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How to tell a happy from an unhappy schizotype: personality factors and mental health outcomes in individuals with psychotic experiences.
Alminhana, Letícia O; Farias, Miguel; Claridge, Gordon; Cloninger, Claude R; Moreira-Almeida, Alexander.
Afiliação
  • Alminhana LO; Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
  • Farias M; Coventry University, Coventry, United Kingdom.
  • Claridge G; Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom.
  • Cloninger CR; Washington University in Saint Louis, St. Louis, MO, USA.
  • Moreira-Almeida A; Faculdade de Medicina, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil.
Braz J Psychiatry ; 39(2): 126-132, 2017.
Article em En | MEDLINE | ID: mdl-27901211
OBJECTIVE:: It is unclear why some individuals reporting psychotic experiences have balanced lives while others go on to develop mental health problems. The objective of this study was to test if the personality traits of harm avoidance, self-directedness, and self-transcendence can be used as criteria to differentiate healthy from unhealthy schizotypal individuals. METHODS:: We interviewed 115 participants who reported a high frequency of psychotic experiences. The instruments used were the Temperament and Character Inventory (140), Structured Clinical Interview for DSM-IV, and the Oxford-Liverpool Inventory of Feelings and Experiences. RESULTS:: Harm avoidance predicted cognitive disorganization (ß = 0.319; t = 2.94), while novelty seeking predicted bipolar disorder (ß = 0.136, Exp [ß] = 1.146) and impulsive non-conformity (ß = 0.322; t = 3.55). Self-directedness predicted an overall decrease in schizotypy, most of all in cognitive disorganization (ß = -0.356; t = -2.95) and in impulsive non-conformity (ß = -0.313; t = -2.83). Finally, self-transcendence predicted unusual experiences (ß = 0.256; t = 2.32). CONCLUSION:: Personality features are important criteria to distinguish between pathology and mental health in individuals presenting high levels of anomalous experiences (AEs). While self-directedness is a protective factor, both harm avoidance and novelty seeking were predictors of negative mental health outcomes. We suggest that the impact of AEs on mental health is moderated by personality factors.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Psicóticos / Transtorno da Personalidade Esquizotípica / Saúde Mental Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Psicóticos / Transtorno da Personalidade Esquizotípica / Saúde Mental Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil