Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-26T05:55:26.565Z Has data issue: false hasContentIssue false

La influencia del temperamento y el carácter en el funcionamiento y aspectos de la salud psicológica entre personas con esquizofrenia

Published online by Cambridge University Press:  12 May 2020

M. Eklund
Affiliation:
División de Terapia Ocupacional, Departamento de Neurociencia Clínica, Universidad de Lund, P. O. Box 157, 22100Lund, Suecia
L. Hansson
Affiliation:
División de Psiquiatría, Departamento de Neurociencia Clínica, Universidad de Lund, P. O. Box 157, 22100Lund, Suecia
A. Bengtsson-Tops
Affiliation:
División de Psiquiatría, Departamento de Neurociencia Clínica, Universidad de Lund, P. O. Box 157, 22100Lund, Suecia
Get access

Resumen

Los hallazgos de investigación que vinculan factores de personalidad con el funcionamiento y los síntomas en la esquizofrenia no son coherentes, y se necesitan más estudios dentro del área. El propósito de este estudio era investigar cómo la personalidad, medida por el Inventario del Temperamento y el Carácter (TCI), se relacionaba con factores demográficos, subtipos de diagnósticos, nivel de funcionamiento y aspectos de la salud psicológica, incluido el sentido de coherencia, el control percibido y la autoestima entre personas con esquizofrenia. Los sujetos eran 104 individuos de 20-55 años en atención ambulatoria psiquiátrica. Los resultados indicaron que la personalidad no estaba relacionada con subtipos de diagnósticos o características demográficas de los respondientes, sino con el nivel de funcionamiento y todos los aspectos de la salud psicológica. Especialmente, la autodirección distinguía tres grupos de funcionamiento y estaba muy correlacionada con los diferentes aspectos de la salud psicológica. El artículo analiza cómo el conocimiento de la estructura de la personalidad de los pacientes esquizofrénicos se podría utilizar para adaptar tratamientos psiquiátricos.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Gurrera, RJ, Nestor, PG, O’Donell, BF. Personality traits in schizophrenia. Comparison with a community sample. J Nerv Ment Dis 2000;198:31–5.Google Scholar
Malrhberg, A, Lewis, G, David, A, Allebeck, R Premorbid adjustment and personality in people with schizophrenia. Br J Psych 1998;172:308–13.CrossRefGoogle Scholar
Carter, JW, Parnas, J, Cannon, TD, Schlusinger, F, Mednick, SA. MMPI variables predictive of schizophrenia in the Copenhagen High-Risk Project: a 25-year follow-up. Acta Psychiatr Scand 1999;99:432–40.CrossRefGoogle ScholarPubMed
Dingemans, PMAJ, Lenior, ME, Linszen, DH. Personality and schizophrenic relapse. Int Clin Psychopharmacol 1998; 13 (Suppl 1): S89–95.CrossRefGoogle Scholar
Torgalsboen, A-K. Comorbidity in schizophrenia: a prognostic study of personality disorder in recovered and non-recovered schizophrenia patients. Scand J Psychol 1999;40:147–52.CrossRefGoogle ScholarPubMed
Lysaker, PH, Bell, MD, Bryson, G, Kaplan, E. Personality as a predictor of the variability of insight in schizophrenia. J Nerv Ment Dis 1999;187:119–22.CrossRefGoogle Scholar
Lysaker, PH, Bell, MD, Kaplan, E, Bryson, G. Personality and psychosocial functioning in schizophrenia: the association of extraversion and neuroticism to deficits in work performance. Psychiatry Res 1999;98:61–8.Google Scholar
Kentros, M, Smith, TE, Hall, J, McCee, M, Terkelsen, K, Capalbo, C. Stability of personality traits in schizophrenia and schizoaffective disorder: a pilot project. J Nerv Ment Dis 1997;185:549–55.CrossRefGoogle ScholarPubMed
Kentros, MK, Terkelsen, K, Hall, J, Smith, TE, Goodman, M. The relationship between personality and quality of life in persons with schizoaffective disorder and schizophrenia. Qual Life Res 1997;6:118–22.CrossRefGoogle Scholar
World Health Organization. International Classification of Functioning, Disability and Health. Geneva: World Health Organization; 2001.Google Scholar
