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The influence of temperament and character on functioning and aspects of psychological health among people with schizophrenia

Published online by Cambridge University Press:  16 April 2020

Mona Eklund ,
Lars Hansson  and
Anita Bengtsson-Tops
Mona Eklund*
Affiliation:
Division of Occupational Therapy, Department of Clinical Neuroscience, Lund University, P.O. Box 157, 22100Lund, Sweden
Lars Hansson
Affiliation:
Division of Psychiatry, Department of Clinical Neuroscience, Lund University, P.O. Box 157, 22100Lund, Sweden
Anita Bengtsson-Tops
Affiliation:
Division of Psychiatry, Department of Clinical Neuroscience, Lund University, P.O. Box 157, 22100Lund, Sweden
*
*Corresponding author. E-mail address:mona.eklund@arb.lu.se (M. Eklund).
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Abstract

Research findings that link personality factors to functioning and symptoms in schizophrenia are inconsistent, and further studies are needed within the area. The purpose of this study was to investigate how personality, as measured by the Temperament and Character Inventory (TCI), was related to demographic factors, subtypes of diagnoses, level of functioning, and aspects of psychological health, including sense of coherence, perceived control, and self-esteem, among people with schizophrenia. Subjects were 104 individuals, aged 20–55 years, in psychiatric outpatient care. The results indicated that personality was not related to subtypes of diagnoses or demographic characteristics of the respondents, but to level of functioning and all aspects of psychological health. Especially self-directedness distinguished three groups of functioning and was highly correlated with the different aspects of psychological health. The article discusses how knowledge of schizophrenic patients’ personality structure might be used for tailoring psychiatric treatments.

Keywords

PersonalityFunctioningHealthSense of coherenceMasterySchizophrenia
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 1 , January 2004 , pp. 34 - 41
Copyright
Copyright © 2003 European Psychiatric Association

