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Personality of seasonal affective disorder analyzed by Tri-dimensional Personality Questionnaire.

BACKGROUND: Although there have been numerous reports in personality of mood disorders, there have been few reports in regard with personality of winter seasonal affective disorder (SAD). Furthermore, no reports have been published concerning summer SAD personality characteristics. Thus, this study was conducted to assess the personality of winter and summer SAD using Tri-dimensional Personality Questionnaire (TPQ) that have been used in a variety of mental disorders. METHODS: A total of 6135 Japanese were evaluated with TPQ, the Seasonal Pattern Assessment Questionnaire (SPAQ) and the Self-rating Depression Scale (SDS). Winter, summer and non-SAD groups were classified by SPAQ. We compared the difference of personality trait among these three groups in consideration of gender, age and SDS score influence. RESULTS: Winter SAD demonstrated higher "Novelty Seeking" and "Harm Avoidance"; summer SAD showed higher "Harm Avoidance" than the non-SAD group. "Harm Avoidance" in both SAD groups was re-analyzed using SDS score as a covariate, and "Novelty Seeking" in winter SAD using age as a covariate. As a result, the significance of high "Novelty Seeking" and high "Harm Avoidance" in winter SAD was excluded. However, "Harm Avoidance" remained the significant difference between summer and non-SAD. LIMITATION: SAD was diagnosed only by SPAQ and not by interview. The state-dependency of "Harm Avoidance" was not confirmed in identical patients over lapse of time. CONCLUSION: Patients with winter SAD have high "Harm Avoidance" dependent on the depressive state that is in accordance with non-seasonal depression. Patients with summer SAD have high "Harm Avoidance" possibly independent from the depressive state.

Adolescent↗

[Narcissism--variable of personality and personality disorder].

OBJECTIVE: This review provides information about the current state of knowledge concerning narcissism. METHODS: Viewing narcissism as a psychological construct, a dimension of personality and as a psychiatric disease, presenting of models about development and treatment of narcissistic tendencies or of narcissistic personality disorder (NPD). Statements about phenomenology, diagnosis, and classification, comorbidity, epidemiology, pharmacological treatment and current psychotherapy, and prognosis of NPD are presented. RESULTS/DISCUSSION: There are three main aspects of narcissism: 1. narcissism as a psychological construct in the sense of personality variable, 2. as a personality accentuation as a factor of vulnerability for other psychological disorders and 3. narcissism as a personality disorder in the sense of a psychiatric disease (NPD). There are no clear boundaries between these forms of narcissism. The NPD is recognized as a personality disorder by DSM-IV but not by ICD-10. There is a clear lack of scientific studies on the neurobiology, psychology and psychotherapeutic as well as psychopharmacological treatment.

Humans↗

Personality and psychopathology in schizophrenia: the association between personality traits and symptoms.

Research has indicated that stable individual differences in personality exist among persons with schizophrenia, and that they likely predate the onset of illness. Little is known, however, about whether individual differences in personality are related to levels of psychopathology. This study tested the hypotheses that levels of Extroversion, Neuroticism, and Psychoticism are associated with symptomatology. Accordingly, measures of these dimensions of personality and of symptomatology were obtained simultaneously for 113 male subjects with schizophrenia or schizoaffective disorder. Next, subjects were characterized as having high or low levels on each personality dimension and their scores on the five components of the Positive Negative Syndrome Scale were compared using multivariate and univariate procedures. Results indicate that extroverted subjects had lower levels of Positive, Negative, and Emotional Discomfort symptoms, and higher levels of Excitement symptoms than introverted subjects. Subjects with higher levels of Neuroticism had higher levels of Positive and Emotional Discomfort symptoms than subjects with lower levels of Neuroticism. No differences in symptoms were found among subjects with higher versus lower levels of Psychoticism. Results suggest individual differences in personality are associated with psychopathology in schizophrenia and may help further explain the heterogeneity widely observed in this disorder.

Adaptation, Psychological↗

Hierarchies of personality deviance and personal illness.

Three hundred and twenty-five psychiatric patients were allocated to classes within the hierarchy of personal illness by means of the Delusions-Symptoms-States Inventory. They were then given the Personality Deviance Scales. The results showed that the classes ranked in the same hierarchical order as on the DSSI on extrapunitiveness and intropunitiveness, but not on dominance. Maladjustive personality deviance, as statistically defined, was 3 1/2 times as frequent among patients as among non-patients. Whereas symptom measures had previously been shown to change considerably after one month, personality measures did not. Longer follow-up periods are needed before it can be decided whether personality measures contribute substantially to prediction of type of illness or whether they are determined, at least in part, by the type of illness. In the latter event, personality measures might still prove useful in providing a more fundamental estimate of long-term clinical improvement than symptom measures alone if they were found to change more slowly or only with more intensive clincial effort.

