Maladaptive personality traits increase subjectively during the course of schizophrenia spectrum disorders
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Maladaptive personality traits increase subjectively during the course of schizophrenia spectrum disorders. / Schroeder, Katrin; Naber, Dieter; Huber, Christian G.
In: J NERV MENT DIS, Vol. 202, No. 4, 01.04.2014, p. 319-23.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Maladaptive personality traits increase subjectively during the course of schizophrenia spectrum disorders
AU - Schroeder, Katrin
AU - Naber, Dieter
AU - Huber, Christian G
PY - 2014/4/1
Y1 - 2014/4/1
N2 - We assessed both current maladaptive personality traits (MPTs) and, retrospectively, premorbid MPTs in patients with schizophrenia spectrum disorders (SSDs). This was to examine whether the patients had the impression that their personality had changed and which traits were affected. We also wanted to determine whether the perceived changes could be explained by SSD psychopathology. MPTs were assessed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnoses, axis II disorders, screening questionnaire and interview, integrating questions on subjective estimation of premorbid MPTs in moderately ill SSD patients. Forty-five patients were included. Premorbid MPTs were remembered as significantly less pronounced than current MPTs for the whole spectrum of personality traits (p < 0.001). Antisocial traits had worsened significantly less (p < 0.001), and borderline and obsessive-compulsive traits had worsened significantly more (both p < 0.01) than the mean increase. Associations between MPT increase and SSD psychopathology were significant for schizotypal, avoidant, and depressive traits. According to the patients' retrospective assessment, MPTs increased through onset and course of SSDs. Memory bias, depressed mood, and SSD symptoms alone could not sufficiently explain these differences. Subjective MPT increase may play a role for the patients' concept of illness, quality of life, and adherence to therapeutic interventions. It should be addressed in SSD treatment.
AB - We assessed both current maladaptive personality traits (MPTs) and, retrospectively, premorbid MPTs in patients with schizophrenia spectrum disorders (SSDs). This was to examine whether the patients had the impression that their personality had changed and which traits were affected. We also wanted to determine whether the perceived changes could be explained by SSD psychopathology. MPTs were assessed using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnoses, axis II disorders, screening questionnaire and interview, integrating questions on subjective estimation of premorbid MPTs in moderately ill SSD patients. Forty-five patients were included. Premorbid MPTs were remembered as significantly less pronounced than current MPTs for the whole spectrum of personality traits (p < 0.001). Antisocial traits had worsened significantly less (p < 0.001), and borderline and obsessive-compulsive traits had worsened significantly more (both p < 0.01) than the mean increase. Associations between MPT increase and SSD psychopathology were significant for schizotypal, avoidant, and depressive traits. According to the patients' retrospective assessment, MPTs increased through onset and course of SSDs. Memory bias, depressed mood, and SSD symptoms alone could not sufficiently explain these differences. Subjective MPT increase may play a role for the patients' concept of illness, quality of life, and adherence to therapeutic interventions. It should be addressed in SSD treatment.
KW - Adaptation, Psychological
KW - Adult
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Personality Disorders
KW - Psychiatric Status Rating Scales
KW - Retrospective Studies
KW - Schizophrenia
KW - Schizophrenic Psychology
U2 - 10.1097/NMD.0000000000000125
DO - 10.1097/NMD.0000000000000125
M3 - SCORING: Journal article
C2 - 24647216
VL - 202
SP - 319
EP - 323
JO - J NERV MENT DIS
JF - J NERV MENT DIS
SN - 0022-3018
IS - 4
ER -