Association Between Personality Traits and Functional Limitations in Older Adults with Affective Disorders: A Cross Sectional Study.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-07-29 DOI:10.1080/07317115.2023.2240317
Manon van Steen, Monique Zoet, Gert Jan Hendriks, Didi Rhebergen, Astrid Lugtenburg, Monique Lammers, Rob van den Brink, Radboud Marijnissen, Richard Oude Voshaar, Rose M Collard, Paul Naarding
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Abstract

Objectives: Personality traits and affective disorders are both related to functional limitations. It is unknown whether personality traits have an additional effect on functioning in older adults with affective disorders. We studied the association between personality traits and functioning within this group.

Methods: We performed a cross-sectional study of 180 older patients referred to outpatient specialized geriatric mental health care centers with a depressive, anxiety and/or somatic symptom disorder according to DSM-criteria. We studied the association between the Big Five personality traits and functional limitations assessed with the WHO-DAS II, adjusting for potential confounders, including the severity of various affective disorders.

Results: The 180 patients (57.1% female, mean age 69.2 years) had an average WHO-DAS II score of 31.3 (SD 15.1). Lower scores on Conscientiousness were associated with more overall functional limitations (p = .001), particularly limitations in self-care (p = .001) and household activities (p = .001). Lower Extraversion scores were associated with more limitations in getting along with others (p = .001).

Conclusions: Personality traits are related to functional limitations independent of the severity of affective disorders in older adults.

Clinical implications: Personality traits may be used as predictive factors for functioning in older adults with affective disorders.

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情感性障碍老年人人格特征与功能限制之间的关系:一项横断面研究。
目的:人格特质和情感障碍都与功能限制有关。目前尚不清楚人格特征是否对患有情感障碍的老年人的功能有额外的影响。我们研究了这个群体的人格特质和功能之间的关系。方法:我们进行了一项横断面研究,研究对象为180名根据dsm标准转诊到门诊专科老年精神卫生保健中心的患有抑郁、焦虑和/或躯体症状障碍的老年患者。我们研究了大五人格特征与WHO-DAS II评估的功能限制之间的关系,调整了潜在的混杂因素,包括各种情感障碍的严重程度。结果:180例患者(女性57.1%,平均年龄69.2岁)的WHO-DAS II平均评分为31.3分(SD 15.1)。尽责性得分越低,整体功能限制越严重(p = .001),尤其是自我照顾(p = .001)和家庭活动(p = .001)方面的限制。外向性得分越低,与他人相处的局限性越大(p = 0.001)。结论:人格特征与老年人的功能限制有关,与情感障碍的严重程度无关。临床意义:人格特征可作为情感性障碍老年人功能的预测因素。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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