Berger-Sieczkowski Evelyn, Gruber Bernadette, Stögmann Elisabeth, Lehrner Johann
Department of Neurology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Neuropsychiatr. 2019 Mar;33(1):35-45. doi: 10.1007/s40211-018-0292-z. Epub 2018 Oct 17.
Personality and dementia are connected in different ways. A broad knowledge about personality and prodromal stages of dementia might be helpful to identify dementia as early as possible. Hence, personality differences between three cognitively impaired groups on the basis of patients' self-assessments of personality traits and connections between personality and cognitive functioning were examined via a cross-sectional study. The sample consisted of cognitively impaired patients (N = 133), aged 50 and older, who came to a memory clinic due to cognitive complaints. The test procedure encompassed a cognitive screening, the Neuropsychological Test Battery Vienna (NTBV), and self-assessment questionnaires such as the Big Five Plus One Persönlichkeitsinventar (B5PO). While patients with subjective cognitive decline (SCD) did not differ from those with non-amnestic mild cognitive impairment (naMCI) concerning the different personality traits, patients with amnestic mild cognitive impairment (aMCI) showed significantly lower scores for extraversion (p < 0.05), openness (p < 0.001), and empathy (p < 0.001) than patients with SCD as well as patients with naMCI. Thus, cognitively impaired groups mainly differ concerning personality traits depending on whether they do show memory decline or not.
人格与痴呆症以不同方式相互关联。广泛了解人格与痴呆症的前驱阶段可能有助于尽早识别痴呆症。因此,通过一项横断面研究,基于患者对人格特质的自我评估,考察了三个认知受损组之间的人格差异以及人格与认知功能之间的联系。样本包括133名50岁及以上的认知受损患者,他们因认知问题前往记忆诊所就诊。测试程序包括认知筛查、维也纳神经心理测试组合(NTBV)以及诸如大五人格加一人格量表(B5PO)等自我评估问卷。虽然主观认知衰退(SCD)患者在不同人格特质方面与非遗忘型轻度认知障碍(naMCI)患者没有差异,但遗忘型轻度认知障碍(aMCI)患者在外向性(p<0.05)、开放性(p<0.001)和共情能力(p<0.001)方面的得分显著低于SCD患者和naMCI患者。因此,认知受损组在人格特质方面的主要差异取决于他们是否出现记忆衰退。