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BACKGROUND: Atrial Fibrillation (AF) is known to be associated with a negative emotional state. Patient-reported outcomes (PROs) are important tools for evaluating the endpoints of AF management. This study aims to examine the correlation between personality types and PROs in patients with AF. METHODS: All included subjects were newly diagnosed with AF fewer than one month, and their personality types were assessed using the Eysenck Personality Questionnaire (EPQ). Quality of life (QoL) was measured using the Atrial Fibrillation Effect on Quality of Life (AFEQT) questionnaire. Anxiety and depression were assessed using the General Anxiety Scale (GAD-7) and the 9-item Patient Health Questionnaire (PHQ-9), respectively. We constructed stepwise linear regression analyses for factors related to the QoL and emotional state in patients with AF. RESULTS: A total of 531 AF patients completed the survey and were categorized into four groups based on their personality types. Of these patients (mean age: 67.12 ± 10.93 years, 50.28% male), 357 (67.23%) had paroxysmal AF, and 16.95% (n = 90) had a sanguine personality. Compared to patients with other personality types, those with a sanguine personality had the highest average AFEQT scores (P < 0.001) and the lowest scores of GAD-7 and PHQ-9 scales (P < 0.05). Furthermore, multiple linear regression analyses suggested that sanguine personality was also independently associated with better QoL and emotional states (P < 0.05). CONCLUSION: There is a significant association between the personality types and PROs in AF patients.
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Ansiedade , Fibrilação Atrial , Depressão , Emoções , Medidas de Resultados Relatados pelo Paciente , Personalidade , Qualidade de Vida , Humanos , Fibrilação Atrial/diagnóstico , Fibrilação Atrial/psicologia , Fibrilação Atrial/fisiopatologia , Fibrilação Atrial/terapia , Masculino , Feminino , Idoso , Pessoa de Meia-Idade , Depressão/diagnóstico , Depressão/psicologia , Depressão/epidemiologia , Ansiedade/diagnóstico , Ansiedade/psicologia , Ansiedade/epidemiologia , Estudos Transversais , Saúde MentalRESUMO
BACKGROUND: Many mental problems lead to the occurrence of physical diseases, causing worse consequences of diseases. Despite many studies in the field of personality types and types of mental disorders, this relationship and the mediating role of coping styles in cardiovascular patients are still not well known. Therefore, the present study was conducted to investigate the mediating role of coping styles in the relationship between personality types and mental disorders in cardiovascular patients. METHOD: The present study is a cross-sectional study that was conducted on 114 cardiovascular patients at the heart center in Bushehr, Iran. The sampling method is simple random sampling. Demographic information form, MCMI-III questionnaire, NEO-FFI questionnaire, and Lazarus and Folkman coping styles questionnaire were used to collect data. Data were analyzed using SPSS 22 and Amos 24 software. Descriptive statistics methods (mean, variance and percentage), Pearson correlation, and structural equation model (SEM) were applied to analyze the data. RESULTS: The findings showed that the two variables of personality types and problem-oriented explain 15.2% of the variable of mental disorders, of which 10.7% is related to the variable of personality types and 4.5% is related to the intermediate variable of problem-oriented. Among the personality types, the neurotic personality type has the biggest role (0.632) and has a direct and significant effect on mental disorders. Also, the personality types of extroversion (-0.460), agreeableness (-0.312), and responsibility (-0.986) exert inverse and significant effects on mental disorders. CONCLUSION: The results of the present study showed the frequency of personality disorders and other mental disorders among heart patients. Problem-oriented coping style plays a mediating role between personality types and mental disorders.
