Maladaptive Personality Traits and 10-Year Course of Psychiatric and Medical Symptoms and Functional Impairment Following Trauma

Details

• Personal Author:
  Clouston SAP ; Kotov R ; Li K ; Luft BJ ; Ruggero CJ ; Waszczuk MA
• Description:
  Background: Personality is a major predictor of many mental and physical disorders, but its contributions to illness course are understudied. Purpose: The current study aimed to explore whether personality is associated with a course of psychiatric and medical illness over 10 years following trauma. Methods: World Trade Center (WTC) responders (N = 532) completed the personality inventory for DSM-5, which measures both broad domains and narrow facets. Responders' mental and physical health was assessed in the decade following the WTC disaster during annual monitoring visits at a WTC Health Program clinic. Multilevel modeling was used in an exploratory manner to chart the course of health and functioning, and examine associations of maladaptive personality domains and facets with intercepts (initial illness) and slopes (course) of illness trajectories. Results: Three maladaptive personality domains - negative affectivity, detachment and psychoticism - were uniquely associated with initial posttraumatic stress disorder (PTSD); detachment and psychoticism were also associated with initial functional impairment. Five facets - emotional lability, anhedonia, callousness, distractibility and perceptual dysregulation - were uniquely associated with initial mental and physical health and functional impairment. Anxiousness and depressivity facets were associated with worse initial levels of psychiatric outcomes only. With regard to illness trajectory, callousness and perceptual dysregulation were associated with the increase in PTSD symptoms. Anxiousness was associated with greater persistence of respiratory symptoms. Conclusions: Several personality domains and facets were associated with initial levels and long-term course of illness and functional impairment in a traumatized population. Results inform the role of maladaptive personality in the development and maintenance of chronic mental-physical comorbidity. Personality might constitute a transdiagnostic prognostic and treatment target. [Description provided by NIOSH]
• Subjects:
  Digestive System Digestive System Diseases Occupational Health Respiratory Tract Diseases Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Gastroesophageal Reflux Disease Gastroesophageal Reflux Disease Gastrointestinal System Disorders GERD Mental-physical Comorbidity Personality Facets Personality Traits Post-traumatic Stress Disorder Posttraumatic Stress Disorder PTSD Respiratory Conditions Respiratory System Disorders World Trade Center WTC

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• ISSN:
  0883-6612
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2 ; OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  52
• Issue:
  8
• NIOSHTIC Number:
  nn:20051248
• Citation:
  Ann Behav Med 2018 Jul; 52(8):697-712
• Contact Point Address:
  Monika A Waszczuk, Department of Psychiatry, Stony Brook University, Room 10-060F, Health Sciences Center, Stony Brook, New York 11794-8790, USA
• Email:
  monika.waszczuk@stonybrookmedicine.edu
• Federal Fiscal Year:
  2018
• Performing Organization:
  State University of New York - Stony Brook
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  Annals of Behavioral Medicine
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8bf844466712c2ab35587d5e157db868ebf4b7a44dab9e6ee1577c58d66fdc5ba6ceca2dd97921b9587932644618837c03703db33d72bae066971aa4eab1ce5c
• Download URL:
  https://stacks.cdc.gov/view/cdc/211314/cdc_211314_DS1.pdf
• File Type:
  [PDF - 1.70 MB ]