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The influence of temperament on symptoms and functional outcome in people with psychosis in the Northern Finland 1966 Birth Cohort

Published online by Cambridge University Press:  16 April 2020

L. Poustka ,
G.K. Murray ,
E. Jääskeläinen ,
J. Veijola ,
P. Jones ,
M. Isohanni  and
J. Miettunen
L. Poustka*
Affiliation:
Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, J5, 68159Mannheim, Germany
G.K. Murray
Affiliation:
Department of Psychiatry, University of Cambridge, UK Behavioural and Clinical Neuroscience Institute, University of Cambridge, UK
E. Jääskeläinen
Affiliation:
Department of Psychiatry, Oulu University and Oulu University Hospital, Oulu, Finland
J. Veijola
Affiliation:
Department of Psychiatry, Oulu University and Oulu University Hospital, Oulu, Finland Academy of Finland, Helsinki, Finland
P. Jones
Affiliation:
Department of Psychiatry, University of Cambridge, UK
M. Isohanni
Affiliation:
Department of Psychiatry, Oulu University and Oulu University Hospital, Oulu, Finland Institute of Health Sciences, University of Oulu, and Department of Child and Adolescent Health, National Public Health Institute, and Unit of General Practice, Oulu University Hospital, Oulu, Finland
J. Miettunen
Affiliation:
Department of Psychiatry, Oulu University and Oulu University Hospital, Oulu, Finland
*
*Corresponding author. Tel.: +49 621 4532; fax: 0049 621 1703 4505. E-mail address: [email protected] (L. Poustka).
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Abstract

Objective

To describe symptom expression and functional outcome in psychotic disorders in relation with temperament traits assessed with the Temperament and Character Inventory (TCI) in a population-based sample.

Method

As part of the 31-year follow-up survey of the Northern Finland 1966 Birth Cohort, TCI temperament items were filled in by 4349 members of the cohort. In individuals with psychotic disorders, also positive and negative symptoms and outcome variables were assessed in a 35-year follow-up. Information of TCI and outcomes were available for altogether 41 individuals with psychosis.

Result

Reward dependence (RD) (rho = −0.45) and Persistence (P) (rho = −0.52) were significantly correlated with Positive and Negative Syndrome Scale (PANSS) negative symptoms. Higher P scores predicted higher social and occupational functioning (as measured by Social and Occupational Functioning Assessment Scale [SOFAS]), and higher Harm avoidance (HA) predicted a higher likelihood of being on a disability pension.

Conclusion

Results indicate that understanding of personality dimensions support better understanding of outcome and symptom expressions in psychotic disorders.

Keywords

PsychosisTemperamentOutcomeSymptomsNorthern Finland 1966 Birth Cohort
Type
Original articles
Information
European Psychiatry , Volume 25 , Issue 1 , January 2010 , pp. 26 - 32
Copyright
Copyright © Elsevier Masson SAS 2010

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