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Transtornos Mentais , Humanos , Estudos Transversais , Irã (Geográfico) , Adaptação Psicológica , Personalidade , Inquéritos e QuestionáriosRESUMO
Background: The psychological problems of Shidu Parents (SDP) under the China's One-Child Policy have been documented. The purpose of this study was to investigate the relationships among personality types, social support, and post-traumatic stress disorder (PTSD) in SDP. Methods: The PTSD Checklist-Civilian Version (PCL-C), The Big Five Personality Traits (NEO), and Social Support Revalued Scale (SSRS) were administered to the sample of 149 SDP who were over 50 years old and had lost their only child more than one year ago. Results: Among SDP, mothers were more likely to develop PTSD than fathers (χ2 = 11.16, p < 0.01). Parents who were extraverted had a lower risk of developing PTSD-related symptoms (χ2 = 8.58, p < 0.01), and the effect of neuroticism was significant (χ2 = 23.73, p < 0.01). The more social support parents utilized, the lower the incidence of PTSD (t = 4.56, p < 0.01). The result of multilevel linear regression showed that sex, neuroticism, and objective social support remained significantly different after combining all personality types and social support systems in the same model. Social support partially mediated the relationship between neuroticism and PTSD. Meanwhile, it was a complete mediator between extraversion and PTSD. Conclusions: Female sex/gender, neuroticism, and introversion were risk factors of developing PTSD, while receiving social support protected SDP from developing PTSD symptoms. Losing an only child is undoubtedly an enormous disaster for the family, which has become a huge, unavoidable social problem that must be addressed in China.
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Transtornos de Estresse Pós-Traumáticos , China/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Mães , Personalidade , Apoio Social , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologiaRESUMO
PURPOSE: We examined whether three types of personality (i.e. resilient, undercontrolled and overcontrolled) based on the Big Five personality taxonomy could be replicated among people living with HIV (PLWH). We also aimed to establish significant sociodemographic and clinical covariates of profile membership and verify whether these profiles are related to the subjective well-being (SWB) of participants. METHODS: 770 PLWH participated in this study. The Big Five personality traits were evaluated with the NEO-FFI questionnaire. SWB was operationalised by satisfaction with life (Satisfaction with Life Scale) and positive and negative affects (PANAS-X). Moreover, sociodemographic and clinical variables were collected. RESULTS: Latent profile analysis was used to identify personality types among participants. Instead of the three profiles most frequently reported in the literature, we identified a four-profile model (the resilient, undercontrolled, overcontrolled and the average profile type) as the best fit to the data. These profiles did not differ with regard to sociodemographic and clinical covariates. However, significant differences in SWB across profiles were noted, i.e. the highest SWB was observed among members of the resilient profile, and overcontrollers and undercontrollers were almost equally regarded as second best in SWB level, whereas the average profile consists of PLWH with the worst SWB. CONCLUSION: Identifying personality types in clinical settings enables more comprehensive understanding of interrelations between personality and health. Regarding PLWH, the typological approach may shed new light on ambiguous results devoted to the role of personality in well-being of these patients.
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Infecções por HIV/psicologia , Inventário de Personalidade/estatística & dados numéricos , Qualidade de Vida/psicologia , Adulto , Feminino , Humanos , MasculinoRESUMO
Parent-adolescent conflict can be intense, yet parents and adolescents do not always agree on the intensity of conflict. Conflict intensity tends to change during adolescence and is thought to be an indicator of how the parent-adolescent relationship transforms. However, parents and adolescents might differently perceive change in conflict intensity, resulting in changing discrepancies in conflict intensity throughout adolescence. Also, personality characteristics of parents and adolescents might affect the extent to which there are discrepancies in perceptions of conflict intensity. This multi-informant longitudinal study investigated a) the trajectories of parent-adolescent conflict intensity, b) the trajectories of informant discrepancies, and c) the prediction of these trajectories by parental and adolescent personality. Dutch adolescents (N = 497, 43.1% female, Mage = 13.03 at T1), their mothers, and their fathers reported on parent-adolescent conflict intensity and personality for six years. Latent Growth Curve Modeling and Latent Congruence Modeling revealed curvilinear changes in conflict intensity, as well as in discrepancies thereof. Two cycles of discrepancies emerged. First, in early-to-middle-adolescence discrepancies in perceptions of parents and adolescents increased, reflecting that adolescents' perceived conflict intensity increased. Second, in middle-to-late-adolescence, father-adolescent discrepancies increased further, reflecting that fathers' perceptions of conflict decreased. Resilient adolescents, mothers, and fathers reported lower levels of conflict intensity than Undercontrollers and Overcontrollers, but personality was not associated with the rate of change in conflict intensity. Finally, undercontrolling fathers and overcontrolling adolescents showed higher father-adolescent discrepancies. This study showed that parents and adolescents differentially perceive conflict intensity and that in the adolescent-father relationship, the extent of the differences depends on adolescent and father personality.