Adult↗

On the renaissance of personality assessment and personality theory.

Both personality assessment and personality theory have experienced a significant decline in the past two or three decades, giving way to alternate professional interests by some, and being attacked as both empirically unsupportable and devoid of conceptual merit by others. Several tangible signs suggest that a resurrection is underway owing to position reversals by former critics, the changing character of patient populations, refinements in personality-oriented psychometric techniques, the refurbishing of analytic, interpersonal, and learning theories of personality, and the central role assigned personality disorders in the multiaxial format of the DSM-III. Looking toward the future, the paper proposes a series of comprehensive and parallel diagnostic criteria for the personality disorders to be included in either DSM-IIIR or DSM-IV.

Affect↗

The Personality Inventory Scales: a self-rating clinical instrument for diagnosis of personality disorder.

A personality inventory was developed as an aid in securing history and beliefs relevant to the assessment of personality structure and the diagnosis of personality disorders. The inventory was developed by restating DSM diagnostic criteria in everyday language, rewording the resulting statements in the form of True/False questions, and placing these questions in a short, self-paced booklet which subjects could complete in about 15 minutes. The following assessments were made and discussed: construct validity, split-half reliability, test-retest reliability, comparison with a standardized interview, and comparison with actual clinical assessments. The personality inventory is discussed as a useful accompaniment to the diagnostic interview in clinical settings and for research into personality structure and personality disorders.

Adolescent↗

Relationships between Schill's Self-defeating Personality Scale and Coolidge's Personality Disorders Inventory.

81 men and 82 women were administered Schill's (1990) Self-defeating Personality Scale and Coolidge's (1992) Axis Two Inventory. As expected, Schill's and Coolidge's measures of self-defeating personality disorder were highly correlated (.70 for men and .74 for women). Scores on Schill's scale also had correlations > .50 with scores on six of the other personality disorder scales for men and five for women. This argues against self-defeating personality disorder as measured by Schill's scale being a distinct construct. The pattern of the correlations suggests that besides assessing a person's maladaptive self-defeating traits, Schill's measure also may assess the person's anxiety and concerns about interpersonal relationships.

Adolescent↗

Personality traits in schizophrenia and related personality disorders.

We investigated whether schizophrenia spectrum disorders share common personality characteristics or traits. Participants with a diagnosis of schizophrenia or schizoaffective disorder (SZ) or with a schizophrenia spectrum personality disorder (schizophrenia spectrum PD: schizoid, paranoid, and schizotypal personality disorder) were compared with non-psychiatric control subjects on the five-factor model of personality and the psychosis-proneness scales. On the five-factor personality scales, SZ subjects showed higher levels of neuroticism, and lower levels of openness, agreeableness, extraversion, and conscientiousness than control subjects. Higher scores on openness and lower scores on neuroticism distinguished schizophrenia spectrum PD from SZ. On the psychosis-proneness scales, both PD and SZ participants scored high relative to non-psychiatric control participants on magical ideation and perceptual aberration, while PD participants scored intermediate between non-psychiatric control participants and SZ on social anhedonia. Discriminant analysis indicated that schizophrenia spectrum patients could be distinguished from PDs by more severe social withdrawal and maladjustment, while subjects with PDs could be best distinguished from control subjects on the basis of odd or novel ideation and decreased conscientiousness.

Adult↗

Person memory: the role of traits, group stereotypes, and specific behaviors in the cognitive representation of persons.

Subjects read a list of statements describing behaviors manifested by a target person who had previously been described by a set of personality trait adjectives. Some statements referred to the person by name, whereas others referred to him as a member of a stereotyped social group. The consistency of the behaviors with expectancies based on these general target characterizations was varied. Results of Experiment 1 showed that when the trait-adjective characterization of the target and the target's group membership had similar implications, the relative ease of recalling behaviors that were consistent and inconsistent with these implications depended on whether subjects had the opportunity to think more extensively about the information they received after all of it had been presented. Results of Experiment 2 showed that when a target's trait-adjective description and his group membership had dissimilar implications, subjects organized the person's behaviors around separate concepts, depending on whether the behavior statements referred to him by name or by group membership. Moreover, when subjects were told after they read the behaviors that the person described by trait adjectives was the same as the one referred to by group membership, they did not alter the cognitive representations they formed initially. These and other results suggested the existence of a priority system for engaging in goal-directed cognitive activity en route to forming a person impression, with lower priority activities giving way to higher priority ones when processing demands are high.

