Personality traits as predictors of OCD remission: A longitudinal study.
Personality traits as predictors of OCD remission: A longitudinal study.
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人格特质作为强迫症缓解的预测因素：一项纵向研究。
DOI：
10.1016/j.jad.2022.09.121
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发表时间：
2023
影响因子：
6.6
通讯作者：
Boisseau,ChristinaL
中科院分区：
文献类型：
--
作者：
Law,Clara;Kamarsu,Snigdha;Obisie-Orlu,ImmanuelaC;Belli,GinaM;Mancebo,Maria;Eisen,Jane;Rasmussen,Steven;Boisseau,ChristinaL
背景性格特征可能会导致心理病理学的脆弱性。然而，很少有研究探讨人格特质与强迫症（OCD）病程之间的关联。本研究调查了人格特质、强迫症症状严重程度和疾病持续时间作为强迫症缓解的预测因素。方法作为布朗纵向强迫症研究的一部分，招募了 166 名寻求治疗的强迫症成年人，完成了 NEO 五因素量表 3 (NEO-FFI)，并在 NEO-FFI 完成时处于强迫症发作期。参与者被跟踪长达 3 年。结果结果表明，强迫症患者有 21% 的可能性在 3 年内获得缓解。强迫症症状越严重，病程越长，缓解的可能性就越低。在人格的五个因素中，只有低外向性与缓解率下降相关。神经质、开放性、宜人性和责任心与缓解无关。局限性由于这是一项观察性研究，治疗不受控制，排除了治疗过程中的检查。此外，在随访期间收集的发病年龄和症状严重程度的数据是回顾性的，因此也可能存在回忆偏差。结论我们的研究结果初步支持人格特质是影响病程和症状表现的潜在因素。未来的研究有必要确定人格特质可能影响强迫症表现和病程的机制。
BackgroundPersonality traits may confer vulnerability to psychopathology. However, few studies have examined the association between personality traits and obsessive-compulsive disorder (OCD) course. The present study investigates personality traits, OCD symptom severity, and illness duration as a predictor of OCD remission.Methods166 treatment-seeking adults with OCD, recruited as part of the Brown Longitudinal Obsessive-Compulsive Study, completed the NEO Five-Factor Inventory 3 (NEO-FFI) and were in episode for OCD at time of NEO-FFI completion. Participants were followed for up to 3 years.ResultsResults suggest individuals with OCD had a 21 % likelihood of reaching remission over the course of 3 years. Greater OCD symptom severity and longer illness duration were associated with a decreased likelihood of remission. Among the five factors of personality, only low extraversion was associated with a decreased rate of remission. Neuroticism, openness, agreeableness, and conscientiousness were not associated with remission.LimitationsAs this was an observational study, treatment was not controlled precluding examination of treatment on course. Further, data collected on age of onset and symptom severity during follow up were retrospective and therefore are also subject to recall bias.ConclusionsOur findings provide preliminary support that personality traits are potential factors impacting course and symptom presentation. Future research is necessary to determine the mechanisms in which personality traits may influence the presentation and course of OCD.