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Psychodynamic personality profile in first‐episode severe mental disorders
Author(s) -
Heikkilä J.,
Karlsson H.,
Taiminen T.,
Lauerma H.,
Ilonen T.,
Lein K.M.,
Wallenius E.,
Virtanen H.,
Heinimaa M.,
Kaljonen A.,
Salokangas R. K. R.
Publication year - 2004
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2003.00289.x
Subject(s) - personality disorders , psychology , dysfunctional family , psychopathology , schizophrenia (object oriented programming) , psychodynamics , clinical psychology , personality , psychiatry , chinese classification of mental disorders , big five personality traits , sadistic personality disorder , psychotherapist , social psychology
Objective: The aim of this study was to relate measures of psychoanalytically derived personality traits to descriptive diagnosis and psychopathology in severe mental disorders. Method: Sixty‐one consecutive first‐episode patients with schizophrenia, bipolar disorder and severe major depression were interviewed. Personality traits were assessed with the Karolinska Psychodynamic Profile (KAPP) and compared with the DSM‐IV diagnosis and symptom clusters derived from the BPRS. Results: There were no marked differences in personality traits between the three diagnostic groups, between schizophrenia and affective disorders or between psychotic and non‐psychotic illness. However, personality traits had significant associations with symptoms, especially with the emotional retardation cluster. Conclusion: Our findings do not support the hypothesis that severe mental disorders would differ from each other in terms of long‐standing psychodynamic personality profiles. Certain dysfunctional personality traits may predict especially negative emotional symptoms and possibly also predispose a person to them.