Cognition↗

Personality change in dementia of the Alzheimer's type: relations to caregiver personality and burden.

Using the NEO Personality Inventory (NEO-PI), we evaluated caregivers' perceptions of personality prior to symptom onset and current personality in 36 individuals with a clinical diagnosis of dementia of the Alzheimer's type (DAT). Caregivers also completed the self form of the NEO-PI and an index of objective and subjective burden. Personality change in DAT was consistent with previous reports of increased neuroticism, decreased extraversion, and decreased conscientiousness, with smaller decreases in openness and agreeableness. Significant relationships were found among perceived present patient personality, caregiver personality, and caregiver burden. Regression analyses indicated that present patient conscientiousness and caregiver neuroticism were the best predictors of both objective and subjective burden, and these variables were found to contribute independently to caregivers' reported level of burden. To the extent that caregivers perceive specific behaviors and interferences negatively, cognitive and supportive interventions are likely to prove extremely beneficial.

Aged↗

The concept of the person in the parens patriae jurisdiction over previously competent persons.

This article reviews the medieval law background of the parens patriae jurisdiction of the state as it has been exercised over incompetent persons who formerly were competent adults, concluding that the fiduciary standard implied in the statute De Prerogative Regis (1324), which is the basis for modern guardianship status, requires that the court and guardian adopt an attitude of respectful friendship toward the incompetent person, just as though they were to be accountable to the person himself, were he to recover his faculties and become competent once more. This fiduciary responsibility, originating in the device of the "use" or trust employed for the management of the estates of lunatics, contrasts with the self-interested feudal guardianship used for the custody of "natural fools" or "idiots", who were under paternalistic arrangements. The article argues that because the determination of legal incompetence and the consequent transfer of custody of the person and property of an incompetent person to the state would result in a drastic forfeiture of liberty and property interests were it not for the fiduciary obligation owed by the state to the incompetent, the state is under an obligation to exercise its fiduciary duties in good faith and may not impose states policies or advance state interests of its own in the supervision of the affairs of incompetent persons, apart from interests arising legitimately out of the state's institutional interest in providing competent administration for the benefit of the incompetents themselves.

Advance Directives↗

Personality profiles and the prediction of categorical personality disorders.

Personality disorders (PDs) are usually construed as psychiatric categories characterized by a unique configuration of traits and behaviors. To generate clinical hypotheses from normal personality trait scores, profile agreement statistics can be calculated using a prototypical personality profile for each PD. Multimethod data from 1,909 psychiatric patients in the People's Republic of China were used to examine the accuracy of such hypotheses in the Interpretive Report of the Revised NEO Personality Inventory. Profile agreement indices from both self-reports and spouse ratings were significantly related to PD symptom scores derived from questionnaires and clinical interviews. However, accuracy of diagnostic classification was only modest to moderate, probably because PDs are not discrete categorical entities. Together with other literature, these data suggest that the current categorical system should be replaced by a more comprehensive system of personality traits and personality-related problems.

Adolescent↗

Basic personality dispositions, self-esteem, and personal goals: an approach-avoidance analysis.

This research examined the hypothesis that self-esteem negatively predicts avoidance (relative to approach) personal goals, as well as the hypothesis that self-esteem mediates the link between indicators of approach and avoidance temperament and avoidance (relative to approach) personal goals. Study 1 established that self-esteem is indeed negatively related to avoidance (relative to approach) goals, even with social desirability concerns controlled. In Study 2, self-esteem was found to mediate the relation between Neuroticism (conceptualized as an indicator of avoidance temperament) and avoidance (relative to approach) personal goals. In Study 3, self-esteem was documented as a mediator of the relation between BAS and BIS sensitivity (conceptualized as indicators of approach and avoidance temperament, respectively) and avoidance (relative to approach) personal goals in the achievement domain. The implications of these findings for our understanding of basic personality dispositions, self-esteem, and personal goals are discussed.

Association↗

SSRI treatment of borderline personality disorder: a randomized, placebo-controlled clinical trial for female patients with borderline personality disorder.

