The Relationship Between Maladaptive Personality and Social Role Impairment in Depressed Older Adults in Primary Care.
The Relationship Between Maladaptive Personality and Social Role Impairment in Depressed Older Adults in Primary Care.
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在初级保健中，适应不良的人格与社会角色障碍之间的关系。
DOI：
10.1080/07317115.2018.1536687
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发表时间：
2021-03
影响因子：
2.8
通讯作者：
Sirey JA
中科院分区：
文献类型：
--
作者：
Romirowsky A;Zweig R;Glick Baker L;Sirey JA
人格病理学与成年人的社会功能受损有关，但还需要进一步的证据来检验人格特质和过程对抑郁老年人社会功能的个人贡献。本研究是一项二次分析，探讨适应不良的人格特质和过程之间的关系，并在初级保健抑郁症老年人的社会角色障碍。参与者（N=56）中77%为女性，年龄在55-89岁之间（M = 66.82，SD = 8.75）。人格病理学通过适应不良特质（NEO-FFI）和过程（人际问题清单; IIP-PD-15）进行测量。个体变量以及社会角色损害的联合预测模型进行了检查。较高的神经质（β = 0.30，p <0.05）、较低的宜人性（β =-0.35，p<0.001）和较高的IIP-PD-15（β = 0.28，p<0.01）分数预示着社会角色功能的损害更大。神经质和IIP-PD-15评分的联合预测模型预测了社会角色障碍的独特差异（R2= .71）。这些结果将选择的人格特质和人际交往过程与社会角色障碍联系起来，表明这些是老年人人格病理学的指标。这些发现提供了初步的支持，临床筛选人格病理抑郁症的老年人利用人格特质和过程的措施。
Personality pathology is associated with impaired social functioning in adults, though further evidence is needed to examine the individual contributions of personality traits and processes to social functioning in depressed older adults. This study is a secondary analysis examining the relationship between maladaptive personality traits and processes and social role impairment in depressed older adults in primary care. Participants (N=56) were 77% female and ranged in age between 55–89 (M = 66.82, SD = 8.75). Personality pathology was measured by maladaptive traits (NEO-FFI) and processes (Inventory of Interpersonal Problems; IIP-PD-15). Individual variable as well as combined predictive models of social role impairment were examined. Higher neuroticism (β = 0.30, p <.05), lower agreeableness (β = −0.35 p<.001) and higher IIP-PD-15 (β = 0.28, p<.01) scores predicted greater impairment in social role functioning. A combined predictive model of neuroticism and IIP-PD-15 scores predicted unique variance in social role impairment (R2= .71). These results link select personality traits and interpersonal processes to social role impairment, suggesting that these are indicators of personality pathology in older adults. These findings lend preliminary support for clinical screening of personality pathology in depressed older adults utilizing both personality trait and process measures.
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