World Health Organization. Face sheet no.220. Geneva World Health Organization; 1999.Google Scholar
Cloninger, CR. A systematic method for clinical description and classification of personality variants. Arch Gen Psych 1987;44:573–99.CrossRefGoogle ScholarPubMed
Cloninger, CR. The genetics and psychobiology of the seven-factor modal of personality. In: Silk, KR, editor. Biology of personality disorders. Washington (DC): American Psychiatric Press; 1998. p. 63–92.Google Scholar
Cloninger, CR, Svrakic, DM, Przybeck, TR. A psychobiological modal of temperament and character. Arch Gen Psych 1993;50:975–90.CrossRefGoogle Scholar
Cloninger, CR, Svrakic, DM. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry 1997;60:120–41.CrossRefGoogle ScholarPubMed
Bejerot, S, Schlette, P, Ekselius, L, Adolfsson, R, von Knorring, L. Personality disorders and relationship to personality dimensions measured by the Temperament and Character Inventory in patients with obsessive-compulsive disorder. Acta Psychiatr Scand 1998;98:243–9.CrossRefGoogle ScholarPubMed
Svrakic, DM, Draganic, S, Hill, K, Bayon, C, Przybeck, TR, Cloninger, CR. Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatr Scand 2002;106:189–95.CrossRefGoogle ScholarPubMed
Hansenne, M, Reggers, J, Pinto, E, Kjiri, K, Ajamier, A, Ansseau, M. Temperament and Character Inventory TCI and depression. J Psychiatr Res 1999;33:31–6.CrossRefGoogle ScholarPubMed
Guillem, F, Bicu, M, Semkovska, M, Debruille, JB. The dimensional symptom structure of schizophrenia and its association with temperament and character. Schizophr Res 2002;56:137–47.CrossRefGoogle ScholarPubMed
Stompe, T, Willinger, U, Fischer, G, Meszaros, K, Berger, P, Strobl, R, et al. The unified biosocial model of personality in schizophrenia families and controls. Psychopathology 1998;31:45–51.Google Scholar
Van Ammers, EC, Sellman, JD, Mulder, RT, Temperament and substance abuse in schizophrenia: is there a relationship? J Nerv Ment Dis 1997;185:283–8.Google Scholar
Hansson, L, Eklund, M, Bengtsson-Tops, A. The relationship of personality dimensions as measured by the TCI and quality of life in individuals with schizophrenia or schizoaffective disorder living in the community. Qual Life Res 2001;10:133–9.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington (DC): APA; 1994.Google Scholar
Bengtsson-Tops, A, Hansson, L. Clinical and social needs of schizophrenic outpatients. Relationship of needs and subjective quality of life. Soc Psychiatry Psychiatr Epidemiol 1999;34:513–8.CrossRefGoogle ScholarPubMed
Brandstrom, S, Schlette, P, Przybeck, TR, Lundberg, M, Forsgren, T, Sigvardsson, et al. Swedish normative data on personality using the Temperament and Character Inventory. Compr Psych 1998;39:122–8.Google Scholar
Cloninger, CR, Przybeck, TR, Svrakic, DM, Wetzel, RM. The Temperament and Character Inventory TCI: a guide to its development and use. St. Louis (MO): Center for Psychobiology of Personality, Washington University; 1994.Google Scholar
Kolakowska, T. BPRS. Oxford: Oxford University; 1976.Google Scholar
Andersen, J, Larsen, JK, Schultz, V, Nielsen, BM, Korner, A, Behnke, K, et al. The Brief Psychiatric Rating Scale. Dimension of schizophrenia—reliability and construct validity. Psychopathology 1989;22:168–76.Google Scholar
Endicott, J, Spitzer, RL, Fleiss, JL, Cohen, J. The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psych 1976;33:766–71.Google ScholarPubMed
Oliver, J, Huxley, P, Bridges, K, Mohamad, H. Quality of life and mental health services. London: Routledge; 1996.Google Scholar
Hansson, L, Svensson, B, Bjorkman, T. Quality of life of the mentally ill. Reliability of the Swedish version of the Lancashire Quality of Life Profile. Eur Psych 1998;13:231–4.Google ScholarPubMed
Oliver, JPJ, Huxley, PJ, Priebe, S, Kaiser, W. Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Soc Psychiatry Psychiatr Epidemiol 1997;32:76–83.CrossRefGoogle ScholarPubMed
