Procena tipoloških razlika (TCI) obolelih od shizofrenije u odnosu na zdravu populaciju
Assessment of typological differences (TCI) between Patients with schizophrenia and healthy controls
Докторанд
Mišković, MirjanaМентор
Ravanić, DraganЧланови комисије
Ignjatović Ristić, DraganaJanjić, Vladimir
Milovanović, Srđan
Метаподаци
Приказ свих података о дисертацијиСажетак
SAŽETAK
Klonindžerov psihobiološki model temperamenta i karaktera potvrđuje da je razvoj
ličnosti pod uticajem bioloških i psiholoških procesa. Ova studija je imala za
cilj da poredi dimenzije ličnosti oboljelih od shizofrenije i zdrave kontrolne
grupe, potom da ustanovi koja promenljiva najbolje razdvaja zdrave od bolesnih, te
može da bude mogući psihološki marker za pojavu bolesti. U istraživanju je
učestvovalo 152 ispitanika, pri čemu oboljelih od shizofrenije je bilo 76, dok je
kontrolnih 76 ispitanika bila zdrava populacija, koji su izabrani kroz medicinske
intervjue, metodom slučajnog izbora, iz uzorka baziranog na populaciji iz šire
društvene zajednice koristeći nezavisne t-testove. Primenjen je upitnik
temperamenta i karaktera (TCI), koji je poredio dimenzije ličnosti oboljelih od
shizofrenije i zdrave kontrolne grupe. Zavisnost kategorijskih promenljivih je
ispitivana pomoću Hi-kvadrat testa i Fišerovog testa, a osetljivost promenljivih
na pojavu shizofrenije ispi...tivana je pomoću univarijantne i multivarijantne
binarne logističke regresije. Ova metoda je korištena i za pravljenje matematičkog
modela. Istraživanje je sprovedeno u Klinici za psihijatriju Univerzitetskog
Kliničkog centra Republike Srpske tokom 2015. godine. Rezultati su pokazali da u
odnosu na pol, žene u ovom istraživanju imaju viši ST - selftranscendencija, C -
kooperativnost i RD – zavisnost od nagrade. U poređenju sa kontrolnom grupom,
oboljeli od shizofrenije pokazuju više skorove na dimenziji izbegavanje kazne (HA) i
na dimenziji samo-transcendentnost (ST). Oboljeli od shizofrenije u odnosu na
kontrolne ispitanike imaju niže skorove na dimenzijama usmerenost na sebe (SD) i
na dimenziji saradljivost (C). Multivarijantna binarna logistička regresija
pokazuje da na pojavu shizofrenije utiču visok skor na subskalama stidljivost (HA),
odgovornost (SD), svrsishodnost (SD), kooperativnost (C), saosećajnost (C) i
samozaboravnost (ST) a niži skor na skali potraga za novim (NS) i zavisnost od
nagrade (RD). Potvđene su razlike u temperamentu i karakteru između oboljelih od
shizofrenije i zdravih kontrolnih subjekata. Glavni rezultat ovog istraživanja su
modeli za razlikovanje oboljelih od shizofrenije od onih koji nisu oboljeli od
shizofrenije. Putem binarne logističke regresije napravljena je matematička
formula i data nova promenljiva Model, koja je odličan marker za razdvajanje zdravih
od bolesnih. Napravljena su tri modela. Sva tri modela su odlični psihološkimarkeri. Model 3 bi, zbog svoje jednostavnosti, mogao lako da se koristi u praksi. Ako
je vrednost ovog modela manja od 43,50 on zaslužuje ozbiljnu pažnju psihijatra. Model
2 ima vrlo veliku površinu ispod krive (0,910) i odlično razdvaja oboljele od
shizofrenije od zdravih. Ako je vrednost ovog modela za nekog ispitanika veća od 39,
postoji ozbiljna indicija da on boluje od shizofrenije ili je sklon oboljevanju od nje.
Dobijeni modeli bi se mogli primenjivati u primarnoj zdravstvenoj zaštiti,
prvenstveno kroz Centre za zaštitu mentalnog zdravlja, kod mlađih osoba sa
pozitivnim porodičnim hereditetom, prvenstveno radi procene rizika
ABSTRACT
Cloninger’s psychobiological model of temperament and character indicates that biological
and psychological processes influence the development of personality. The aim of this study
was to compare personality traits between individuals with schizophrenia and controls. It also
focused on which variable best separates controls from patients and serves as a potential
psychological marker for susceptibility to schizophrenia. Participants, 76 patients and 76
healthy controls, were recruited through medical interviews from a population-based sample
using independent t-tests. TCI questionnaire was used to compare personality traits between
individuals with schizophrenia and controls. Chi-square and Fisher’s exact test assessed the
differences between categorical variables, while the impact of variables on schizophrenia was
examined using univariate and multivariate binary logistic regression. The same approach
served to make the mathematical model too. The study was carrie...d out at the Psychiatric
Clinic to University Clinical Center of the Republic of Srpska in 2015. Along the gender line,
women exhibited significantly higher scores on self-transcendence (ST), cooperativeness (C)
and harm avoidance (HA). Patients had significantly higher scores than controls on selftranscendence (ST) and harm avoidance (HA). They also exhibited lower scores on selfdirectedness (SD) and cooperativeness (C) respectively. Multivariate binary logistic
regression showed that patients with schizophrenia are highly susceptible to shyness (S),
responsibility (SD), self-directedness (SD), cooperativeness (C), compassion (C), selftranscendence (ST), and less susceptible to novelty seeking (NS) and reward dependence
(RD). Significant difference was found in temperament and character between patients and
controls. The study is based on the models for differentiating between individuals with
schizophrenia and controls. Binary logistic regression helped make a mathematical formula
that generated a new variable Model, which has proven to be a reliable marker for identifying
between patients and controls. Three models were made. All three of them are dependable
psychological markers. Model 3 is practically applicable due to its simplicity. If the values on
the model rank lower than 43,50 then this needs to be handled by a psychiatrist. Model 2 is
just below the curve (0,910) and is an excellent pointer for identifying between individuals
with schizophrenia and controls. If the scores on the model rank higher than 39 then the
person is highly susceptible to schizophrenia. These models may be used in primary health
care, primarily at the Center for the protection of mental health of young persons with
positive family heredity, particularly in risk assessments.