Department of Psychiatry, Washington University, 660 S. Euclid Ave, St. Louis, MO, 63110, USA.
The Program in Neuroscience, Washington University, 1 Brookings Drive, St. Louis, MO, 63130, USA.
J Abnorm Child Psychol. 2019 Dec;47(12):1875-1888. doi: 10.1007/s10802-019-00567-w.
Personality is consistently associated with psychopathology across the lifespan. However, little is known of how observed personality dimensions in preschoolers are associated with concurrent or longitudinal symptoms across development. Spectrum, vulnerability, and pathopolasty models theorize how child personality and psychopathology are related across development. The current study tests these three models using observationally coded personality dimensions in a longitudinal sample of preschoolers. A validated 'thin slice' technique was used to code observed Five Factor Model (FFM) personality dimensions of extraversion, agreeableness, conscientiousness, neuroticism, and openness to experience in a clinically enriched preschool sample oversampled for depression (N = 299). Children were followed longitudinally for 9 years while assessing dimensional psychological symptoms and global functioning. Longitudinal multilevel models testing the spectrum, or shared underlying factor model, indicated depressive symptoms in adolescence were predicted by higher preschool extraversion and lower agreeableness and conscientiousness, externalizing symptoms were predicted by lower agreeableness and higher neuroticism, and worse global functioning was predicted by higher extraversion and neuroticism, and lower agreeableness and conscientiousness. Some associations held after accounting for the influence of baseline psychological symptoms, indicating support for a vulnerability relationship between personality and later psychopathology. No support was demonstrated for pathoplasty models such that personality did not influence the developmental course or change of psychopathology over time. Findings indicate personality dimensions measured as early as the preschool period prospectively impact psychopathology and functioning across child development, demonstrating support for both a spectrum and vulnerability relationship between youth personality and psychopathology.
人格在整个生命周期中与精神病理学始终相关。然而,人们对学龄前儿童观察到的人格维度如何与发展过程中的并发或纵向症状相关知之甚少。范围、脆弱性和病理塑造模型理论化了儿童人格和精神病理学如何在整个发展过程中相互关联。本研究使用纵向学龄前儿童样本中观察到的人格维度来测试这三个模型。使用经过验证的“薄片”技术,对临床丰富的学龄前儿童抑郁样本(N=299)中观察到的五因素模型(FFM)人格维度(外向性、宜人性、尽责性、神经质和开放性)进行了编码。对儿童进行了 9 年的纵向随访,同时评估了维度心理症状和整体功能。检验范围或共同潜在因素模型的纵向多层模型表明,青春期的抑郁症状由较高的学龄前外向性和较低的宜人性和尽责性预测,外向症状由较低的宜人性和较高的神经质预测,较差的整体功能由较高的外向性和神经质和较低的宜人性和尽责性预测。在考虑基线心理症状影响后,一些关联仍然存在,这表明人格与后期精神病理学之间存在脆弱关系。没有证据表明病理塑造模型,即人格不会影响精神病理学随时间的发展过程或变化。研究结果表明,早在学龄前阶段测量的人格维度就可以预测儿童发展过程中的精神病理学和功能,这表明青年人格和精神病理学之间存在范围和脆弱关系。