Qianqian Gao

The Zuckerman–Kuhlman personality questionnaire in bipolar I and II disorders: A preliminary report

Patients with bipolar disorder have tendencies of higher impulsivity and sensation seeking, they might contribute differently to the emotional states of bipolar I (BD I) and II (BD II). We administered the Zuckerman-Kuhlman Personality Questionnaire (ZKPQ), the Plutchik-van Praag Depression Inventory (PVP), the Mood Disorder Questionnaire (MDQ), and the Hypomania Checklist (HCL-32) in 23 patients with BD I, 22 BD II, and 64 healthy volunteers. Both BD I and II scored higher on ZKPQ Impulsive sensation seeking (and its Impulsivity facet), Neuroticism-anxiety and Aggression-hostility, and on PVP and HCL-32 scales than controls did; BD I scored higher on MDQ and General sensation seeking facet than controls did. Compared to BD II, BD I scored higher on Impulsive sensation seeking (and General sensation seeking) and on MDQ. Moreover, General sensation seeking predicted MDQ, and Activity predicted HCL-32 in BD I. Aggression-hostility predicted HCL-32 in BD II. General sensation seeking predicted MDQ and HCL-32, and together with Neuroticism-anxiety, predicted PVP in controls. Our study suggests that Impulsive sensation seeking, and its General sensation seeking facet might help to delineate the two types of bipolar disorder.

Stressful Parental-Bonding Exaggerates the Functional and Emotional Disturbances of Primary Dysmenorrhea.

BackgroundSome evidence suggests that women with primary dysmenorrhea (or painful period) often have traumatic experience with parental attachments, but the exact relationship is still unclear.PurposeThis study aims to investigate associations between styles of the parental bonding and the detailed aspects of the disorder in Chinese university-student women.MethodsFrom university-student women, we have invited 50 primary dysmenorrhea patients and 111 healthy volunteers, to undergo tests of the Functional and Emotional Measure of Dysmenorrhea (FEMD), the Family Relationship Questionnaire (FRQ), and the visual analogue scale for the pain intensity experienced.ResultsBesides the high scores of the FEMD Functional and Emotional scales, the dysmenorrhea patients also scored significantly higher than the healthy controls on the FRQ scales of Paternal Dominance and Maternal Abuse. In patients, the FEMD Emotional scale was negatively predicted by the Paternal Freedom Release scale, and the FEMD Functional scale was positively predicted by the Maternal Dominance scale.ConclusionsInappropriate parental bonding or chronic traumatic attachment styles have respective relationships with the functional and emotional disturbances experienced by the primary dysmenorrhea patients.

Relationship between Chinese adjective descriptors of personality and emotional symptoms in young Chinese patients with bipolar disorders.

Objective To investigate whether personality traits are related to emotional symptoms (mania, hypomania, and depression) in Chinese patients with bipolar disorders. Methods Patients with bipolar I and II disorders, and healthy volunteers, were assessed using the Chinese Adjective Descriptors of Personality (CADP) questionnaire, Mood Disorder Questionnaire (MDQ), Hypomanic Checklist (HCL-32), and Plutchik–van Praag Depression Inventory (PVP). Results Seventy-three patients with bipolar I disorder, 35 with bipolar II disorder and 216 healthy controls were included. Bipolar I and II groups scored significantly higher on MDQ, HCL-32 and PVP scales than controls; the bipolar II group scored lower on the MDQ, but higher on the HCL-32 and PVP than bipolar I. In the bipolar I group, the CADP Intelligent trait (β, 0.25) predicted MDQ; Intelligent (β, −0.24), Agreeable (β, 0.22) and Emotional (β, 0.34) traits predicted PVP. In the bipolar II group, Intelligent (β, 0.22), Agreeable (β, −0.24) and Unsocial (β, 0.31) traits predicted MDQ; Intelligent (β, −0.20), Agreeable (β, −0.31) and Emotional (β, −0.26) traits predicted HCL-32. Conclusions Four out of five Chinese personality traits were associated with emotional symptoms in patients with bipolar I or II disorder, but displayed different associations depending on disorder type.

