Doctoral Programme in Clinical Medicine and Public Health, University of Granada, Granada, Spain.
Department of Psychiatry, University of Granada, Granada, Spain.
Psychopathology. 2022;55(3-4):244-250. doi: 10.1159/000522344. Epub 2022 Mar 10.
The aim of the present study is to investigate the relationship between personality, trait affectivity, and severity of delusions in patients with delusional disorder (DD). Thirty-two outpatients affected by DD were administered the Structured Interview for DSM-IV-TR Personality Disorders (SIDP-IV), the Pathological Narcissism Inventory (PNI), the Positive and Negative Affect Schedule (PANAS), and the Psychotic Symptom Rating Scale (PSYRATS). We analyzed the prevalence of personality disorder in our sample of patients with DD and studied the correlations between the severity of delusions and the different affective variables. Finally, we obtained a multivariate explanatory model of the severity of the delusions. The severity of delusions was directly associated with "grandiose fantasy" item of narcissistic personality and inversely related with the feelings of shame, fear, and guilt. In the multivariate model, the feeling of shame was the only independent variable capable of accounting for the severity of delusions that, in DD patients, would lie on an affective core of shame.
本研究旨在探讨妄想障碍（DD）患者的人格、特质情感与妄想严重程度之间的关系。32 名 DD 门诊患者接受了 DSM-IV-TR 人格障碍结构化访谈（SIDP-IV）、病理性自恋量表（PNI）、正性和负性情绪量表（PANAS）和精神病症状评定量表（PSYRATS）的评估。我们分析了DD 患者样本中人格障碍的患病率，并研究了妄想严重程度与不同情感变量之间的相关性。最后，我们建立了妄想严重程度的多元解释模型。妄想的严重程度与自恋人格的“夸大幻想”项目直接相关，与羞耻、恐惧和内疚的感觉呈负相关。在多元模型中，羞耻感是唯一能够解释 DD 患者妄想严重程度的自变量，这些患者的妄想严重程度处于以羞耻感为核心的情感状态。
