Title: Relationship between personality and psychopathology in a longitudinal community study : a test of the predisposition model
Authors : Hengartner, Michael Pascal
Ajdacic-Gross, Vladeta
Wyss, Christine
Angst, Jules
Rössler, Wulf
Published in : Psychological Medicine
Volume(Issue) : 46
Issue : 8
Pages : 1693
Pages to: 1705
Publisher / Ed. Institution : Cambridge University Press
Issue Date: Jun-2016
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Aetiopathology; Epidemiology; Neuroticism; Personality; Psychopathology
Subject (DDC) : 155: Differential and developmental psychology
616.89: Mental disorders, clinical psychology and psychiatry
Abstract: Mounting evidence supports the notion that personality is crucial in the aetiopathology of common mental disorders, but studies that allow for aetiological conclusions are lacking. The aim of the present study was thus to provide a test of the predisposition model. We analysed data from the Zurich Cohort Study, a 30-year longitudinal epidemiological community study of an adult cohort (n = 591) from 1979 to 2008. Personality was assessed in 1988 with an established personality questionnaire, and psychopathology through seven semi-structured interviews between 1979 and 2008. On the basis of personality assessment from 1988, used as predictor of subsequent psychopathology (1993–2008), while adjusting for sex and prior mental disorders (1979–1988), neuroticism related significantly with future major depression episodes [odds ratio (OR) = 1.41], anxiety disorders (OR = 1.32) and depression treatment use (OR = 1.41). When participants with a past 10-year history (i.e. 1979–1988) of either major depression, anxiety disorder or depression treatment use were excluded, neuroticism in 1988 still significantly predicted first incidence (i.e. 1993–2008) of major depression episodes (OR = 1.53) and depression treatment use (OR = 1.84). The present study provides compelling evidence that the personality trait of neuroticism constitutes an independent risk factor for subsequent major depression episodes and use of respective professional treatments, which serves as a proxy for particularly severe and impairing depression episodes. We therefore advocate that personality traits could provide clinically useful prognostic information when considered carefully.
Departement: Angewandte Psychologie
Publication type: Article in scientific Journal
DOI : 10.1017/S0033291716000210
ISSN: 0033-2917
URI: https://digitalcollection.zhaw.ch/handle/11475/2272
Appears in Collections:Publikationen Angewandte Psychologie

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