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Comportamento do Adolescente/psicologia , Conflito Psicológico , Relações Pais-Filho , Poder Familiar/psicologia , Personalidade , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Países Baixos , Pais/psicologia , Psicologia do Adolescente , Fatores SocioeconômicosRESUMO
OBJECTIVE: To assess personality type of medical students and associate it with their choice of medical specialty. METHODS: This cross-sectional study was conducted in February 2014 at one public and one private medical university of Karachi, and comprised medical students. A self- administered questionnaire based on Myers-Briggs type indicator was used to collect data which was analysed using SPSS 20. RESULTS: Of the 400 participants, there were 200(50%) each from public and private universities. Of all, 201(50.3%) students were found to be extroverted and 199(49.8%) were introverted personality types. Clinical fields were the main preference of students after their medical degree as selected by 317(79.2%) students; of the, Extroverted-Sensing-Feeling-Perceptive was the most common type identified in39(7.2%) students. Extroverted-Sensing-Feeling-Perceptive 11(2.8%), Extroverted-Sensing-Thinking-Judging 12(3%), Extroverted-Sensing-Feeling-Judging 5(1.3%), Introverted-Sensing-Feeling-Judging 6(1.5%), Introverted-Sensing-Thinking-Perceptive 7(1.8%) had preference for surgery, medicine, gynaecology, paediatrics and cardiology, respectively. CONCLUSIONS: Personality had significant impact on specialty and career choice.
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Escolha da Profissão , Inventário de Personalidade , Estudantes de Medicina/psicologia , Cardiologia , Estudos Transversais , Extroversão Psicológica , Feminino , Cirurgia Geral , Ginecologia , Humanos , Medicina Interna , Introversão Psicológica , Julgamento , Masculino , Medicina , Paquistão , Pediatria , Percepção , Pensamento , Adulto JovemRESUMO
PURPOSE: This study aimed (1) to identify different personality types in adolescents with congenital heart disease (CHD), and (2) to relate these personality types to psychosocial functioning and several domains of perceived health, both concurrently and prospectively. Hence, this study aimed to expand previous research by adopting a person-centered approach to personality through focusing on personality types rather than singular traits. METHOD: Adolescents with CHD were selected from the database of pediatric and congenital cardiology of the University Hospitals Leuven. A total of 366 adolescents (15-20 years old) with CHD participated at time 1. These adolescents completed questionnaires on the Big Five personality traits, depressive symptoms, loneliness, and generic and disease-specific domains of health. Nine months later, 313 patients again completed questionnaires. RESULTS: Cluster analysis at time 1 revealed three personality types: resilients (37 %), undercontrollers (34 %), and overcontrollers (29 %), closely resembling typologies obtained in previous community samples. Resilients, under-, and overcontrollers did not differ in terms of disease complexity, but differed on depressive symptoms, loneliness, and generic and disease-specific domains of perceived health at both time-points. Overall, resilients showed the most favorable outcomes and overcontrollers the poorest, with undercontrollers scoring in-between. CONCLUSION: Personality assessment can help clinicians in identifying adolescents at risk for physical and psychosocial difficulties later in time. In this study, both over- and undercontrollers were identified as high-risk groups. Our findings show that both personality traits and types should be taken into account to obtain a detailed view on the associations between personality and health.
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Depressão/psicologia , Cardiopatias Congênitas/psicologia , Personalidade , Adolescente , Feminino , Humanos , Masculino , Percepção , Determinação da Personalidade , Estudos Prospectivos , Inquéritos e Questionários , Adulto JovemRESUMO
Research has repeatedly shown that neighbourhood disadvantage negatively influences individual educational outcomes. However, the great variation in outcomes indicates substantial unobserved heterogeneity. Looking at the rates of obtaining a basic educational qualification, the hypothesis is that individual traits of adolescents can buffer neighbourhood effects. First, adolescents with a more resilient personality may be better able to cope with neighbourhood adversity. And second, educational commitments might buffer adolescents from negative neighbourhood influences. These hypotheses are tested employing survival analysis, using six wave panel data, containing information on ten years of adolescents' lives. The results show that resilients experience no negative influence of neighbourhood disadvantage, while both undercontrollers and overcontrollers do. And, the stronger adolescents' educational commitments, the less they experience the negative effect of neighbourhood adversity. In sum, neighbourhood effects are found, but not for everybody.