Cook, TD, Campbell, DT. Quasi-experimentation. Design and analysis issues for field settings. Boston: Houghton Mifdin; 1979.Google Scholar
Antonovsky, A. Unraveling the mystery of health. San Francisco: Jossey-Bass; 1997.Google Scholar
Antonovsky, A. The structure and properties of the sense of coherence scale. Soc Sci Med 1993;36:725–33.CrossRefGoogle ScholarPubMed
Langius, A, Bjorvell, H, Antonovsky, A. The sense of coherence concept and its relation to personality traits in Swedish samples. Scand J Car Sci 1992;6:165–71.CrossRefGoogle ScholarPubMed
Bengtsson-Tops, A, Hansson, L. The validity of Antonovsky’s sense of coherence concept in a sample of individuals with schizophrenia living in the community. J Adv Nurs 2001;33:432–9.CrossRefGoogle Scholar
Langius, A, Bjorvell, H. Coping ability and functional status in a Swedish population sample. Scand J Car Sci 1993;7:3–10CrossRefGoogle Scholar
Pearlin, LI, Menaghan, EG, Lieberman, MA, Mullan, JT. The stress process. J Health Soc Behav 1981;22:337–56.CrossRefGoogle ScholarPubMed
Marshall, GN, Lang, EL. Optimism, self-mastery, and symptoms of depression in women professionals. J Pers Soc Psychol 1990;59: 132–9.CrossRefGoogle Scholar
Rotter, JB. Generalized expectancies for internal versus external control of reinforcements. Psychol Monog: Gen Appl 1966;80:1–28.CrossRefGoogle Scholar
Andersson, G. Internal-external locus of control: some methodological notes on the research and a factor analysis of a revised I-E scale. Reports from the Department of Applied Psychology, 9. (Sweden): Goteborg University; 1975. p. 1-13 (1).Google Scholar
Eisemann, M, Perris, C, Palm, U, Palm, A, Perris, H. LOC—presentation of a Swedish instrument for assessing locus of control. In: Perris, C, Eisemann, M, editors. Cognitive psychotherapy—an update. Umea (Sweden): Department of Psychiatry, University of Umea; 1988. p, 45–8.Google Scholar
Rosenberg, M. Society and the adolescent self image. Princeton (NJ): Princeton University Press; 1965.CrossRefGoogle Scholar
Norusis, MJ. SPSS base 7.5 for Windows user’s guide. Chicago: SPSS Inc; 1997.Google Scholar
Lysaker, PH, Bell, MD, Kaplan, E, Grieg, TC, Bryson, G. Personality and psychopathology in schizophrenia: the association between personality traits and symptoms. Psychiatry 1999;62:36–8.CrossRefGoogle ScholarPubMed
Cloninger, CR, Svrakic, DM, Bayon, C, Przybeck, TR. Measurement of psychopathology as variants of personality. In: Cloninger, CR, editor. Personality and psychopathology. Washington (DC): American Psychiatric Press; 1999. p. 33-65.Google Scholar
Greenblatt, RL, Davis, WE. Differential diagnosis of PTSD, schizophrenia, and depression with the MMPI-2. J Clin Psychol 1999;55:217–23.3.0.CO;2-I>CrossRefGoogle ScholarPubMed
Oulis, P, Lykouras, L, Hatzimanolis, J, Tomaras, V. Comorbidity of DSM-III-R personality disorders in schizophrenic and unipolar mood disorders: a comparative study. Eur Psych 1997;12:316–8.CrossRefGoogle ScholarPubMed
Bagby, RM, Bindsell, KD, Schuller, DR, Rector, NA, Young, LT, Cooke, RG, et al. Relationship between the five-factor model of personality and unipolar, bipolar, and schizophrenic patients. Psychiatry Res 1997;70:83–94.CrossRefGoogle Scholar
Skodol, AE, Gunderson, JG, McGlashan, TH, Dyck, IR, Stout, RL, Bender, DS, et al. Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. Am J Psych 2002;159:276–83.CrossRefGoogle Scholar
Allgulander, C, Cloninger, RC, Przybeck, TR, Brandt, L. Changes on the Temperament and Character Inventory after paroxetine treatment in volunteers with generalizad anxiety disorder. Psychopharmacol Bull 1998;34:165–6.Google Scholar
Cloninger, CR, Svrakic, NM, Svrakic, DM. Role of personality selforganization in development of mental arder and disorder. Dev Psychopathol 1997;9:881–906.CrossRefGoogle Scholar
Liberman, RP, Corrigan, PW. Designing new psychosocial treatments for schizophrenia. Psychiatry 1993;56:238–48.CrossRefGoogle Scholar