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Personality traits in recent onset of psychosis (ROP) patients are an under-researched area. Our aim was to examine clinical and clinically significant personality traits in ROP patients compared with a healthy control sample by gender. Data were obtained from 94 ROP patients and a control sample matched in gender and age. The Millon Clinical Multiaxial Inventory and a sociodemographic scale were used. T for independent samples, U-Mann-Whitney and Fisher tests were applied to make comparisons. All personality traits were significantly higher in ROP than control participants in the general sample, except histrionic, narcissistic, and compulsive traits which were higher in controls. Clinically significant schizoid, avoidant, dependent and antisocial personality traits were more common in the ROP than the control participants. However, histrionic clinically significant trait was more common in the control sample. In relation to the males and female samples, more significant differences were found in the male sample in comparison to their control counterparts than in the female sample. These results highlight the importance of the study of clinical personality traits in patients with ROP and the importance of viewing these differences in relation to gender because of the possible therapeutic implications.

Aim There is lack of research on the study of clinical personality traits in recent onset of psychosis (ROP) patients. The aims of this research were to study the relations among psychosocial, personality and clinical characteristics in ROP patients and also the effect that significant variables had on the different domains of Quality of Life (QoL). Methods Data for these analyses were obtained from 81 ROP patients. The Millon Clinical Multiaxial Inventory, the Positive and Negative Syndrome Scale and the World Health Organization Quality of Life Brief Scale were used to assess personality, symptoms and QoL. Results Correlations between the negative symptoms and the physical, psychological and social domains of QoL, and the disorganized symptoms and physical domain, were found. Furthermore, the physical, psychological and social relationship domains of QoL were lower in patients with schizoid traits and the psychological domain was lower in patients with depressive traits. In contrast, the psychological and social domains were higher in patients with histrionic traits, while the physical domain was higher for patients with narcissistic traits. Multiple linear regressions demonstrated that negative symptoms and narcissistic and depressive traits explained 16.9% of the physical domain. Narcissistic and depressive traits explained 15% of the psychological domain. Finally, the negative symptoms and histrionic traits explained 13.7% of the social domain. Conclusions QoL seems to be better explained by negative psychotic symptoms and some clinical personality traits. Our results support the importance of integrated intervention approaches that consider personality.

Objective Personality in patients with psychosis, and particularly its relation to psychotic symptoms in recent onset of psychosis (ROP) patients, is understudied. The aims of this research were to study the relation between dimensional and categorical clinical personality traits and symptoms, as well as the effects that symptoms, sex and age have on clinically significant personality traits. Methods Data for these analyses were obtained from 94 ROP patients. The Millon Clinical Multiaxial Inventory and the Positive and Negative Syndrome Scale were used to assess personality and symptoms. Correlational Analysis, Mann–Whitney test, and, finally, logistic regression were carried out. Results The negative dimension was higher in patients with schizoid traits. The excited dimension was lower for those with avoidant and depressive traits. The anxiety and depression dimension was higher for patients with dependent traits. The positive dimension was lower for patients with histrionic and higher for patients with compulsive traits. Logistic regression demonstrated that gender and the positive and negative dimensions explained 35.9% of the variance of the schizoid trait. The excited dimension explained 9.1% of the variance of avoidant trait. The anxiety and depression dimension and age explained 31.3% of the dependent trait. Gender explained 11.6% of the histrionic trait, 14.5% of the narcissistic trait and 11.6% of the paranoid trait. Finally gender and positive dimension explained 16.1% of the compulsive trait. Conclusions The study highlights the importance of studying personality in patients with psychosis as it broadens understating of the patients themselves and the symptoms suffered.

Background Personality in patients with psychosis, and particularly its relation to psychotic symptoms in recent onset of psychosis (ROP) patients, is understudied. The aims of this research were, first, to study the relation between each clinically significant personality trait (CSPT) and psychotic symptoms, and second, to study the variance of each CSPT that was explained by psychotic symptoms, sex and age. Methods Sample: Data was obtained from 94 ROP patients (78.7% males; mean age: 24.67(4.59)). Measures: The Millon Clinical Multiaxial Inventory (MCMI) and the Positive and Negative Syndrome Scale were used to assess CSPT (schizoid, avoidant, dependent, depressive, histrionic, narcissistic, antisocial, sadistic, compulsive, negativistic, masochistic, schizotypal, borderline, paranoid) and psychotic symptoms (positive, negative, disorganized, exited, and anxiety and depression). Statistical analyses: U Mann–Whitney tests and multivariate logistic regressions were carried out to test the association between clinical personality traits adjusting for symptoms, sex and age. Results From the 94 patients, 13.9% had schizoid, 20.8% had avoidant, 7.9% had depressive, 7.9% had dependent, 5% histrionic, 15.8% narcissistic, 9.9% antisocial, 6.9 % sadistic, 14.9% compulsive, 1% negativistic, 0% masochistic, 2% schizotypal, 2% borderline, 5% paranoid CSPT. Negative psychotic symptoms were higher in patients with schizoid CSPT. The excited symptoms were lower for those with avoidant and depressive CSPT. The anxiety and depression symptoms were higher for patients with dependent CSPT. The positive psychotic symptoms were lower for patients with histrionic and higher for patients with compulsive CSPT. Logistic regression demonstrated that gender and positive and negative symptoms explained 35.9% of the variance of the schizoid CSPT. Excited symptoms explained 9.1% of the variance of the avoidant CSPT. Anxiety and depression symptoms and age explained 31.3% of the dependent CSPT. Gender explained 11.6% of the histrionic CSPT, 14.5% of the narcissistic CSPT and 11.6% of the paranoid CSPT. Finally, gender and positive dimension explained 16.1% of the compulsive CSPT. Discussion The study highlights the importance of studying personality in patients with psychosis as it broadens understating of the patients themselves and the symptoms suffered.

The objective was to study alexithymia and its relationship with anxiety and depression in eating disorders (ED) in a Spanish sample. One hundred and fifty-one females with an eating disorder: 25 with anorexia nervosa, restricting subtype (ANR), 44 with anorexia nervosa, bulimic subtype (ANB), and 82 with bulimia nervosa (BN) [according to criteria from DSM-IV (American Psychiatric Association, 1994)], and a control group of 43 females, were assessed with the Toronto Alexithymia Scale (TAS-20), the Beck Depression Inventory (BDI) and the Self-Rating Anxiety Scale (SAS). Patients with ED present higher rates of alexithymia than controls, but after controlling for anxiety and depression the differences among groups disappear. Depression and anxiety predicted and correlated positively with alexithymia. Our findings are consistent with previous studies, and suggest that alexithymia is closely related to anxiety and depression, and could be a trait or a state in patients with ED.

Se relaciona la emoción expresada (EE) de los familiares de esquizofrénicos con algunas variables sociodemográficas, estrés y apoyo social.

En este artículo el autor propone el uso de la hipnoterapia ericksoniana en la anorexia nerviosa para corregir el trastorno alexitímico y afrontar dificultades específicas que se presentan en estos casos. Finalmente describe un caso de un varón con anorexia nerviosa.