Predicting Personality Disorder Functioning Styles by the Five-Factor Nonverbal Personality Questionnaire in Healthy Volunteers and Personality Disorder Patients

Background: Detecting personality disorders in the illiterate population is a challenge, but nonverbal tools measuring personality traits such as the Five-Factor Nonverbal Personality Questionnaire (FFNPQ) might help. We hypothesized that FFNPQ traits are associated with personality disorder functioning styles in a predictable way, especially in a sample of personality disorder patients. Methods: We therefore invited 106 personality disorder patients and 205 healthy volunteers to answer the FFNPQ and the Parker Personality Measure (PERM) which measures 11 personality disorder functioning styles. Results: Patients scored significantly higher on the FFNPQ neuroticism and conscientiousness traits and all 11 PERM styles. In both groups, the 5 FFNPQ traits displayed extensive associations with the 11 PERM styles, respectively, and the associations were more specific in patients. Associations between neuroticism, extraversion and agreeableness traits and most PERM styles were less exclusive, but conscientiousness was associated with antisocial (-) and obsessive-compulsive styles, and openness to experience with schizotypal and dependent (-) styles. Conclusions: Our study has demonstrated correlations between FFNPQ traits and PERM styles, and implies the nonverbal measure of personality traits is capable of aiding the diagnoses of personality disorders in the illiterate population. Enlarging sample size and including the illiterate might make for more stable results.

Development of a structure-validated Family Relationship Questionnaire (FRQ) with Chinese university students

Consistent results have shown a relationship between the psychological world of children and their perceived parental bonding or family attachment style, but to date there is no single measure covering both styles. The authors designed a statement matrix with 116 items for this purpose and compared it with the Parental Bonding Instrument (PBI) in a study with 718 university students. After exploratory and confirmatory factor analyses, five factors (scales)--namely, Paternal/Maternal Encouragement (5 items each), Paternal/Maternal Abuse (5 items each), Paternal/Maternal Freedom Release (5 items each), General Attachment (5 items), and Paternal/Maternal Dominance (4 items each)--were defined to form a Family Relationship Questionnaire (FRQ). The internal alphas of the factors ranged from .64 to .83, and their congruency coefficients were .93 to .98 in samples regarding father and mother. Women scored significantly higher on FRQ General Attachment and Maternal Encouragement and lower on Paternal Abuse than men did; only children scored significantly higher on Paternal and Maternal Encouragements than children with siblings did. Women also scored significantly higher on PBI Paternal Autonomy Denial; only children scored significantly higher on Paternal and Maternal Cares and Maternal Autonomy Denial. All intercorrelations between FRQ scales were low to medium, and some correlations between FRQ and PBI scales were medium to high. This study demonstrates that the FRQ has a structure of five factors with satisfactory discriminant and convergent validities, which might help to characterize family relationships in healthy and clinical populations.

Personality trait correlates of color preference in schizophrenia.

Abstract Background: The goal of the present study was to evaluate the color preferences of patients with schizophrenia and their correlations with personality traits. Methodology: Sixty-three patients with schizophrenia and 59 healthy volunteers were asked to undertake the color preference and the Zuckerman-Kuhlman Personality Questionnaire (ZKPQ) tests. Results: The healthy volunteers showed a greater preference for green but a lesser one for brown compared to the patients with schizophrenia. Patients scored higher than the healthy volunteers on the ZKPQ Neuroticism-Anxiety and Activity scales. Moreover, in patients, black preference ranking was associated with the Neuroticism-Anxiety, whereas pink and orange preferences were negatively associated with Activity; white preference correlated negatively with Sociability. Conclusions: Patients with schizophrenia preferred green less but brown more, and displayed their personality correlates of these color preferences. These findings are suggesting that patients with schizophrenia should be encouraged to be more exposed to bright colors such as green and white, and less to dark colors such as black, during therapy and rehabilitation sessions.

Narrations of Personality Disorders in a Famous Chinese Novel of the Eighteenth Century - A Dream of Red Mansions

Background: Traditional Chinese culture, such as the paternalism, male dominance and collectivism, contribute to normal and disordered personality traits, and the influence might be traced back to an ancient epoch. As a compendium of Chinese culture, the novel, A Dream of Red Mansions (up to first 80 chapters) written in the 18th century, might be a vector of these traces. Methods: We selected and voted on the personality-descriptive terms (adjective)/phrases, and sentences/ paragraphs in the novel, and compared them with the dimensional classification criteria of Section III of the Diagnostic and Statistical Manual of Mental Disorder-Version 5. Results: Some characters in the novel, Jia Baoyu, Wang Xifeng, Lin Daiyu, Xue Baochai, Xue Pan, Jia Yucun, Concubine Zhao, Jia Rui, Miaoyu, and Jia Jing, with their impairments in personality functioning and pathological traits, might be diagnosed as antisocial, borderline, narcissistic, obsessive-compulsive, or schizotypal personality disorder, or a trait-specified. In each character, the personality disorders or traits had their family, societal and religious (Taoism or Buddhism) connections. Conclusion: Our study indicates that Chinese culture has contributed to personality disorders or traits at least from 18th century on, and has disclosed the disadvantages of Taoism, Buddhism, and hierarchy, male dominance and collectivism under the influence of Confucianism in the development of personality disorder. Our findings might provide treatment hints for personality disorders at the root of culture, for patients in China, Japan, Singapore, South Korea, Thailand, and other neighboring countries in Asia, who have been emerged from the Chinese culture.