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Escolaridade , Motivação , Personalidade , Características de Residência/estatística & dados numéricos , Adolescente , Criança , Feminino , Humanos , Masculino , Psicologia do Adolescente , Fatores SocioeconômicosRESUMO
The present longitudinal study examined personality types, their change, and their relations with life outcomes and well-being in a sample of young Finns (N=493) that was followed from age 15 to 23. The Big Five traits were measured at ages 20 and 23, and four personality types - Resilients, Overcontrollers, Anti-Resilients, and "Averages" - emerged at both time points. Those with higher initial well-being were more likely to be later classified as Resilients, whereas those with low and decreasing well-being were more likely to be classified as Anti-Resilients. At age 23, Anti-Resilients were less likely to have reached normative educational goals than others, and more likely to be unemployed than others, but Overcontrollers were less likely to be in a romantic relationship than others. The results question the universality of the three-type structure, but support the predictive validity of personality types.
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Adaptação Psicológica , Desenvolvimento do Adolescente , Personalidade , Adolescente , Depressão/epidemiologia , Depressão/psicologia , Finlândia , Humanos , Acontecimentos que Mudam a Vida , Estudos Longitudinais , Satisfação Pessoal , Inventário de Personalidade , Escalas de Graduação Psiquiátrica , Resiliência Psicológica , Autoimagem , Inquéritos e Questionários , Adulto JovemRESUMO
Three adaptive trait-based personality types have been replicated across ages, cultures, clinical problems and clustering methods: Resilient, Undercontrolled and Overcontrolled type (RUO). Recently there is growing interest in and importance of biopsychosocial transdiagnostic factors underlying personality types, such as temperamental reactivity and self-regulation. Latter can be understood in terms of Behavioural Inhibition (BIS), Behavioural Activation Systems (BAS) and Effortful Control (EC). The occurrence of temperament based RUO types has not yet been confirmed in older adults with or without a mental disorder. Therefore, based on a person-centered approach, the current study investigates whether RUO types can be corroborated in older adults based on the aforementioned temperamental factors. Latent profile analysis yielded two distinct personality profiles in community-dwelling over-60s, which we tentatively labeled a resilient (n = 167) and overcontrolled/inhibited type (n = 241). Compared to the resilient type, the overcontrolled/inhibited type scored lower on EC and higher on BIS. We could not corroborate an undercontrolled type (profiles scored equally on BAS). Group comparisons revealed that overcontrolled/inhibited older adults demonstrated significantly more clinical symptoms, higher emotional instability, lower scores on adaptive traits, less resilience and were significantly more likely to use passive and avoidant coping styles, compared to resilient older adults.
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Introduction: As the Myers-Briggs Type Indicator (MBTI) gains popularity among Chinese young people, it has undergone a gradual transition from being perceived as a personality assessment tool to being regarded as a social label. The objective of this study was to ascertain whether the use of the MBTI as a social label has an impact on social anxiety among Chinese youth groups. Methods: A questionnaire survey was conducted on social media platforms to recruit Chinese youth aged 18 to 35. A total of 247 males and 222 females participated in the study, and the data was analyzed quantitatively using SPSS software and the Process macro plugin. Results: The study found no strong correlation between MBTI as a social label and social anxiety. Moreover, this study introduced ego identity, belonging, and impression management as mediating variables and found that, under the influence of ego identity and impression management, the use of MBTI has a significant impact on social anxiety. Discussion: The research reveals the complex role of MBTI among Chinese youth and provides a new perspective for understanding the impact of online social labels on the mental health of youth groups. Of course, this study also has limitations in terms of sample size and variable control. Future research should expand the sample size, introduce more potential influencing factors, and further validate and expand the existing conclusions.
