Young L T, Bagby R M, Cooke R G, Parker J D, Levitt A J, Joffe R T
Mood Disorders Clinic, Clarke Institute of Psychiatry, Toronto, Ontario, Canada.
Psychiatry Res. 1995 Sep 29;58(2):139-43. doi: 10.1016/0165-1781(95)02684-o.
The harm avoidance (HA) personality dimension has been hypothesized to be a vulnerability factor for unipolar depression (UD) but not for bipolar disorder (BD). The reported difference on HA scores between these diagnostic groups may have been compromised by the assessment of BD patients who had not fully recovered. To test the diagnostic specificity of elevated HA scores and to elucidate whether assumptions about differences between patients with UD or BD might be attributed to the lingering effects of mood state, the Tridimensional Personality Questionnaire (TPQ) was administered to recovered patients with either BD or UD and a nonpatient comparison group. Both patient groups scored higher on the HA dimension than the nonpatient comparison group, but the patient groups did not differ from one another on this dimension. Moreover, novelty seeking (NS) scores were elevated in subjects with BD compared with both UD patients and nonpatient subjects. These results suggest that high HA scores may be associated with a mood disorder diagnosis, whereas high NS scores may be associated with the BD subtype.
回避伤害（HA）人格维度被假设为单相抑郁症（UD）的一个易患因素，但不是双相情感障碍（BD）的易患因素。这些诊断组之间报告的HA分数差异可能因对尚未完全康复的BD患者的评估而受到影响。为了测试HA分数升高的诊断特异性，并阐明关于UD或BD患者之间差异的假设是否可能归因于情绪状态的持续影响，对康复的BD或UD患者以及非患者对照组进行了三维人格问卷（TPQ）测试。两个患者组在HA维度上的得分均高于非患者对照组，但在该维度上两个患者组之间没有差异。此外，与UD患者和非患者相比，BD患者的寻求新奇（NS）得分升高。这些结果表明，高HA分数可能与情绪障碍诊断相关，而高NS分数可能与BD亚型相关。
