School of Applied Psychology and Menzies Health Institute Queensland,Griffith University,Brisbane,Australia.
Princess Alexandra Hospital,Brisbane,Australia.
Int Psychogeriatr. 2017 Jul;29(7):1157-1168. doi: 10.1017/S1041610217000382. Epub 2017 Mar 28.
It is well recognized that an individual's personality characteristics influence their psychological adjustment after stroke. However, there is a lack of research on the reliability of personality inventories for stroke. This study primarily aimed to evaluate the reliability of the Neuroticism, Extroversion, Openness to Experience (NEO)-Five Factor Inventory (NEO-FFI) for assessing pre-morbid personality and personality changes after stroke. Further aims were to investigate changes in personality during the hospital-to-home transition period and examine associations between personality and mood.
Forty participants with stroke (52.5% male, M age=65.55 years) were recruited at time of hospital discharge and completed the NEO-FFI, Centre for Epidemiologic Studies - Depression and Geriatric Anxiety Inventory. Significant others completed an informant version of the NEO-FFI. Stroke participants were re-assessed on the NEO-FFI at 1-month and 4-months post-discharge. Forty matched controls also completed the NEO-FFI.
Internal consistency was adequate for the NEO-FFI (α=0.57-0.86), although low for agreeableness. There was fair to excellent concordance between self-rated and informant versions of the NEO-FFI (ICC=0.58-0.78). Significant positive associations were found between neuroticism and mood (r=0.50-0.68), and significant negative associations were found between extraversion and mood (r=-0.33-0.36) and agreeableness and anxiety (r=-0.43). Self-ratings of stroke participants on the NEO-FFI at discharge did not significantly differ from matched controls. Extraversion levels significantly decreased, and agreeableness levels significantly increased between discharge and 1- and 4-months post-discharge.
Overall, the results support the reliability of the NEO-FFI for assessing personality characteristics in the context of stroke.
众所周知，个体的人格特征会影响其中风后的心理适应。然而，目前针对中风患者人格量表的可靠性研究还比较缺乏。本研究主要旨在评估神经质、外向性、开放性人格量表（NEO-FFI）评估中风前人格和中风后人格变化的可靠性。进一步的目的是研究从医院到家庭过渡期间的人格变化，并探讨人格与情绪之间的关联。
40 名中风患者（52.5%为男性，M 年龄=65.55 岁）在出院时被招募，并完成了 NEO-FFI、流行病学研究中心抑郁量表和老年焦虑量表。重要他人完成了 NEO-FFI 的 informant 版本。中风患者在出院后 1 个月和 4 个月时再次进行 NEO-FFI 评估。40 名匹配的对照组也完成了 NEO-FFI。
NEO-FFI 的内部一致性良好（α=0.57-0.86），但宜人性的一致性较低。NEO-FFI 的自评和 informant 版本之间具有良好到极好的一致性（ICC=0.58-0.78）。神经质与情绪之间存在显著的正相关（r=0.50-0.68），外向性与情绪之间存在显著的负相关（r=-0.33-0.36），宜人性与焦虑之间存在显著的负相关（r=-0.43）。出院时中风患者的 NEO-FFI 自评与匹配对照组无显著差异。出院后 1 个月和 4 个月时，外向性水平显著下降，宜人性水平显著上升。
总体而言，研究结果支持 NEO-FFI 在中风环境下评估人格特征的可靠性。