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BACKGROUND: Overcontrol and undercontrol personality types have been associated with an increase in eating pathology, depression and anxiety. The aim of the research was to explore whether latent overcontrol and undercontrol personality types could be identified using cluster analysis of the facets of the five factor model (FFM). We further aimed to understand how these personality types were associated with eating pathology, depressed mood and anxiety. METHODS: A total of 561 participants (394 women and 167 men), aged 16-30 years in Australia completed a survey designed to assess disordered eating, FFM personality traits, anxiety, depression and stress. A systematic four-step process using hierarchical, k-means, and random forest cluster analyses were used to identify a meaningful 3-cluster solution. RESULTS: The results revealed a cluster solution that represented overcontrol, undercontrol and resilient personality types, and highlighted facets of the FFM that were associated with each type. Both overcontrol and undercontrol personality types were associated with increased clinical symptoms compared to the resilient types. CONCLUSIONS: It was concluded that FFM facets may potentially be more meaningful than broad domains in identifying personality types, and that both overcontrol and undercontrol personality types are likely associated with increased clinical symptoms.
Personality has previously been found to be strongly related to eating disorders and disordered eating. A person's personality is made up by a series of personality traits. A series of traits grouped together is called a personality type. Three broad personality types have been identified consistently in previous research, being overcontrol (rigid, perfectionistic), undercontrol (impulsive, mood dependent) and resilient (flexible, low pathology). Understanding eating disorders in the context of overcontrol, undercontrol and resilient personality types has been found to be predict disordered eating behaviour and treatment course for people with eating disorders. This study aimed to identify personality types using the well known five factor model of personality among a group of Australian young people. We also aimed to understand the relationships between personality type and eating pathology. It was found that a wider range of personality traits may be more meaningful than broad domains in identifying personality types. It was further found that individuals who were overcontrol or undercontrol were more likely to experience eating pathology and disordered eating compared to resilient types. Overall, this means that that the five factor model of personality may be useful for identifying people at risk for developing an eating disorder and to consider treatment needs.
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During major health emergencies (e.g., the COVID-19 pandemic) people often fear missing relevant information. COVID-19 information fear of missing out (FOMO) is a phenomenon where people feel anxiety about losing control of COVID-19-related information. The present study aimed to examine how COVID-19 information FOMO relates to mental health (e.g., depression and anxiety), the mediating role of resilience, and the moderating role of personality types during the COVID-19 pandemic. We surveyed 1442 Chinese undergraduates (Mage = 21.68 ± 2.35 years) on the relevant variables. The results showed that COVID-19 information FOMO was positively associated with depression and anxiety, and resilience mediated these associations. Latent profile analysis (LPA) identified three personality types (undercontrolled, adaptive, and overcontrolled). Personality types moderated the mediation models, in which the indirect effects were only significant in the participants classified in the undercontrolled group rather than the participants classified in the other two groups. This study told us that undergraduates' mental health, particularly that of the undercontrollers, should be paid attention to when responding to a major public health emergency (e.g., the COVID-19 pandemic).
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Personality testing has become increasingly popular in healthcare with multiple modalities and implementations. Although personality testing has been utilized to inform various facets of graduate medical education, little is known about how the Enneagram can be utilized throughout postgraduate training. This narrative review explores the use of personality testing in graduate medical education, how personality testing has been used in the workplace, what research is available showing its use in medical residencies, and the need for additional studies on the Enneagram's use in these areas. We conclude the Enneagram may serve as a valuable tool that can be used in postgraduate medical education to improve learning, interpersonal relationships, and teaming.
