Blais M A, Matthews J, Schouten R, O'Keefe S M, Summergrad P
Department of Psychiatry, Massachussetts General Hospital, Boston 02114, USA.
Compr Psychiatry. 1998 Jul-Aug;39(4):231-5. doi: 10.1016/s0010-440x(98)90066-9.
The accuracy and value of personality assessment for depressed patients receiving electroconvulsive therapy (ECT) is an underexplored and controversial area. However, there are data suggesting that personality traits and personality disorders affect the ultimate outcome of depressed patients receiving a variety of somatic treatments including ECT. Despite these data, controversy continues regarding the advisability of evaluating personality functioning in patients with severe depression. This study sought to explore the stability and predictive value of self-reported personality traits in depressed patients undergoing ECT. Sixteen subjects completed a self-report test of personality functioning and the Beck Depression Inventory (BDI) before and after ECT treatment. The results showed that the majority of self-report personality traits were stable pre- and post-ECT treatment. However, major depressive disorder did significantly affect the report of avoidant, histrionic, aggressive-sadistic, and schizotypal personality traits. Treatment did not change the overall personality profile of these subjects. Furthermore, regression analysis controlling for pretreatment depression showed pretreatment borderline personality traits to be significantly related to the posttreatment depression scores (response to treatment). These findings suggest that routine administration of a standard self-report measure of personality may aid in the evaluation of and treatment planning for patients receiving ECT.
对于接受电休克治疗（ECT）的抑郁症患者进行人格评估的准确性和价值是一个尚未充分探索且存在争议的领域。然而，有数据表明人格特质和人格障碍会影响接受包括ECT在内的各种躯体治疗的抑郁症患者的最终治疗结果。尽管有这些数据，但对于评估重度抑郁症患者的人格功能是否可取仍存在争议。本研究旨在探讨接受ECT的抑郁症患者自我报告的人格特质的稳定性和预测价值。16名受试者在ECT治疗前后完成了人格功能的自我报告测试和贝克抑郁量表（BDI）。结果显示，大多数自我报告的人格特质在ECT治疗前后是稳定的。然而，重度抑郁症确实显著影响了回避型、表演型、攻击-施虐型和分裂型人格特质的报告。治疗并未改变这些受试者的整体人格特征。此外，控制治疗前抑郁水平的回归分析表明，治疗前的边缘型人格特质与治疗后的抑郁评分（对治疗的反应）显著相关。这些发现表明，常规使用标准的人格自我报告测量方法可能有助于对接受ECT的患者进行评估和治疗规划。
