Self-Directedness Predicts Quality of Life in Individuals with Psychotic Experiences: A 1-Year Follow-Up Study

Letícia Oliveira Alminhana, Miguel Farias, Gordon Claridge, C. Robert Cloninger, Alexander Moreira-Almeida

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    Abstract

    There is a high prevalence of psychotic-like experiences in nonclinical patient cohorts from Brazil. This study aimed to test whether personality dimensions, as well as schizotypy, are important predictors of quality of life (QoL) in individuals with psychotic experiences (PE).

    METHOD: 115 participants were recruited from Spiritist Centers in Brazil. At the 1-year follow up, 90 participants (78%) were reassessed. Instruments were the SCID-I (Structured Clinical Interview for DSM-IV), TCI-R 140 (Revised Temperament and Character Inventory), OLIFE-R (Oxford-Liverpool Inventory of Feelings and Experiences), and WHOQOL-BREF (World Health Organization QoL Instrument).

    RESULTS: Mean age (±SD) was 36.8 (±12.5) years; 70% were female. Participants reported 74.4% of PE at time 1 and 72.3% at time 2. At time 1, temperament and character explained 47% of the psychological QoL variance; self-directedness was the strongest predictor of higher QoL, while harm avoidance and introverted anhedonia predicted worse QoL. At the 1-year follow-up, self-directedness remained the most important predictor of psychological QoL.

    CONCLUSION: Individuals reporting PE can show psychological QoL when they are high on self-directedness. Those with high levels of introverted anhedonia and cognitive disorganization can have a lower QoL and may be at risk for mental health problems.

    Original languageEnglish
    Pages (from-to)239-245
    Number of pages7
    JournalPsychopathology
    Volume50
    Issue number4
    DOIs
    Publication statusPublished - 2017

    Fingerprint

    Quality of Life
    Anhedonia
    Temperament
    Psychology
    Brazil
    Personality Tests
    Equipment and Supplies
    Diagnostic and Statistical Manual of Mental Disorders
    Mental Health
    Emotions
    Interviews

    Keywords

    • Harm avoidance
    • Psychotic experiences
    • Quality of life
    • Schizotypy
    • Self-directedness

    ASJC Scopus subject areas

    • Clinical Psychology
    • Psychiatry and Mental health

    Cite this

    Self-Directedness Predicts Quality of Life in Individuals with Psychotic Experiences : A 1-Year Follow-Up Study. / Alminhana, Letícia Oliveira; Farias, Miguel; Claridge, Gordon; Cloninger, C. Robert; Moreira-Almeida, Alexander.

    In: Psychopathology, Vol. 50, No. 4, 2017, p. 239-245.

    Research output: Contribution to journalArticle

    Alminhana, Letícia Oliveira ; Farias, Miguel ; Claridge, Gordon ; Cloninger, C. Robert ; Moreira-Almeida, Alexander. / Self-Directedness Predicts Quality of Life in Individuals with Psychotic Experiences : A 1-Year Follow-Up Study. In: Psychopathology. 2017 ; Vol. 50, No. 4. pp. 239-245.
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    abstract = "There is a high prevalence of psychotic-like experiences in nonclinical patient cohorts from Brazil. This study aimed to test whether personality dimensions, as well as schizotypy, are important predictors of quality of life (QoL) in individuals with psychotic experiences (PE).METHOD: 115 participants were recruited from Spiritist Centers in Brazil. At the 1-year follow up, 90 participants (78{\%}) were reassessed. Instruments were the SCID-I (Structured Clinical Interview for DSM-IV), TCI-R 140 (Revised Temperament and Character Inventory), OLIFE-R (Oxford-Liverpool Inventory of Feelings and Experiences), and WHOQOL-BREF (World Health Organization QoL Instrument).RESULTS: Mean age (±SD) was 36.8 (±12.5) years; 70{\%} were female. Participants reported 74.4{\%} of PE at time 1 and 72.3{\%} at time 2. At time 1, temperament and character explained 47{\%} of the psychological QoL variance; self-directedness was the strongest predictor of higher QoL, while harm avoidance and introverted anhedonia predicted worse QoL. At the 1-year follow-up, self-directedness remained the most important predictor of psychological QoL.CONCLUSION: Individuals reporting PE can show psychological QoL when they are high on self-directedness. Those with high levels of introverted anhedonia and cognitive disorganization can have a lower QoL and may be at risk for mental health problems.",
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