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BACKGROUND: Given the widespread presence of the coronavirus disease-2019 (COVID-19) virus, it is critical to explore the psychological consequences of this disease on people at all levels of society. The purpose of this study was to look into the role of death anxiety as a mediator in the relationship between personality types and psychological well-being in people with COVID-19 disease. MATERIALS AND METHODS: In this study, the research method is correlational in terms of descriptive data collection method. The statistical population consisted of all people who had experienced COVID-19 in Kermanshah, Iran 2020-2021, 220 of whom were chosen by the available sample method. The Ryff Psychological Well-Being Questionnaire (PWBQ), the personality types of John and Srivastava's short five-factor list (BFI-SV), and the Collett-Lester Anxiety Death Scale were among the research instruments employed (CL-FODS). The suggested model was evaluated using the structural equation modeling strategy and the Amos software. RESULTS: The findings demonstrated that extraversion, adaptation, and conscientious personality types have a positive and significant relationship with psychological well-being while neuroticism has a negative and significant relationship with psychological well-being, and openness to experience indirectly improves psychological well-being by reducing death anxiety. CONCLUSION: Death anxiety appears to play a mediating role in the relationship between personality types and psychological well-being in people with COVID-19, according to the findings of this study. As a result, the proposed model fits well and can be used as an important step in identifying factors that affect people with COVID-19's psychological well-being.
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Recent literature provides alarming data on the increase in university academic stress. The role of personality in understanding and addressing this problem is well established. However, this evidence could be improved by adopting a person-centred approach (e.g., types), as opposed to the usual variable-centred approach (e.g., traits), and considering the role of gender. Our aim was to explore how personality types and gender relate to coping strategies and perceived coping efficacy for academic stress. A total of 810 university psychology students completed the NEO-FFI Inventory and the Coping Strategies Inventory. Post hoc tests for MANOVA and ANOVA were performed. Types and gender were used as predictors and coping strategies, and perceived coping efficacy as criteria. There was no type-gender interaction. Types combining low neuroticism-high conscientiousness (e.g., entrepreneur) chose the most adaptive coping strategies and showed the highest levels of perceived coping efficacy, while high neuroticism-low conscientiousness types (e.g., insecure) opted for maladaptive coping strategies and presented the lowest perceived coping efficacy. Gender was not associated with perceived coping efficacy but with use (e.g., women prefer emotional expression). The personality typology provided useful information on individual differences in coping with academic stress, which can help guide specific strategies to manage it.
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OBJECTIVE: To investigate the relationship between imposter phenomenon (IP) and Myers-Briggs Type Indicator (MBTI) personality types in pharmacy students. METHODS: This was a retrospective, observational study of doctor of pharmacy students who had previously completed MBTI and Clance Imposter Phenomenon Scale (CIPS) assessments. CIPS scores and categories were compared between the 4 MBTI personality type dichotomies using independent samples t tests and chi-square. RESULTS: Mean CIPS score for included pharmacy students (N = 668) was 62.52 (SD 14.82). Clance Imposter Phenomenon Scale scores were significantly higher in students with MBTI of introversion (mean 64.14, SD 14.27), intuition (mean 63.80, SD 15.78), and perceiving (mean 64.38, SD 15.55) as compared to their dichotomous counterparts. No significant difference in mean CIPS scores was found within the thinking/feeling dichotomy. When analyzing IP risk associated with the various MBTI personality dichotomies, introverts were at a 1.8 times greater risk of high/severe IP than extroverts. Additionally, students with perceiving personality types were at a 1.4 times greater risk of high/severe IP than those with judging personality types. CONCLUSION: Our study suggests that pharmacy students with introversion, intuitive, and perceptive personality types exhibit higher CIPS scores, and those with introversion or perceptive personality types are at risk for high/severe IP. Given the common MBTI types and a high degree of IP in pharmacy students, our findings underlie the need for open, targeted discussions about IP and proactively incorporating strategies and resources within a curriculum to support students in normalizing and easing anxiety.
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Educação em Farmácia , Estudantes de Farmácia , Humanos , Transtornos de Ansiedade , PersonalidadeRESUMO
There is rising concern about population mental health. Personality and mental health traits manifest early. Sufficient nutrition is fundamental to early development. However, little is known about early life dietary impact on later mental health. The aim of this study was to investigate associations of exposure to a healthy and sustainable antenatal and early childhood diet with personality traits and symptoms of depression and anxiety measured at 8 years of age. This study is based on the Norwegian Mother, Father and Child Cohort Study (MoBa) and uses data from the Medical Birth Registry of Norway (MBRN) including 40,566 participants. Mental health measures and personality traits were assessed at 8 years. Dietary data from pregnancy, child age 6 and 18 months and 3 and 7 years were used. With few exceptions, inverse associations were observed between healthier diet at all time points and depression and anxiety symptom scores at age 8. We found positive associations between diet scores at almost all time points and extraversion, benevolence, conscientiousness and imagination. Inverse associations were observed between diet scores and neuroticism. Combined, these findings underpin a probable impact of both maternal pregnancy diet and early childhood diet on several aspects of child mental health.
