engleski

PERSONALITY ACROSS THE AGGRESSIVE SPECTRUM – A CROSS-SECTIONAL STUDY OF 358 MALES WITH

Introduction Aggressiveness is one of the most stigmatization symptoms of paranoid schizophrenia with its possible roots in personality and/or acute psychopathology of schizophrenia. Objectives To explore general and personality differences among suicidal, homicidal and non-aggressive male subjects with paranoid schizophrenia. Methods We recruited all consecutive inpatients fulfilling the ICD-10 criteria of paranoid schizophrenia during 2009-2011. Personality traits were determined by the NEO Five-Factor Inventory (NEO-FFI) scale which measures the five major personality traits: emotional stability, extraversion, openness to experience, agreeableness and conscientiousness). Results The study included 359 male subjects diagnosed with paranoid schizophrenia. Their mean age was 37, 8 yrs (SD 11, 9) and duration of illness 13, 77 yrs (SD 12, 1). Majority were single (N=271, 75, 5%), with 8-12 yrs of education (N=266, 75%) and unemployed (N=193, 53, 8%). In an attempt to assess their auto and heteroagressivness, subjects were divided into three groups: subjects with suicide ideation (N=66, 18.4%), subjects with suicide attempt (N=67, 18, 7%) and subjects with homicidal behavior (N= 86, 24%). These groups were compared against the comparative group of subjects without suicidal ideation, suicide or homicide behavior (N=140, 39%). Subjects with homicide behavior were significantly older, with longer duration of illness, majority were diagnosed with comorbid alcohol addiction and these participants scored higher on the emotional stability subscale (ANOVA F=7.8, df= 3, P=0.001). Conclusion These findings might contribute to discussion of the role of personality characteristics in paranoid schizophrenia.

paranoid schizophrenia; personality; behavior

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