Perris C, Eisemann M, von Knorring L, Perris H
Psychopathology. 1984;17(4):178-86. doi: 10.1159/000284052.
208 patients (81 male and 127 female) in the age range 21-67 years completed a Swedish personality inventory (Karolinska Sjukhusets Personlighetsinventorium; KSP) aimed at measuring stable personality traits after recovering from the depressive syndrome. Diagnostically, the series comprised 62 unipolars, 31 bipolars, 58 neurotic-reactive depressives, and 57 patients with an 'unspecified' depressive disorder, i.e., those patients who did not meet the criteria for inclusion in any of the aforementioned groups. As a contrast group, a series of 75 mentally healthy individuals (27 men and 48 women with a mean age of 39.5 +/- 12.1 years) without any past history of depression was also investigated. The former patients scored differently from the healthy controls in almost all the personality variables covered by the KSP, with the exception of the variable 'social desirability', on which all groups scored alike. A factor analysis of the results yielded three principal factors: factor 1 covering such variables which reflect anxiety proneness, psychasthenia, suspicion, and guilt; factor 2 (bipolar) covering different aspects of aggression; and factor 3 comprising the variables 'impulsiveness' and 'monotony avoidance'. From the present study it is concluded that although inter-group differences do occur, the main characteristics of the personality of the depression-prone individual seem to be anxiety, psychasthenia (covering such traits as orderly, conscientious, bound to routine), suspicion, and guilt. Such characteristics are shared by all diagnostic subgroups. Depression-prone individuals also show a higher level of inhibited aggression and a lower level of manifest aggression than healthy controls.(ABSTRACT TRUNCATED AT 250 WORDS)
208名年龄在21至67岁之间的患者(81名男性和127名女性)在从抑郁综合征康复后,完成了一项旨在测量稳定人格特质的瑞典人格量表(卡罗林斯卡医院人格量表;KSP)。从诊断角度来看,该系列包括62名单相抑郁症患者、31名双相抑郁症患者、58名神经症反应性抑郁症患者以及57名患有“未特定”抑郁症的患者,即那些不符合上述任何一组纳入标准的患者。作为对照小组,还对75名无任何抑郁症病史的心理健康个体(27名男性和48名女性,平均年龄为39.5±12.1岁)进行了调查。在KSP涵盖的几乎所有人格变量上,前一组患者的得分与健康对照组不同,但“社会期望性”变量除外,所有组在该变量上得分相同。对结果进行的因素分析产生了三个主要因素:因素1涵盖反映焦虑倾向、精神衰弱、猜疑和内疚等变量;因素2(双相)涵盖攻击行为的不同方面;因素3包括“冲动性”和“避免单调”变量。从本研究可以得出结论,虽然确实存在组间差异,但易患抑郁症个体的人格主要特征似乎是焦虑、精神衰弱(包括有序、尽责、墨守成规等特质)、猜疑和内疚。所有诊断亚组都有这些特征。与健康对照组相比,易患抑郁症个体还表现出更高水平的抑制性攻击和更低水平的显性攻击。(摘要截取自250字)