Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, 98121 Messina, Italy.
School and Operative Unit of Allergy and Clinical Immunology, Policlinico "G. Martino", Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, Italy.
Medicina (Kaunas). 2021 Jun 16;57(6):628. doi: 10.3390/medicina57060628.
: to investigate the current state of art in the study of personality disorders in central serous chorioretinopathy (CSC), also taking into account the dimensional approach. : this systematic review was conducted according to PRISMA guidelines. We included articles written in English or Italian, published in peer reviewed journals from 1 January 2010 to 31 December 2020. : after the screening, 10 studies were included. The results suggest that CSC patients are not characterized by the prevalence of a formal personality disorder, but they are better explained by typical personality traits that may alter their relationship with others. CSC patients seems to be characterized by high levels of aggressiveness and anxiety traits along with low sociability. We propose a model of disease where stress exacerbates prior specific traits in a vicious circle where some traits might be involved in disease progression and manifestation. : maladaptive personality traits might be an essential feature of the disease and may represent a possible link between psychiatric symptoms, such as insomnia, anxiety, and depression, and endocrinological patterns. Further research should use a specific assessment scale evaluating both the level of interpersonal functioning and specific maladaptive traits.
: 旨在调查中心性浆液性脉络膜视网膜病变 (CSC) 患者人格障碍研究的现状，同时考虑到维度方法。: 本系统评价按照 PRISMA 指南进行。我们纳入了 2010 年 1 月 1 日至 2020 年 12 月 31 日发表在同行评审期刊上的英文或意大利文文章。: 经过筛选，共纳入 10 项研究。结果表明，CSC 患者并非以正式人格障碍的患病率为特征，而是更能被典型人格特质所解释，这些特质可能会改变他们与他人的关系。CSC 患者似乎表现出高水平的攻击性和焦虑特质，同时社交能力较低。我们提出了一种疾病模型，其中压力会在一个恶性循环中加剧先前特定的特质，而一些特质可能与疾病的进展和表现有关。: 适应不良的人格特质可能是疾病的一个重要特征，并且可能是精神症状（如失眠、焦虑和抑郁）与内分泌模式之间的可能联系。进一步的研究应该使用专门的评估量表来评估人际功能和特定的适应不良特质的水平。
