Aim: Certain personality traits may be related to an increased risk of developing a severe mental illness (SMI). This study examined differences in personality characteristics in a sample of youth at-risk of SMI across different clinical stages compared to healthy controls (HCs).
Method: Personality characteristics were assessed with the NEO-Five-Factor Inventory-3 for 41 non-help seeking asymptomatic youth with risk factors for SMI (Stage 0), 52 youth with early mood and anxiety symptoms and distress (Stage 1a), 108 youth with an attenuated psychiatric syndrome (Stage 1b), and 42 HCs.
Results: Symptomatic participants scored significantly higher in neuroticism, and lower in extraversion, and conscientiousness compared to non-symptomatic participants. Compared to published norms, symptomatic participants had ratings of extraversion and conscientiousness in the low range and those with attenuated psychiatric syndromes scored high on neuroticism.
Conclusion: The observed personality profiles of the symptomatic stages were similar to reported profiles for discrete disorders. Early identification of this profile could aid identification of those at risk of SMI.
Keywords: clinical staging; personality traits; psychiatric syndromes; serious mental illness; transdiagnostic; youth mental health.
© 2020 John Wiley & Sons Australia, Ltd.
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- Addington, J., Cadenhead, K. S., Cornblatt, B. A., Mathalon, D. H., McGlashan, T. H., Perkins, D. O., … Cannon, T. D. (2012). North American Prodrome longitudinal study (NAPLS 2): overview and recruitment. Schizophrenia Research, 142, 77-82.
- Addington, J., Goldstein, B. I., Wang, J., Kennedy, S. H., Bray, S., Lebel, C., … MacQueen, G. (2018). Youth at-risk for serious mental illness: methods of the PROCAN study. BMC Psychiatry, 18, 1-9.
- Addington, J., Liu, L., Goldstein, B. I., Wang, J., Kennedy, S. H., Bray, S., … Macqueen, G. (2019). Clinical staging for youth at-risk for serious mental illness. Early Intervention in Psychiatry, 18, 1-8.
- Antypa, N., & Serretti, A. (2014). Family history of a mood disorder indicates a more severe bipolar disorder. Journal of Affective Disorders, 156, 178-186.
- Bagby, R. M., Quilty, L. C., Segal, Z. V., Mcbride, C. C., Kennedy, S. H., & Costa, P. T. (2008). Personality and differential treatment response in major depression: a randomized controlled trial comparing cognitive-behavioural therapy and pharmacotherapy. Canadian Journal of Psychiatry, 53, 361-370.