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References

Gurrera, RJNestor, PGO'Donell, BF. Personality traits in schizophrenia. Comparison with a community sample. J Nerv Ment Dis 2000;188:31–5.CrossRefGoogle ScholarPubMed
Malmberg, ALewis, GDavid, AAllebeck, P. Premorbid adjustment and personality in people with schizophrenia. Br J Psych 1998;172:308–13.CrossRefGoogle ScholarPubMed
Carter, JWParnas, JCannon, TDSchlusinger, FMednick, 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, PMAJLenior, MELinszen, 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, PHBell, MDBryson, GKaplan, E. Personality as a predictor of the variability of insight in schizophrenia. J Nerv Ment Dis 1999;187:119–22.CrossRefGoogle Scholar
Lysaker, PHBell, MDKaplan, EBryson, G. Personality and psychosocial functioning in schizophrenia: the association of extraversion and neuroticism to deficits in work performance. Psychiatry Res 1999;80:61–8.CrossRefGoogle Scholar
Kentros, MSmith, TEHull, JMcCee, MTerkelsen, KCapalbo, C. Stability of personality traits in schizophrenia and schizoaffective disorder: a pilot project. J Nerv Ment Dis 1997;185:549–55.CrossRefGoogle ScholarPubMed
Kentros, MKTerkelsen, KHull, JSmith, TEGoodman, 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;44:573–88.CrossRefGoogle ScholarPubMed
Cloninger, CR. The genetics and psychobiology of the seven-factor model of personality. In: Silk, KR editor. Biology of personality disorders. Washington (DC): American Psychiatric Press; 1998. p. 63–92.Google Scholar
Cloninger CR, Svrakic, DMPrzybeck, TR.A psychobiological model of temperament and character. Arch Gen Psych 1993;50:975–90.Google Scholar
Cloninger, CRSvrakic, DM. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry 1997;60:120–41.CrossRefGoogle ScholarPubMed
Bejerot, SSchlette, PEkselius, LAdolfsson, Rvon 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, DMDraganic, SHill, KBayon, CPrzybeck, TRCloninger, CR. Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatr Scand 2002;106:189–95.CrossRefGoogle ScholarPubMed
Hansenne, MReggers, JPinto, EKjiri, KAjamier, AAnsseau, M. Temperament and Character Inventory TCI and depression. J Psychi-atr Res 1999;33:31–6.CrossRefGoogle ScholarPubMed
Guillem, FBicu, MSemkovska, MDebruille, JB. The dimensional symptom structure of schizophrenia and its association with temperament and character. Schizophr Res 2002;56:137–47.CrossRefGoogle ScholarPubMed
Stompe, TWillinger, UFischer, GMeszaros, KBerger, PStrobl, Ret al.The unified biosocial model of personality in schizophrenia families and controls. Psychopathology 1998;31:45–51.CrossRefGoogle ScholarPubMed
Van Ammers EC, Sellman, JDMulder, RT. Temperament and substance abuse in schizophrenia: is there a relationship? J Nerv Ment Dis 1997;185:283–8.Google Scholar
Hansson, LEklund, MBengtsson-TopsA. 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, AHansson, 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
Brändström, SSchlette, PPrzybeck, TRLundberg, MForsgren, T Sigvardsson, et al.Swedish normative data on personality using the Temperament and Character Inventory. Compr Psych 1998;39:122–8.CrossRefGoogle ScholarPubMed
Cloninger, CRPrzybeck, TRSvrakic, DMWetzel, 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, JLarsen, JKSchultz, VNielsen, BMKørner, ABehnke, Ket al.The Brief Psychiatric Rating Scale. Dimension of schizophrenia—reliability and construct validity. Psychopathology 1989;22:168–76.CrossRefGoogle ScholarPubMed
Endicott, JSpitzer, R L, Fleiss, JLCohen, J. The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psych 1976;33:766–71.CrossRefGoogle ScholarPubMed
Oliver, JHuxley, PBridges, KMohamad, H. Quality of life and mental health services. London: Routledge; 1996.Google Scholar
Hansson, LSvensson, BBjörkman, 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.CrossRefGoogle ScholarPubMed
Oliver, JPJHuxley, PJPriebe, SKaiser, 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, TDCampbell, DT. Quasi-experimentation. Design and analysis issues for field settings. Boston: Houghton Mifflin; 1979.Google Scholar
Antonovsky, A. Unraveling the mystery of health. San Francisco: Jossey-Bass; 1987.Google Scholar
Antonovsky, A. The structure and properties of the sense of coherence scale. Soc Sci Med 1993;36:725–33.CrossRefGoogle ScholarPubMed
Langius, ABjorvell, HAntonovsky, 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, AHansson, L. The validity ofAntonovsky's sense of coherence concept in a sample of individuals with schizophrenia living in the community. J Adv Nurs 2001;33:432–8.CrossRefGoogle Scholar
Langius, ABjörvell, H. Coping ability and functional status in a Swedish population sample. Scand J Car Sci 1993;7:3–10.CrossRefGoogle Scholar
Pearlin, LIMenaghan, EGLieberman, MAMullan, JT. The stress process. J Health Soc Behav 1981;22:337–56.CrossRefGoogle ScholarPubMed
Marshall, GNLang, EL. Optimism, self-mastery, and symptoms of depression in women professionals. J Pers Soc Psychol 1990;59:132–9.CrossRefGoogle ScholarPubMed
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): Göteborg University; 1975. p. 1–13 (1).Google Scholar
Eisemann, MPerris, CPalm, UPalm, APerris, H. LOC—presentation of a Swedish instrument for assessing locus of control. In: Perris, CEisemann, M editors. Cognitive psychotherapy—an update. Umeå (Sweden): Department of Psychiatry, University of Umeå; 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, PHBell, MDKaplan, EGrieg, TCBryson, G. Personality and psychopathology in schizophrenia: the association between personality traits and symptoms. Psychiatry 1999;62:36–48.CrossRefGoogle ScholarPubMed
Cloninger, CRSvrakic, DMBayon, CPrzybeck, 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, RLDavis, 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, PLykouras, LHatzimanolis, JTomaras, 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, RMBindseil, KDSchuller, DRRector, NAYoung, LTCooke, RGet al.Relationship between the five-factor model of personality and unipolar, bipolar, and schizophrenic patients. Psychiatry Res 1997;70:83–94.CrossRefGoogle ScholarPubMed
Skodol, AEGunderson, JGMcGlashan, THDyck, IRStout, RLBender, DSet al.Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. Am J Psych 2002;159:276–83.CrossRefGoogle ScholarPubMed
Allgulander, C,Cloninger, RCPrzybeck, TRBrandt, L. Changes on the Temperament and Character Inventory after paroxetine treatment in volunteers with generalized anxiety disorder. Psychopharmacol Bull 1998;34:165–6.Google ScholarPubMed
Cloninger, CRSvrakic, NMSvrakic, DM. Role of personality self-organization in development of mental order and disorder. Dev Psy-chopathol 1997;9:881–906.CrossRefGoogle ScholarPubMed
Liberman, RPCorrigan, PW. Designing new psychosocial treatments for schizophrenia. Psychiatry 1993;56:238–48.CrossRefGoogle Scholar
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