PREMORBID PERSONALITY OF DEPRESSIVE, BIPOLAR, AND SCHIZOPHRENIC-PATIENTS WITH SPECIAL REFERENCE TO SUICIDAL ISSUES

PREMORBID PERSONALITY OF DEPRESSIVE, BIPOLAR, AND SCHIZOPHRENIC-PATIENTS WITH SPECIAL REFERENCE TO SUICIDAL ISSUES
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DOI:
10.1016/0010-440x(86)90055-6
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发表时间:
1986-11-01
影响因子:
7.3
通讯作者:
CLAYTON, P
CLAYTON, P
中科院分区:
医学2区
文献类型:
--
作者:
ANGST, J;CLAYTON, P

文献摘要

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1971年,弗莱堡个性问卷(FPI)对6,315名瑞士应征入伍士兵的个性以及社会属性和烟酒毒品消费进行了评估。截至1983年,共有185名精神病患者在同一地理区域接受住院或门诊治疗。选择87名患者作为样本进行盲法诊断研究,将费格纳标准应用到记录中。他们发病前的个性与来自同一组的对照组进行了比较。结果是初步的,诊断小组很小。精神分裂症患者在自主神经不稳定方面得分很高。双相情感障碍患者在任何人格维度上都没有明显偏离对照组。他们与单相抑郁症患者的显著不同在于攻击性得分较低。单相抑郁患者在攻击性和自主神经不稳定方面得分很高。对于反社会者来说也是如此。在自杀或意外死亡的人中,攻击性得分也很高。与诊断分类无关,有自杀企图的受试者攻击性得分较高,而有自杀意念的受试者攻击性得分较低。
The personalities of 6,315 Swiss conscripts of the army were assessed in 1971 by the Freiburg Personality Inventory (FPI), together with social attributes and consumption of tobacco, alcohol, and drugs. Up to 1983, 185 psychiatric patients were identified who were treated as inpatients or outpatients in the same geographic area. A subsample of 87 patients were chosen for a blind diagnostic study applying Feighner criteria to the records. Their premorbid personalities are compared to controls from the same group. The results are preliminary, the diagnostic groups are small. The schizophrenics scored high in autonomic lability. The bipolar patients did not deviate significantly in any personality dimension from the controls. They differed significantly from the unipolar depressives by a lower aggression score. Unipolar depressives scored high in aggression and in autonomic lability. The same was true for the sociopaths. Aggression scores were also high in those who committed suicide or died by accidents. Independent of the diagnostic classification, subjects with suicidal attempts scored high in aggression, whereas subjects with suicidal ideation scored low in aggression.