Chiara Rossi , Lorenzo Antichi , Francesca De Salve , Marco Aldegheri , Antonio Basilisca , Sonia Facchetti , Erika Riva , Matteo Sala , Paola Scovazzi , Luca Micheletti , Giorgio Bianconi , Giovanna Valvassori Bolgè , Osmano Oasi
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引用次数: 0
Abstract
Introduction
Functional impairment is a common issue among patients with mental health disorders and first-episode psychosis who seek assistance from public mental health services designed for early intervention. These services often provide brief psychotherapeutic treatments to enhance social and professional functioning. However, the effectiveness of these brief interventions varies. Identifying risk factors for mental disorders, such as specific personality traits, could inform the development of more effective early intervention strategies. This study aims to identify significant personality traits as predictors of social and occupational functioning among help-seeking young adults at ASST Ovest Milanese public mental health services in Northern Italy.
Methods
Data were collected from 229 participants (82 males, 147 females) aged 18–27 (M = 24.13; SD = 2.21). Participants completed a socio-demographic questionnaire, the Personality Inventory for DSM-5, and the Social and Occupational Functioning Assessment Scale. Regression models, Random Forest, and Gradient Boosting Machines were conducted.
Results
The regression model with Detachment as the only predictor provided the best fit, indicating that higher levels of Detachment are significantly associated with lower social and occupational functioning (MSE = 112.38, adjusted R2 = 0.1188, p < 0.001). Including Negative Affectivity and Disinhibition in the model did not improve predictive power and introduced overfitting. Additionally, some socio-demographic factors were positively associated with better functioning.
Conclusion
Detachment is a primary predictor of social and occupational impairment. Interventions should prioritize addressing detachment-related traits and integrate educational and vocational support to enhance functioning. Implementing individualized therapies based on these risk factors could improve mental health outcomes and reduce costs for public clinical facilities.
期刊介绍:
Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research:
(1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors;
(2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology;
(3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;