之间关联中的性别差异。
Br J Psychiatry. 2009 Apr;194(4):319-25. doi: 10.1192/bjp.bp.107.047985.
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