Selecting pure-emotion materials from the International Affective Picture System (IAPS) by Chinese university students: A study based on intensity-ratings only

There is a need to use selected pictures with pure emotion as stimulation or treatment media for basic and clinical research. Pictures from the widely-used International Affective Picture System (IAPS) contain rich emotions, but no study has clearly stated that an emotion is exclusively expressed in its putative IAPS picture to date. We hypothesize that the IAPS images contain at least pure vectors of disgust, erotism (or erotica), fear, happiness, sadness and neutral emotions. Accordingly, we have selected 108 IAPS images, each with a specific emotion, and invited 219 male and 274 female university students to rate only the intensity of the emotion conveyed in each picture. Their answers were analyzed using exploratory and confirmatory factor analysis. Four first-order factors manifested as disgust-fear, happiness-sadness, erotism, and neutral. Later, ten second-order sub-factors manifested as mutilation-disgust, vomit-disgust, food-disgust, violence-fear, happiness, sadness, couple- erotism, female-erotism, male- erotism, and neutral. Fifty-nine pictures for the ten sub-factors, which had established good model-fit indices, satisfactory sub-factor internal reliabilities, and prominent gender-differences in the picture intensity ratings were ultimately retained. We thus have selected a series of pure-emotion IAPS pictures, which together displayed both satisfactorily convergent and discriminant structure-validities. We did not intend to evaluate all IAPS items, but instead selected some pictures conveying pure emotions, which might help both basic and clinical researches in the future.

Influencing Factors on Choosing Psychiatry as a Career: An Exploration in Chinese University Students

Abstract There is a consistent need of psychiatric professionals in the world including China, and a consistent challenge to recruit more medical students into the psychiatric careers. We aimed to look for factors which have an impact on career-choosing of psychiatry in Chinese university students. We invited 508 non-medical students (NM), 304 medical students without (MO) and 123 medical students with clinical internship experience (MW), to answer a matrix of 43 questions regarding factors influencing career-choosing of psychiatry. Answers to these questions were analyzed through exploratory and confirmatory factor analyses, once the latent factors were identified and structurally-validated, their mean scores in three groups of students were calculated. Five factors with five items each were identified, namely social status inferiority, career importance, practice reward, career preference, and practice stress. NM scored lower than MO and MW did on Social Status Inferiority; NM group scored higher than MO and MW groups did on Career Importance; MW scored lower than NM and MO did on Practice Reward and on Career Preference; Regarding Practice Stress, NM scored higher than MO did, who then in turn, scored higher than MW did. In addition, Practice Stress was positively correlated with advice of the medical educators; and Social Status Inferiority and Career Preference were positively correlated with the psychiatry teaching of the medical educators. Raising career rewards, improving social status, and reinforcing psychiatric education might help to recruit more medical students to specialize in psychiatry practicing.

Event-related potentials elicited by the Deutsch "high-low" word illusion in the patients with first-episode schizophrenia with auditory hallucinations.

BackgroundThe exact cerebral structural and functional mechanisms under the auditory verbal hallucinations (AVHs) in schizophrenia are still unclear. The Deutsch “high-low” word illusion might trigger attentional responses mimicking those under AVHs.MethodsWe therefore have invited 16 patients with first-episode, paranoid schizophrenia, and 16 age- and gender-matched healthy volunteers to undergo the “oddball” event-related potentials elicited by the illusion. The clinical characteristics of patients were measured with the positive and negative symptom scale.ResultsBesides the longer reaction time to the illusion, the standard P2 latency was shortened, the N2 latency was prolonged, and both N1 and P3 amplitudes were reduced in patients. The P3 source analyses showed the activated bilateral temporal lobes, parietal lobe and cingulate cortex in both groups, left inferior temporal gyrus in controls, and left postcentral gyrus in schizophrenia. Moreover, the N1 amplitude was positively correlated with the paranoid score in patients.ConclusionsOur results were in line with previous neurophysiological and neuroimaging reports of hallucination or auditory processing in schizophrenia, and illustrated a whole process of cerebral information processing from N1 to P3, indicating this illusion had triggered a dynamic cerebral response similar to that of the AVHs had engaged.