Scholte-Stalenhoef Anne Neeltje, Pijnenborg Gerdina Hendrika Maria, Hasson-Ohayon Ilanit, Boyette Lindy-Lou
Ziekenhuis Groep Twente, Department of Psychiatry, Almelo, the Netherlands; University of Groningen, Department of Psychology, Groningen, the Netherlands.
University of Groningen, Department of Psychology, Groningen, the Netherlands.
Schizophr Res. 2023 Feb;252:348-406. doi: 10.1016/j.schres.2023.01.001. Epub 2023 Feb 15.
This systematic review focuses on personality traits according to both the Five Factor Model and Cloninger Psychobiological Model in relation to treatment related outcome variables across all stages of clinical psychotic illness. Search of Pubmed and Psychinfo databases led to final inclusion of 65 studies, which were ranked on quality and analyzed according to the associations between personality and outcome. Main findings are that higher levels of Harm Avoidance and Neuroticism are associated with higher symptom levels, tendency towards passive coping, greater self-stigma, lower quality of life, and Harm Avoidance to higher suicidality. Higher levels of Extraversion and higher levels of Self-Directedness are associated with more preference for active coping, more intrinsic motivation and higher self-esteem. Higher Novelty Seeking is related to more substance use and aggression, in men specifically. On outcome of trauma, care consumption and duration of untreated illness no consistent associations with personality traits were found. Combined evidence from both personality models however reveals a consistent pattern of personality traits related to clinical outcome in psychotic disorder, which is discussed in a dimensional manner.
本系统评价聚焦于根据五因素模型和克隆宁格心理生物学模型所定义的人格特质，这些特质与临床精神病性疾病各阶段的治疗相关结局变量有关。检索PubMed和Psychinfo数据库后，最终纳入了65项研究，这些研究根据质量进行排名，并根据人格与结局之间的关联进行分析。主要发现是，较高水平的回避伤害和神经质与较高的症状水平、被动应对倾向、更强的自我污名化、较低的生活质量相关，且回避伤害与较高的自杀倾向相关。较高水平的外向性和较高水平的自我导向与更倾向于积极应对、更多内在动机和更高自尊相关。较高的寻求新奇与更多的物质使用和攻击行为相关，在男性中尤为明显。在创伤结局、医疗消耗和未治疗疾病持续时间方面，未发现与人格特质有一致的关联。然而，来自两种人格模型的综合证据揭示了与精神障碍临床结局相关的人格特质的一致模式，并以维度方式进行了讨论。
