Predicting subjective quality of life and illness impact for individuals with schizophrenia using the Five-Factor Model of personality: A starting point for future research

Russell T. Rogers
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Abstract

Many different factors can be used to predict the number and magnitude of disruptions to functioning and subjective quality of life that any given person with schizophrenia may experience. Most of the available research has investigated biological, genetic, socioeconomic, and environmental predictors of illness impact, but comparatively little has been done to establish personality as a predictive factor. However, given that personality is known to be associated with schizophrenia, and is an established predictor of general health outcomes, this gap in the literature is concerning. The research which does look at personality as a predictive factor for subjective quality of life disturbances and illness impact in individuals with schizophrenia has been promising, but too many unanswered questions exist for any reliable predictive rules to be established. Even so, tentative links between FFM personality and suicide risk, as well as links between FFM personality and negative symptoms, have been found. This paper seeks to highlight these areas of tentative findings, with a focus on the areas of suicidality, social deficits and negative symptoms, and subjective quality of life, to guide further research.

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使用人格五因素模型预测精神分裂症患者的主观生活质量和疾病影响:未来研究的起点
许多不同的因素可以用来预测任何精神分裂症患者可能经历的功能和主观生活质量中断的数量和程度。大多数现有的研究都调查了疾病影响的生物、遗传、社会经济和环境预测因素,但相对而言,将个性作为预测因素的研究很少。然而,鉴于人格已知与精神分裂症有关,并且是一般健康结果的既定预测指标,这一文献中的差距令人担忧。这项研究确实将人格作为精神分裂症患者主观生活质量紊乱和疾病影响的预测因素,但存在太多未解之谜,无法建立任何可靠的预测规则。即便如此,已经发现了FFM人格与自杀风险之间的初步联系,以及FFM人格与阴性症状之间的联系。本文旨在突出这些领域的初步发现,重点关注自杀、社会缺陷和负面症状以及主观生活质量等领域,以指导进一步的研究。
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