Department of Mental Health, Local Health Service, Parma, Italy.
Department of Neuroscience, Psychiatric Unit, University of Parma, Italy.
Compr Psychiatry. 2018 Aug;85:78-83. doi: 10.1016/j.comppsych.2018.07.002. Epub 2018 Jul 5.
The relationship between personality and Delusional Disorder in still debated. The present study aimed to evaluate the role of personality features and emotional dispositions on the proneness to delusional beliefs, through the lens of a dimensional approach. 91 outpatients were administered the Structured Interview for DSM-IV Personality Disorders, the Pathological Narcissism Inventory, the Positive and Negative Affect Schedule and the Peters et al. Delusions Inventory. Delusion proneness was positively related to the "Hiding the Self" domain of narcissistic vulnerability and to paranoid traits and negatively related to "Positive Affect". Paranoid traits and "Hiding the Self" significantly interacted in influencing delusion ideation. These data suggest that proneness to delusion depends, at least in part, on a complex interplay between specific emotional and paranoid dispositions within personality.
人格与妄想障碍之间的关系仍存在争议。本研究旨在通过维度方法评估人格特征和情绪倾向对妄想信念倾向的作用。91 名门诊患者接受了 DSM-IV 人格障碍结构化访谈、病理性自恋量表、正负情感量表和彼得斯等人的妄想量表。妄想倾向与自恋脆弱性的“隐藏自我”领域以及偏执特质呈正相关，与“积极情绪”呈负相关。偏执特质和“隐藏自我”在影响妄想观念方面存在显著的相互作用。这些数据表明，妄想倾向至少部分取决于人格中特定情绪和偏执倾向之间的复杂相互作用。
