Sauer H, Richter P, Czernik A, Ludwig-Mayerhofer W, Schöchlin C, Greil W, von Zerssen D
Department of Psychiatry, University of Heidelberg, Germany.
J Affect Disord. 1997 Feb;42(2-3):169-77. doi: 10.1016/s0165-0327(96)01408-5.
The study explores whether minor symptoms of patients in recovery from a mood disorder have an impact on self-ratings of personality with special consideration of potential differences between diagnostic groups. 90 recovered DSM-III-R major unipolar depressives and 167 recovered bipolars were compared with respect to scale values of the Munich Personality Test (MPT). Major depressives showed significantly higher scores on the MPT scales Rigidity and Orientation towards Social Norms, and lower scores on Extraversion than the bipolar patients. Using a LISREL-model, psychopathology was found to have a significant impact on Neuroticism and Extraversion, but not on Rigidity and on Orientation towards Social Norms. Controlling for symptomatology, the differences in the MPT scale values of the two diagnostic groups remained significant and can hardly be sufficiently explained by residual symptomatology.
该研究探讨了情绪障碍康复期患者的轻微症状是否会对人格自评产生影响,并特别考虑了诊断组之间的潜在差异。将90名康复的DSM-III-R重度单相抑郁症患者和167名康复的双相情感障碍患者在慕尼黑人格测试(MPT)的量表值方面进行了比较。重度抑郁症患者在MPT量表“僵化”和“社会规范取向”上的得分显著高于双相情感障碍患者,在外向性方面的得分则低于双相情感障碍患者。使用LISREL模型发现,精神病理学对神经质和外向性有显著影响,但对僵化和社会规范取向没有影响。在控制症状学后,两个诊断组在MPT量表值上的差异仍然显著,残余症状学几乎无法充分解释这些差异。