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Saúde Mental , Mães , Humanos , Criança , Feminino , Pré-Escolar , Gravidez , Lactente , Masculino , Estudos de Coortes , Mães/psicologia , Dieta , Personalidade , Pai , Noruega/epidemiologiaRESUMO
Background/ purpose: Older patients inevitably have a higher need for implant treatment, it is unknown how mental changes or psychological aspects affect the outcome of implant treatment. This study evaluated the success rate of implants and the influence of personality traits in the older people. The goal was to provide evidence for predictable implant treatment while taking into account the unique psychological changes of elders. Materials and methods: Participants were patients who were able to independently visit our hospital between March 2004 and May 2021. Inclusion criteria were patients aged 65 years or older at the time of implant placement with regular follow-up for at least 1 year. The implant success rate was calculated by counting peri-implantitis and implant loss as failures. Multivariate analysis was used to examine the effect of patient personality characteristics on the success rate. Results: Fifty-six implants were included in 23 patients (12 men, 11 women), with a mean age of 68.5 years (65-76) and mean maintenance duration of 9 years and 2 months. The cumulative survival rate was 87% at the patient level (94.6% at the implant level). Statistically significant differences were found for adaptive traits (odds ratio [OR] = 0.04) and non-adaptive traits (OR = 6.38); however, no significant differences were found for the other independent variables. Conclusion: The overall implant success rate was 69.6% at the patient level (82.1% at the implant level). The personality traits in older people had a significant effect on the implant failure rate.
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Background: Both the ICD-11 classification of Personality Disorders and the DSM-5 Alternative Model for Personality Disorders (DSM-5 AMPD) conceptualize personality pathology in a dimensional way, but differ in the way they carve up their respective pathological personality domains. Recently, a combination of ICD-11 and DSM-5 AMPD descriptive pathological personality traits, the Modified Personality Inventory for DSM-5-Brief Form Plus (PID5BF + M), was developed. The current study: We investigated the utility of the additional ANANKASTIA domain (not represented in the DSM-5 AMPD) as well as of the additional PSYCHOTICISM domain (not represented in the ICD-11 model) in the identification of meaningful pathological personality domain clusters based on the PID5BF + M. Next to the classical 2- and 3-cluster solutions, we examined whether the presence of the additional ANANKASTIA domain would also gave rise to a meaningful 4-cluster solution. We then validated these clusters by investigating differences between them in mean DSM-5 Section II cluster A, B, and C personality disorder scores. Finally, we investigated whether cluster membership was able to differentiate between levels of identity functioning, a key feature of personality disorder severity in both the ICD-11 model and the DSM-5 AMPD. Materials and methods: We used a Flemish community sample of 242 participants, and applied k-means cluster analyses in a two-step manner on PID5BF + M domains to investigate 2-, 3-, and 4-cluster solutions. We used MANOVAs to examine differences between clusters in PID5BF + M domains, DSM-IV/DSM-5 Section II Assessment of Personality disorders (ADP-IV) cluster A, B, and C scores, and Self-Concept and Identity Measure (SCIM) scores. Results: Cluster analyses on PID5BF + M pathological personality domains (1) revealed meaningful 2-, 3-, and 4-cluster solutions, with the 4-cluster solution explaining the most variance in the clustering variables, (2) allowed to identify a classical Overcontrolled cluster which DSM-5 AMPD PID-5 does not, and (3) demonstrated the utility of representing ANANKASTIA and DISINHIBITON as separate pathological personality domains. PID5BF + M clusters (5) were informative of DSM-5 Section II cluster A, B, and C personality disorder scores and (6) showed different levels of clinical-developmental Identity functioning. Conclusion: Current results demonstrate the utility of a combined ICD-11/DSM-5 AMPD view from a person-centered perspective.