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THE ALTERNATIVE FIVE FACTOR MODEL IN

PATIENTS WITH SCHIZOPHRENIA AND/OR


SUBSTANCE USE DISORDER.
Julia E. Marquez-Arrico 1; A. Adan

Department of Psychiatry and Clinical Psychobiology,


School of Psychology, University of Barcelona, Barcelona.
2

Institute for Brain, Cognition and Behavior (IR3C),


University of Barcelona, Barcelona.

Acknowledgments
Ministerio de Economa y Competitividad (PSI2012-32669).
Ministerio de Educacin, Cultura y Deporte. Programa de Formacin de
Profesorado Universitario (FPU).
Ministerio Espaol de Ciencia e Innovacin (Proyecto PSI2009-12300) .

1, 2

1. INTRODUCTION.

Study of personality in Dual Diagnosis (DD):


- Conducted mainly through psychobiological models.
- Temperament and Character Inventory (TCI) most frequently
used.

Up to now: no published studies comparing DD, Mental Disorder


(MD) and Substance Use Disorder (SUD) using the ZuckermanKuhlman Personality Questionnaire (ZKPQ).

Our aim: To explore if there are any personality differences


between DD,
Take
this
findings
intothrough
account
to Alternative
personalizeFive
DD:Factor Model
MD
and
SUD
patients
the
Treatment strategies
( ZKPQ).
Goals

2. MATERIALS AND METHOD.


Sample 97 male patients from Barcelona Althaia Foundation, Valle Hebrn
Hospital; Projecte
Home Catalunya;
ATRA
Group.
Materials:
The Structured Clinical Interview for DSM-IV
Axis I Disorders (SCID-I; First et al., 1999 ).
Positive and Negative Syndrome Scale
(PANSS; Kay et al., 1987).
Zuckerman-Kuhlman Personality
Questionnaire
(ZKPQ; Zuckerman, 1993).

3. RESULTS: ZKPQ dimensions.


Figure 1. ZKPQ Five Factors
groups results.

Figure 2. ZKPQ Subscales groups


results.

Significant differences between groups in ZKPQ:


Neuroticism-Anxiety DD > MD = SUD
Intolerance to social isolation DD < SUD
Sociability DD = MD < SUD
= MD
Impulsivity-Sensation Seeking DD =
Impulsivity DD > MD = SUD

4. CONCLUSIONS. ZKPQ dimensions in DD


Patients:
Neuroticism-Anxiety DD >
Impulsivity DD > MD/SUD :
MD/SUD:
Being frequently worried,
Lack of planning and high
tense, upset,
tendency to
indecisive and very sensitive
act without thinking.
to
criticism.
Sensation Seeking DD >
Intolerance to social
MD.
isolation
Willingness to take risks just
DD < SUD :
for living
Difficulty to being alone,
them, tendency to prefer
highly needed
intense
for the company of others.
feeling.

4. CONCLUSIONS. ZKPQ dimensions in


DD Patients:

Personality characteristics in DD related to:

Disruptive behaviors May explain clinical aspects ?

Understanding personality as a dimensional construct may offer


tools to
adequate patients treatment more specifically.

Limitations of the study:

Only male patients.


Cross-sectional design no casual relationships.
Policonsumption.
Severity of addiction not assessed.
Self-reported data.

Thank you
for your
attention