Personality Dimensions in First-Episode Psychoses

OBJECTIVE: The authors compared the patterns and specificity of premorbid personality dimensions in first-episode schizophrenia patients with those in patients with first-episode nonschizophrenia psychoses and healthy comparison subjects. METHOD: A series of 63 patients with first-episode schizophre...

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Veröffentlicht in:The American journal of psychiatry 2005-01, Vol.162 (1), p.102-109
Hauptverfasser: Keshavan, Matcheri S., Duggal, Harpreet S., Veeragandham, Gautami, McLaughlin, Nancy M., Montrose, Debra M., Haas, Gretchen L., Schooler, Nina R.
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container_end_page 109
container_issue 1
container_start_page 102
container_title The American journal of psychiatry
container_volume 162
creator Keshavan, Matcheri S.
Duggal, Harpreet S.
Veeragandham, Gautami
McLaughlin, Nancy M.
Montrose, Debra M.
Haas, Gretchen L.
Schooler, Nina R.
description OBJECTIVE: The authors compared the patterns and specificity of premorbid personality dimensions in first-episode schizophrenia patients with those in patients with first-episode nonschizophrenia psychoses and healthy comparison subjects. METHOD: A series of 63 patients with first-episode schizophrenia and related psychotic disorders, 34 patients with first-episode nonschizophrenia psychoses, and 77 healthy comparison subjects were assessed with the Personality Disorder Evaluation, a semistructured interview schedule that measures personality dimensions. RESULTS: Cluster A as well as cluster C dimensional scores-in particular, the avoidant personality score-were higher for the schizophrenia patients, and cluster B dimensional scores were higher for the patients with nonschizophrenia psychoses. Cluster C dimensional scores, particularly the avoidant personality score, were highly intercorrelated with all cluster A dimensional scores. CONCLUSIONS: The observed association between avoidant personality and schizophrenia supports the recent literature on the comorbidity of nonspectrum personality disorders in schizophrenia. This association may be related to shared neurodevelopmentally mediated impairments in social cognition in schizophrenia and some cluster C personality dimensions.
doi_str_mv 10.1176/appi.ajp.162.1.102
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METHOD: A series of 63 patients with first-episode schizophrenia and related psychotic disorders, 34 patients with first-episode nonschizophrenia psychoses, and 77 healthy comparison subjects were assessed with the Personality Disorder Evaluation, a semistructured interview schedule that measures personality dimensions. RESULTS: Cluster A as well as cluster C dimensional scores-in particular, the avoidant personality score-were higher for the schizophrenia patients, and cluster B dimensional scores were higher for the patients with nonschizophrenia psychoses. Cluster C dimensional scores, particularly the avoidant personality score, were highly intercorrelated with all cluster A dimensional scores. CONCLUSIONS: The observed association between avoidant personality and schizophrenia supports the recent literature on the comorbidity of nonspectrum personality disorders in schizophrenia. 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Psychiatry</subject><subject>Psychoses</subject><subject>Schizophrenia</subject><subject>Schizophrenia - classification</subject><subject>Schizophrenia - diagnosis</subject><subject>Schizophrenia - epidemiology</subject><subject>Schizophrenic Psychology</subject><subject>Social Adjustment</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkMFKAzEQhoMotlZfwIMUQW-7zSSbpHuU2qpQsAcFbyHdTTBlu7tmuoe-vaktCh70FJJ8M__MR8gl0BRAyZFpW5-aVZuCZCmkQNkR6YPgIlGMjY9Jn1LKklzwtx45Q1zFK-WKnZIeCMkEo6pPYGEDNrWp_GY7vPdrW6Nvahz6ejjzATfJtPXYlHa4wG3x3qDFc3LiTIX24nAOyOts-jJ5TObPD0-Tu3liMpZvEuloCS4zpQUXZ1LgxoYya4WlWSH5WDjDpSitM7lkvGTKwtKI-L-UIgOa8wG53fdtQ_PRWdzotcfCVpWpbdOhlopniivxLygUSKAAEbz-Ba6aLsTdUTNGs3yc5TxCbA8VoUEM1uk2-LUJWw1U77TrnXYdteuoXUN8ZrHo6tC5W65t-VNy8ByBmwNgsDCVC6YuPP5wMoO4yS59tOe-Qr7H-yP6Ez72mug</recordid><startdate>20050101</startdate><enddate>20050101</enddate><creator>Keshavan, Matcheri S.</creator><creator>Duggal, Harpreet S.</creator><creator>Veeragandham, Gautami</creator><creator>McLaughlin, Nancy M.</creator><creator>Montrose, Debra M.</creator><creator>Haas, Gretchen L.</creator><creator>Schooler, Nina R.</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20050101</creationdate><title>Personality Dimensions in First-Episode Psychoses</title><author>Keshavan, Matcheri S. ; Duggal, Harpreet S. ; Veeragandham, Gautami ; McLaughlin, Nancy M. ; Montrose, Debra M. ; Haas, Gretchen L. ; Schooler, Nina R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a429t-6f0d1f4ade1f15371f8a02ee5e04c6385fa365defa9623d27e1ba5ee5b6541093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Cluster analysis</topic><topic>Comorbidity</topic><topic>Comparative studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Onset</topic><topic>Other psychotic disorders</topic><topic>Patients</topic><topic>Personality Assessment - statistics &amp; numerical data</topic><topic>Personality disorders</topic><topic>Personality Disorders - classification</topic><topic>Personality Disorders - diagnosis</topic><topic>Personality Disorders - epidemiology</topic><topic>Personality Disorders - psychology</topic><topic>Predictors</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Schizophrenia</topic><topic>Schizophrenia - classification</topic><topic>Schizophrenia - diagnosis</topic><topic>Schizophrenia - epidemiology</topic><topic>Schizophrenic Psychology</topic><topic>Social Adjustment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keshavan, Matcheri S.</creatorcontrib><creatorcontrib>Duggal, Harpreet S.</creatorcontrib><creatorcontrib>Veeragandham, Gautami</creatorcontrib><creatorcontrib>McLaughlin, Nancy M.</creatorcontrib><creatorcontrib>Montrose, Debra M.</creatorcontrib><creatorcontrib>Haas, Gretchen L.</creatorcontrib><creatorcontrib>Schooler, Nina R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keshavan, Matcheri S.</au><au>Duggal, Harpreet S.</au><au>Veeragandham, Gautami</au><au>McLaughlin, Nancy M.</au><au>Montrose, Debra M.</au><au>Haas, Gretchen L.</au><au>Schooler, Nina R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Personality Dimensions in First-Episode Psychoses</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>162</volume><issue>1</issue><spage>102</spage><epage>109</epage><pages>102-109</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: The authors compared the patterns and specificity of premorbid personality dimensions in first-episode schizophrenia patients with those in patients with first-episode nonschizophrenia psychoses and healthy comparison subjects. 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subjects Adult
Adult and adolescent clinical studies
Biological and medical sciences
Cluster analysis
Comorbidity
Comparative studies
Female
Humans
Male
Medical sciences
Onset
Other psychotic disorders
Patients
Personality Assessment - statistics & numerical data
Personality disorders
Personality Disorders - classification
Personality Disorders - diagnosis
Personality Disorders - epidemiology
Personality Disorders - psychology
Predictors
Psychiatric Status Rating Scales
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Schizophrenia
Schizophrenia - classification
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Schizophrenic Psychology
Social Adjustment
title Personality Dimensions in First-Episode Psychoses
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