OBJECTIVE: Selective serotonin reuptake inhibitors (SSRIs) are recommended for treatment of affect lability, impulsivity, and aggression in patients with borderline personality disorder. This recommendation is based on positive findings in at least 10 open studies and one small double-blind study of SSRIs for patients with borderline personality disorder and one study of impulsive aggressive patients with different personality disorders. A randomized, placebo-controlled SSRI study with borderline personality disorder patients, however, provided inconclusive results because of a large response to placebo. It was, therefore, decided to conduct a new randomized trial with a larger study group. METHOD: A double-blind, placebo-controlled, randomized trial using the SSRI fluvoxamine for 6 weeks followed by a blind half-crossover for 6 weeks and an open follow-up for another 12 weeks was conducted with 38 nonschizophrenic, nonbipolar female patients with borderline personality disorder. The outcome measures were the rapid mood shift, impulsivity, and aggression subscales from the Borderline Personality Disorder Severity Index. RESULTS: Fluvoxamine but not placebo produced a robust and long-lasting reduction in the scores on the subscale for rapid mood shifts. In contrast, no difference between the fluvoxamine and placebo groups was observed in the effect on the impulsivity and aggression scores. CONCLUSIONS: In this study, fluvoxamine significantly improved rapid mood shifts in female borderline patients, but not impulsivity and aggression. This latter finding may be due to gender-specific differences in impulsivity and aggression.

Adolescent↗

A profile of personality for a Russian sample: as indicated by the Comrey Personality Scales.

The purpose of our study was to present a personality profile, based on data from the Comrey Personality Scales (CPS), for a diverse, Russian sample. The CPS was administered to 457 subjects drawn from convenience samples throughout St. Petersburg, Russia. In Part 1 of the study, the structure of the Russian sample's personality was identified. Data from the CPS were factor analyzed. Findings showed strong support for the generalizability of Comrey's (1970) eight-factor personality taxonomy to this sample. The CPS's factors derived from the Russians were compared and found to be similar in structure to samples derived from American, Australian, Brazilian, Israeli, Italian, and New Zealand samples. In Part 2, mean differences on the CPS's scales between the Russian sample and the American sample were assessed. Results showed that although the structure of the Russians' personality was similar to that of the Americans' personality, significant differences in the elevation of scale scores did exist. For example, as a whole, the Russians tended to be more defensive, lethargic, egocentric, and unstable. Contrary to popular expectations, however, the Russians were not more conforming.

Adolescent↗

Intercorrelations of scores on the SONSO Personality Inventory and on the Gordon Personal Profile and Inventory.

The SONSO Personality Inventory, an adjective self-rating measure of five factors, was administered with the Gordon Personal Profile to a sample of 200 university students and with the Gordon Personal Inventory to another sample of 200 students. Four of the SONSO factors had at least one correlation above .45 on one of the Gordon scales. The multiple correlations of the SONSO Personality Inventory with each of the Gordon scales were higher for the Gordon Personal Profile than for the Gordon Personal Inventory. Relations of the scales to Eysenck's Extraversion and Neuroticism were also mentioned.

Adult↗

[The relation of person's motives for self-disclosure and the congruency of personality judgment by discloser and recipient].

This study examined the relationship of a person's motives for self-disclosure and degree of self-disclosure to the congruency of personality judgment by the discloser and recipient. The subjects used were 76 pairs of close friends, members in each pair being of the same sex. Personality judgments of disclosers were executed by the disclosers themselves as well as the recipients; and disclosers were also asked to fill out (SMI) and (JSDQ). Results demonstrated that (JSDQ) had no relation to the congruency of personality judgments, but the motives had. In particular, persons who were apt to disclose based on mostly the emotional motive had the minimum congruencies on their personality judgment by disclosers and recipients.

Adult↗

Memories and traces. From Jewish exilists' authoritarian personality research via Cloninger's psychobiology of personality traits to a neurobiological approach to conflict management.

Research on personality as a useful construct to understand people's behavior in conflict situations was traced over more than fifty years, and an attempt was made to add neurobiological parameters to psycho-socio-cultural approaches. As a starting point, scientists in exile have been called to mind who had been expelled from Nazi Germany for their Jewish origins. Among them were Adorno and Frenkel-Brunswik whose extensive studies on the authoritarian personality structure were quoted. In their work, personality was defined as a more or less enduring organisation of forces within the individual helping to determine responses in various situations, which is responsible for consistency in behavior. As a next step, Cloninger's psychobiology of personality traits was presented. In his personality concept, four temperamental traits (novelty seeking, harm avoidance, reward dependency and persistence) and three character dimensions are included. Temperamental traits are heritable, developmentally stable, emotionally based, uninfluenced by social learning, and linked to specific brain biological features. The temperaments have a certain neuroendocrinological feature which can be determined. Character dimensions develop in a stagelike process from infancy to adulthood and are influenced by temperament, social learning, genetic factors, and random life events. Personality is still considered a useful theoretical approach to conflict management research and practice. A neurobiological point of view seems to be a useful supplementation in addition to traditional psycho-socio-cultural approaches. Measuring biological compounds can supply the conflict manager with an additional tool of knowledge enhancing the ability to understand and anticipate conflict behavior.

Authoritarianism↗