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了解癫痫患者和健康对照人群的人格特质与心理健康之间的关联。

Understanding the associations between personality traits and mental health in people with epilepsy and healthy controls.

作者信息

Kang Weixi

机构信息

Imperial College London, London, United Kingdom.

出版信息

Front Psychol. 2023 Jun 9;14:1134188. doi: 10.3389/fpsyg.2023.1134188. eCollection 2023.

Abstract

OBJECTIVES

The aim of the current study was to test how epilepsy could moderate the associations between Big Five personality traits and mental health.

METHODS

This cross-sectional study analyzed data from Understanding Society: UK Household Longitudinal (UKHLS), which relies on a complex multi-stage stratified sampling design. Personality traits were measured by the Big Five inventory whereas mental health where measured by the GHQ-12. A hierarchical regression and two multiple regressions were performed on 334 people with epilepsy with a mean age of 45.14 ± 15.88 years old (41.32% males) and 26,484 healthy controls (42.5% males) with a mean age of 48.71 ± 17.04 years old.

RESULTS

Neuroticism was positively related to worse mental health in both people with epilepsy and healthy controls with a stronger relationship in people with epilepsy, but Conscientiousness was negatively related to worse mental health in both people with epilepsy and healthy controls. Moreover, Openness and Extraversion were negatively related to worse mental health in healthy controls but not in people with epilepsy.

CONCLUSION

Personality traits are closely related to mental health in both people with epilepsy and healthy controls. Clinicians should use findings from this study to detect people with epilepsy who may be at high risk of poor mental health based on their personality traits.

摘要

目的

本研究旨在测试癫痫如何调节大五人格特质与心理健康之间的关联。

方法

这项横断面研究分析了来自“理解社会:英国家庭纵向调查”(UKHLS)的数据,该调查采用复杂的多阶段分层抽样设计。人格特质通过大五人格量表进行测量,而心理健康则通过一般健康问卷-12(GHQ-12)进行测量。对334名癫痫患者(平均年龄45.14±15.88岁,男性占41.32%)和26484名健康对照者(平均年龄48.71±17.04岁,男性占42.5%)进行了层次回归和两次多元回归分析。

结果

神经质与癫痫患者和健康对照者的较差心理健康呈正相关,在癫痫患者中这种关系更强,但尽责性与癫痫患者和健康对照者的较差心理健康呈负相关。此外,开放性和外向性与健康对照者的较差心理健康呈负相关,但与癫痫患者无关。

结论

人格特质在癫痫患者和健康对照者中均与心理健康密切相关。临床医生应利用本研究结果,根据人格特质来检测可能存在心理健康不良高风险的癫痫患者。

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Front Neurol. 2023 Jun 12;14:1083792. doi: 10.3389/fneur.2023.1083792. eCollection 2023.

本文引用的文献

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Cognitive Impairment and Personality Traits in Epilepsy: Characterization and Risk Factor Analysis.
J Nerv Ment Dis. 2018 Oct;206(10):794-799. doi: 10.1097/NMD.0000000000000880.
9
Personality, well-being, and health.人格、幸福感与健康。
Annu Rev Psychol. 2014;65:719-42. doi: 10.1146/annurev-psych-010213-115123.
10
Depression in epilepsy: a systematic review and meta-analysis.癫痫伴发抑郁:系统评价和荟萃分析。
Neurology. 2013 Feb 5;80(6):590-9. doi: 10.1212/WNL.0b013e31827b1ae0. Epub 2012 Nov 21.

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