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精神病态人格特质、应激免疫力和社交效能调节抑郁症中情绪能力与认知功能之间的关系。

Psychopathic personality traits stress immunity and social potency moderate the relationship between emotional competence and cognitive functions in depression.

作者信息

Schönthaler Elena M D, Dalkner Nina, Schwalsberger Karin, Reininghaus Eva Z, Reininghaus Bernd

机构信息

Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, Graz, Austria.

出版信息

Front Psychiatry. 2023 Mar 27;14:1061642. doi: 10.3389/fpsyt.2023.1061642. eCollection 2023.

Abstract

BACKGROUND

Psychopathic personality traits (PPT) and depression have both been shown to worsen emotional and cognitive functions. Moreover, PPT and depression share similar underlying neuronal circuits tapping into the emotional and cognitive domains. However, little is known about the influence of PPT on emotion and cognition in individuals with depression.

OBJECTIVES

This study aimed to examine the correlative relationships and moderating role of PPT in the association between emotional competence and cognitive functions in individuals with depression.

METHODS

Data from 373 individuals diagnosed with depression (158 males, 215 females) were examined within a cohort study. Subjects filled out validated questionnaires surveying PPT and emotional competences. Furthermore, a comprehensive neuropsychological test battery was administered.

RESULTS

Correlation analyses revealed a significant positive association between emotional competence and cognitive functions. Further, negative associations between emotional competence and the PPT "Blame Externalisation" and "Careless Nonplanfulness," as well as positive associations with psychopathic "Social Potency" and "Stress Immunity" were found. Moderation analyses indicated a significant positive influence of psychopathic "Stress Immunity" and "Social Influence" on the relationship between emotional competence and cognitive functions.

CONCLUSION

The findings highlight the importance of integrating PPT in depression research. Considering PPT in depression treatment could also facilitate the therapeutic process by identifying individual traits as resilience-strengthening or potentially harmful factors for depressive symptomatology. This study represents a stepping stone for further research regarding the role of personality traits in psychiatric disorders and their treatment.

摘要

背景

精神病态人格特质(PPT)和抑郁症均已被证明会使情绪和认知功能恶化。此外,PPT和抑郁症在涉及情绪和认知领域的潜在神经回路方面具有相似性。然而,关于PPT对抑郁症患者情绪和认知的影响知之甚少。

目的

本研究旨在探讨PPT在抑郁症患者情绪能力与认知功能之间的关联中的相关关系及调节作用。

方法

在一项队列研究中,对373名被诊断为抑郁症的个体(158名男性,215名女性)的数据进行了检查。受试者填写了经过验证的调查问卷,以调查PPT和情绪能力。此外,还进行了一套全面的神经心理学测试。

结果

相关分析显示情绪能力与认知功能之间存在显著正相关。此外,发现情绪能力与PPT中的“外部归因”和“粗心大意无计划性”呈负相关,与精神病态的“社交效能”和“应激免疫力”呈正相关。调节分析表明,精神病态的“应激免疫力”和“社会影响”对情绪能力与认知功能之间的关系有显著的正向影响。

结论

研究结果突出了将PPT纳入抑郁症研究的重要性。在抑郁症治疗中考虑PPT还可以通过识别个体特质是增强复原力的因素还是对抑郁症状有潜在危害的因素来促进治疗过程。本研究是进一步研究人格特质在精神疾病及其治疗中的作用的垫脚石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b757/10084668/1c040c15df8f/fpsyt-14-1061642-g001.jpg

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