Normal personality characteristics in schizophrenia: A review of the literature involving the FFM

Normal personality characteristics in schizophrenia: A review of the literature involving the FFM
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DOI:
10.1097/01.nmd.0000253795.69089.ec
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发表时间:
2007-05-01
影响因子:
1.9
通讯作者:
Docherty, Nancy M.
Docherty, Nancy M.
中科院分区:
医学4区
文献类型:
--
作者:
Dinzeo, Thomas J.;Docherty, Nancy M.

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精神分裂症通常被认为是由于潜在的核心疾病而导致的正常功能的破坏。许多理论家推测,这种核心疾病可能会单方面破坏正常的人格功能。然而,最近的数据表明,这种关系可能比以前概念化的更为复杂和相互。此外,基本的人格特征似乎与许多临床现象有关。本文回顾了有关精神分裂症患者正常人格特征的实证文献[围绕人格的五因素模型(FFM)构建]。有证据表明,某些人格特征可能与精神病的病因学,以及精神分裂症患者的症状严重程度,职业功能,吸烟,物质使用和暴力行为,社会孤立和自杀倾向有关。这些研究结果的影响和建议,为今后的研究进行了讨论。
Schizophrenia is generally viewed as a disruption of normal functioning because of an underlying core illness. A number of theorists have speculated that this core illness may unilaterally disrupt normal personality functioning. However, recent data suggests that the relationship may be more complex and reciprocal than previously conceptualized. Furthermore, basic personality characteristics appear to be associated with numerous clinical phenomena. This article reviews the empirical literature pertaining to normal personality characteristics [structured around the five-factor model (FFM) of persoriality] in individuals with schizophrenia. Evidence suggests that certain personality characteristics may be uniquely related to the etiology of psychosis, as well as symptom severity, occupational functioning, cigarette smoking, substance use and violent behavior, social isolation, and suicidality in patients with schizophrenia. The implications of these findings and suggestions for future research are discussed.