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在初级保健中,抑郁老年患者的适应不良人格与社会角色障碍的关系。

The Relationship Between Maladaptive Personality and Social Role Impairment in Depressed Older Adults in Primary Care.

机构信息

Ferkauf Graduate School of Psychology, Yeshiva University.

Department of Psychiatry, Weill Cornell Medicine.

出版信息

Clin Gerontol. 2021 Mar-Apr;44(2):192-205. doi: 10.1080/07317115.2018.1536687. Epub 2018 Oct 26.

Abstract

: Personality pathology is associated with impaired social functioning in adults, though further evidence is needed to examine the individual contributions of personality traits and processes to social functioning in depressed older adults. This study is a secondary analysis examining the relationship between maladaptive personality traits and processes and social role impairment in depressed older adults in primary care. : Participants (N = 56) were 77% female and ranged in age between 55-89 (= 66.82, = 8.75). Personality pathology was measured by maladaptive traits (NEO-FFI) and processes (Inventory of Interpersonal Problems; IIP-PD-15). Individual variable as well as combined predictive models of social role impairment were examined. : Higher neuroticism ( = 0.30,  < .05), lower agreeableness (.35 < .001) and higher IIP-PD-15 (0.28, .01) scores predicted greater impairment in social role functioning. A combined predictive model of neuroticism and IIP-PD-15 scores predicted unique variance in social role impairment (.71). : These results link select personality traits and interpersonal processes to social role impairment, suggesting that these are indicators of personality pathology in older adults. : These findings lend preliminary support for clinical screening of personality pathology in depressed older adults utilizing both personality trait and process measures.

摘要

人格病理学与成年人的社交功能障碍有关,但需要进一步的证据来检验人格特质和过程对抑郁老年患者社交功能的个体贡献。本研究是一项二级分析,旨在检查初级保健中抑郁老年患者的适应不良人格特质和过程与社会角色障碍之间的关系。

参与者(N=56)中女性占 77%,年龄在 55-89 岁之间(=66.82,=8.75)。人格病理学通过适应不良特质(NEO-FFI)和过程(人际关系问题清单;IIP-PD-15)来衡量。检查了个体变量和社会角色障碍的综合预测模型。

较高的神经质(=0.30,<0.05)、较低的宜人性(=.35<0.001)和较高的 IIP-PD-15(0.28,<.01)得分预测了更大的社会角色功能障碍。神经质和 IIP-PD-15 得分的综合预测模型预测了社会角色障碍的独特差异(.71)。

这些结果将特定的人格特质和人际关系过程与社会角色障碍联系起来,表明这些是老年患者人格病理学的指标。

这些发现为利用人格特质和过程测量对抑郁老年患者进行人格病理学的临床筛查提供了初步支持。

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