极高的精神病发病风险和精神病态人格组织。
Ultrahigh risk for developing psychosis and psychotic personality organization.
机构信息
Department of Clinical Psychology, VU University and Amsterdam Public Mental Health Research Institute, Amsterdam, The Netherlands.
Department of Psychosis Research, Parnassia Psychiatric Institute, Hauge, The Netherlands.
出版信息
Early Interv Psychiatry. 2019 Jun;13(3):673-676. doi: 10.1111/eip.12687. Epub 2018 Jun 19.
AIMS
Childhood adversities combined with unsafe parenting may disturb personality development. This study investigated whether psychotic personality organization as defined by Kernberg and assessed with de Dutch Short Form of the MMPI (DSFM) is more prevalent in ultrahigh risk (UHR) for psychosis compared with non-psychotic psychiatric control patients (NPPC).
METHODS
A total of 73 UHR and 119 NPPC patients were assessed with the DSFM and the Comprehensive Assessment of at Risk Mental States (CAARMS).
RESULTS
The results showed that the psychotic personality organization (PPO) was not associated to UHR status. The UHR group showed more severe symptoms, particularly higher scores on DSFM subscales negativism (negative affect) and somatization (vague somatic complaints) and severe psychopathology (psychotic symptoms and dissociation).
CONCLUSION
The PPO profile is not associated to the risk of developing psychosis.
目的
童年逆境加上不安全的养育方式可能会干扰人格发展。本研究旨在调查核心伯格定义的精神病性人格组织，并用荷兰 MMPI 短式量表（DSFM）评估，是否比非精神病性精神病对照患者（NPPC）在精神病超高风险（UHR）中更为普遍。
方法
共有 73 名 UHR 和 119 名 NPPC 患者接受了 DSFM 和风险评估综合量表（CAARMS）的评估。
结果
结果表明，精神病性人格组织（PPO）与 UHR 状态无关。UHR 组表现出更严重的症状，特别是 DSFM 子量表上的负面情绪（消极情绪）和躯体化（模糊的躯体抱怨）和严重的精神病理学（精神病症状和分离）的得分更高。
结论
PPO 特征与发展为精神病的风险无关。
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