Avoidant personality disorder symptoms in first-degree relatives of schizophrenia patients predict performance on neurocognitive measures: The UCLA family study (original) (raw)
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Schizophrenia Research, 2007
We read the recent article with considerable interest. The findings of the UCLA family study provide strong evidence that avoidant personality disorder occurs at significantly greater rates among first-degree relatives of schizophrenia probands than among relatives of community controls. This increased prevalence held true even when controlling for the presence of schizotypal and paranoid personality disorders. Thus, the Fogelson et al. (2007) findings are consistent with those of other family studies in terms of suggesting that avoidant personality disorder should be included as a schizophrenia-spectrum disorder.
Personality traits in schizophrenia and related personality disorders
Psychiatry Research, 2005
We investigated whether schizophrenia spectrum disorders share common personality characteristics or traits. Participants with a diagnosis of schizophrenia or schizoaffective disorder (SZ) or with a schizophrenia spectrum personality disorder (schizophrenia spectrum PD: schizoid, paranoid, and schizotypal personality disorder) were compared with non-psychiatric control subjects on the five-factor model of personality and the psychosis-proneness scales. On the five-factor personality scales, SZ subjects showed higher levels of neuroticism, and lower levels of openness, agreeableness, extraversion, and conscientiousness than control subjects. Higher scores on openness and lower scores on neuroticism distinguished schizophrenia spectrum PD from SZ. On the psychosis-proneness scales, both PD and SZ participants scored high relative to non-psychiatric control participants on magical ideation and perceptual aberration, while PD participants scored intermediate between non-psychiatric control participants and SZ on social anhedonia. Discriminant analysis indicated that schizophrenia spectrum patients could be distinguished from PDs by more severe social withdrawal and maladjustment, while subjects with PDs could be best distinguished from control subjects on the basis of odd or novel ideation and decreased conscientiousness.
Psychopathology and personality traits in psychotic patients and their first-degree relatives
European psychiatry : the journal of the Association of European Psychiatrists, 2009
Personality dimensions have been associated with symptoms dimensions in schizophrenic patients (SP). In this paper we study the relationships between symptoms of functional psychoses and personality dimensions in SP and their first-degree relatives (SR), in other psychotic patients (PP) and their first-degree relatives (PR), and in healthy controls in order to evaluate the possible clinical dimensionality of these disorders. Twenty-nine SP, 29 SR, 18 PP, 18 PR and 188 controls were assessed using the temperament and character inventory (TCI-R). Current symptoms were evaluated with positive and negative syndrome scale (PANSS) using the five-factor model described previously
Personality and Schizophrenia: Psychobiological Model and Its Relationship with Comorbidity
Psychiatria …, 2009
Personality interacts with psychosocial variables, psychopathology and coping strategies of patients with schizophrenia. Psychobiological model of personality is important for schizophrenia as temperament dimensions, except dimension Persistence, have been associated with different neurotransmitter systems. Comorbidity of psychiatric and somatic disorders and syndromes is generally associated with dimensions high Harm avoidance and low Self-directedness. Variations in other dimensions may also be important. High Harm Avoidance may represent state vulnerability marker for various psychiatric disorders and is associated with appearance of comorbidity in schizophrenia. High Self-directedness may be protective factor for development of various psychiatric as well somatic comorbidity states.
Temperament and Character Dimensions in Patients With Schizophrenia, Relatives, and Controls
The Journal of Nervous and Mental Disease, 2009
Studies of patients with schizophrenia or schizophrenia spectrum disorders and general population control groups consistently show differences regarding personality dimensions. However, the profile of personality dimensions in first-degree relatives of those patients is not well understood. We used Temperament and Character Inventory to explore personality dimensions in 61 clinically stable patients with schizophrenia or schizophrenia spectrum disorders, 59 of their first-degree relatives, and 64 healthy controls. Patients scored significantly higher than controls in harm avoidance and self-transcendence and lower in self-directedness and cooperativeness. First-degree relatives showed a tendency to lower novelty seeking and self-transcendence than controls. Interpretations of these findings include the possibility that lower novelty seeking and lower self-transcendence provide a protective influence in the relatives. Further studies are needed to go into this issue in greater depth.
Temperament and character as schizophrenia-related endophenotypes in non-psychotic siblings
Schizophrenia Research, 2008
Background-Quantitative endophenotypes are needed to better understand the pathogenesis of schizophrenia. The psychobiological model of temperament and character suggests that personality traits are heritable and regulated by brain systems influencing schizophrenia susceptibility. Thus, measures of temperament and character may serve as schizophrenia-related endophenotypes in individuals with schizophrenia and their non-psychotic siblings. Methods-Individuals with schizophrenia (n=35), their non-psychotic siblings (n=34), controls (n=63), and their siblings (n=56) participated in a study of the clinical, cognitive and neuromorphological characteristics of schizophrenia. A mixed-model approach assessed group differences on the Temperament and Character Inventory (TCI). Neurocognitive deficits and psychopathology were correlated with the TCI. Configurations of TCI domains were examined using a generalized linear model. Results-Individuals with schizophrenia and their siblings had higher harm avoidance than controls and their siblings. Individuals with schizophrenia had lower self-directedness and cooperativeness, and higher self-transcendence than their non-psychotic siblings, controls, and the siblings of controls. Neurocognition was not related to temperament and character in individuals with schizophrenia or either control group. In non-psychotic siblings, self-directedness and cooperativeness were correlated with working memory and crystallized IQ. supports harm avoidance as a schizophrenia-related endophenotype. An increased risk of schizophrenia may be associated with asociality (configured as high harm avoidance and low reward dependence), schizotypy (configured as low self-directedness, low cooperativeness, and high self-transcendence), and neurocognitive deficits (poor executive functioning, working/
Psychophysiological and neuropsychological distinction between familial and sporadic schizophrenia
Schizophrenia Research, 1995
Although much research on psychopathic individuals has been conducted in incarcerated settings, there is increasing interest in studying adults with higher levels of psychopathic traits in the general population. The present study investigated differences in psychophysiological response and neuropsychological functioning between undergraduate males with higher levels of psychopathic traits (higher-p) and undergraduate males with lower levels of psychopathic traits (lower-p). Participants completed self-report measures and neuropsychological measures, and skin conductance response was measured during a risk-taking and affective-picture viewing task. Consistent with previous findings among samples of incarcerated psychopaths, higher-p adults exhibited diminished responses to aversive and positive affective stimuli and were more disinhibited on a motoric response inhibition task. Contrary to expectations, higher-p adults made marginally better decisions on a risky decision making task. Findings were discussed in relation to Gao and Raines' (Behavioral Sciences & the Law 28(2) 194-210, 2010) model of the neurobiological underpinnings of adults with higher levels of psychopathic traits in non-incarcerated settings, and offer evidence that higher-p adults have both adaptive and non-adaptive traits.