Thin slice derived personality types predict longitudinal symptom trajectories.

Thin slice derived personality types predict longitudinal symptom trajectories.
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DOI:
10.1037/per0000455
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发表时间:
2021-05
期刊:
Personality disorders
影响因子:
--
通讯作者:
Luby JL
Luby JL
中科院分区:
其他
文献类型:
--
作者:
Gilbert K;Whalen DJ;Jackson JJ;Tillman R;Barch DM;Luby JL

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弹性,控制不足和过度控制(RUO)人格类型已在整个生命周期中被确定,并与精神症状和功能相关。然而,目前尚不清楚这些类型是否可以在学龄前儿童中使用观察指标进行识别,或者它们是否可以预测纵向结果。目前的研究在学龄前儿童样本中使用观察编码的五因素模型(FFM)特质来确定人格特质是否聚类为类型,类型是否预测精神症状和发育障碍,以及类型是否比特质维度更好地预测结果。使用一个有效的“薄片”的方法,学龄前的性格观察编码在临床上丰富的样本过采样抑郁症(N=299)。潜在的类分析测试FFM维度如何组织成类型,识别弹性,控制不足和过度控制的学龄前儿童。类型表现出基线诊断差异和多层次模型表明以上的基线诊断,控制不足的儿童表现出升高的外化症状和更差的功能在整个发展,而过度控制和弹性的儿童没有差异。人格类型和维度都提供了类似的预测效用。RUO人格类型是可识别的使用FFM观察编码在临床异质性学龄前儿童和控制不足的儿童表现出最严重的轨迹。研究结果强调,人格类型在早期就可以检测到,并且与维度相比,对整个发展过程中的精神病学结果具有独特的预测能力。
Resilient, undercontrolled, and overcontrolled (RUO) personality types have been identified across the lifespan and are associated with psychiatric symptoms and functioning. However, it is unknown whether these types are identifiable in preschool-aged children using observational indices or whether they predict longitudinal outcomes. The current study used observationally coded five factor model (FFM) traits in a sample of preschoolers to identify whether personality traits cluster into types, whether types predict psychiatric symptoms and impairment across development, and whether types better predict outcomes than trait dimensions. Using a validated “thin slice” approach, preschool personality was observationally coded in a clinically enriched sample oversampled for depression (N=299). Latent class analysis tested how FFM dimensions organized into types, identifying resilient, undercontrolled and overcontrolled preschoolers. Types demonstrated baseline diagnostic differences and multilevel models indicated above baseline diagnoses, undercontrolled children exhibited elevated externalizing symptoms and worse functioning across development while overcontrolled and resilient children did not differ. Personality types and dimensions both provided similar predictive utility. RUO personality types are identifiable using FFM observational coding in clinically heterogeneous preschoolers and undercontrolled children demonstrated the most severe trajectories. Findings highlight that personality types are detectable at early ages and have unique predictive power for psychiatric outcomes across development compared with dimensions.
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