Associations of multidimensional temperament and character profiles with cognition and sensorimotor gating in individuals at risk for schizophrenia-spectrum disorders: preliminary findings


Published: Dec 26, 2020
Keywords:
cognition temperament and character multidimensional profiles prepulse inhibition schizophrenia
Chrysoula Zourakaki
Penny Karamaouna
https://orcid.org/0000-0002-8803-5413
Leda Karagiannopoulou
Stella Giakoumaki
Abstract
Cloninger’s biopsychological model for personality distinguishes between Temperament [Novelty Seeking, Harm Avoidance (HA), Reward Dependence (RD), Persistence (PS)], and Character [Self-Directedness (SD), Cooperativeness (CO), Self-Transcendence (ST)] traits. Cloninger has also described three sets of complex interactions among these traits, which can be summarized as a linked network of three cubes. Within each cube, the different combinations of the sub-dimensions formulate multidimensional profiles that describe personality more accurately compared with their individual constituents. The aim of the present study was to examine differences of these multidimensional profiles in cognitive functions and Prepulse Inhibition (PPI) in unaffected relatives of schizophrenia-spectrum patients and control individuals. We assessed 114 unaffected relatives of schizophrenia-spectrum patients and 122 controls for Temperament/Character traits, a wide range of cognitive functions, and PPI of the acoustic startle reflex. The relatives had higher Ηarm Avoidance and Self-Transcendence along with lower Reward Dependence, Persistence, Self-Directedness and Cooperativeness scores as well as lower PPI and poorer cognition compared with controls. We also found a) unequal distribution of relatives and controls in several “disadvantageous” profiles associated with the schizophrenia-spectrum, b) the Schizotypal/Disorganized, Apathetic and Fragile profiles had poorer emotional decision making and attention switching, respectively, compared with their “advantageous” counterparts and c) the Adventurous, Independent, Bossy and Resilient profiles had higher PPI compared with their counterparts. These findings further highlight the significance of personality determinants of cognitive processes and have potential implications in early intervention programs in the schizophrenia-spectrum.
Article Details
  • Section
  • SPECIAL SECTION
Downloads
Download data is not yet available.
References
Bechara, A., Damasio, A., Damasio, H., & Anderson, S. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50(1-3), 7-15. https://doi.org/10.1016/0010-0277(94)90018-3
Bergvall, A.H., Nilsson, T., & Hansen, S. (2003). Exploring the link between character, personality disorder, and neuropsychological function. European Psychiatry, 18(7), 334-344. https://doi.org/10.1016/ j.eurpsy.2003.03.008
Bitsios, P. & Giakoumaki, S.G. (2005). Relationship of prepulse inhibition of the startle reflex to attentional and executive mechanisms in man. International Journal of Psychophysiology, 55(2), 229-241. https:// doi.org/10.1016/j.ijpsycho.2004.08.002
Bitsios, P., Giakoumaki, S.G., Theou, K., & Frangou, S. (2006). Increased prepulse inhibition of the acoustic startle response is associated with better strategy formation and execution times in healthy males. Neuropsychologia, 44(12),2494-2499. https://doi.org/10.1016/j.neuropsychologia.2006.04.001
Blokland, G.A.M,, Mesholam-Gately, R. I., Toulopoulou, T., Del Re, E.C., Lam, M., DeLisi, L.E., Donohoe, G., Walters, J.T.R., GENUS Consortium, Seidman, L.J., & Petryshen, T.L. (2017). Heritability of Neuropsychological Measures in Schizophrenia and Nonpsychiatric Populations: A Systematic Review and Meta-analysis. Schizophrenia Bulletin, 43(4), 788-800. https://doi.org/10.1093/schbul/sbw146
Blumenthal, T.D. (1999). Short lead interval startle modification. In M.E., Dawson, A.M., Schell, & A.H. Böhmelt (Eds.), Startle Modification: Implications for Neuroscience, Cognitive Science and Clinical Science (pp. 51-71). Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780 511665523.005
Boeker, H., Kleiser, M., Lehman, D., Jaenke, L., Bogerts, B., & Northoff, G. (2006). Executive dysfunction, self, and ego pathology in schizophrenia: An exploratory study of neuropsychology and personality. Comprehensive Psychiatry, 47(1), 7-19. https://doi.org/10.1016/j.comppsych.2005.04.003
Braff, D.L., Swerdlow, N.R. & Geyer, M.A. (1995). Gating and habituation deficits in the schizophrenia disorders. Clinical Neuroscience, 3(2), 131-139. https://doi.org/10.1001/archpsyc.1992.0182003 0038005
Cloninger, C.R. (1994). Temperament and personality. Current Opinion in Neurobiology, 4(2), 266-273. https://doi.org/10.1016/0959-4388(94)90083-3
Cloninger, C.R. (1999). The Temperament and Character Inventory—Revised, 240-item version (TCI-240). Center for Psychobiology of Personality, Washington University.
Cloninger, C.R. (2004). Feeling good: The science of well-being. Oxford University Press.
Cloninger, C.R., Bayon, C. & Svrakic, D.M. (1998). Measurement of temperament and character in mood disorders: A model of fundamental states as personality types. Journal of Affective Disorders, 51(1), 21-32. https://doi.org/10.1016/S0165-0327(98)00153-0
Cloninger, C.R. & Svrakic, D.M. (1997). Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry, 60(2), 120-141. https://doi.org/10.1080/00332747.1997.11024793
Cloninger, C.R., Svrakic, D.M., Bayon, C., & Przybeck, T.R. (1999). Measurement of psychopathology as variants of personality. In C.R. Cloninger (Ed) Personality and Psychopathology (pp 33-65). Washington DC: American Psychiatric Publishing.
Cloninger, C.R., Svrakic, D.M. & Przybeck, T.R. (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50(12), 975-990. https://doi.org/10.1001/archpsyc.1993 .01820240059008
Cloninger, C.R., Zohar, A.H., Hirschmann, S. & Dahan, D. (2012). The psychological costs and benefits of being highly persistent: personality profiles distinguish mood disorders from anxiety disorders. Journal of Affective Disorders, 136(3), 758-766. https://doi.org/10.1016/j.jad.2011.09.046
Forbush, K.T., Shaw, M., Graeber, M.A, Hovick, L., Meyer, V.J., Moser, D.J., Watson, D., & Black, D.W. (2008). Neuropsychological characteristics and personality traits in pathological gambling. CNS Spectrum, 13(4), 306-615. https://doi.org/10.1017/S1092852900016424
Franklin, J.C., Bowker, K.B. & Blumenthal, T.D. (2009). Anxiety and prepulse inhibition of acoustic startle in a normative sample: The importance of signal-to-noise ratio. Personality and Individual Differences, 46(3), 369–373. https://doi.org/10.1016/j.paid.2008.11.004
Fresán, A., León-Ortiz, P., Robles-García, R., Azcárraga, M., Guizar, D., Reyes-Madrigal, F., Tovilla-Zarate, C.A., & de la Fuente-Sandoval, C. (2015). Personality features in ultra-high risk for psychosis: a comparative study with schizophrenia and control subjects using the Temperament and Character Inventory-Revised (TCI-R). Journal of Psychiatric Research, 61, 168-173. https://doi.org/10.1016 /j.jpsychires.2014.12.013
Galindo, L., Pastoriza, F., Bergé, D., Mané, A., Picado, M., Bulbena, A., Robledo, P., Perez, V., Vilarroya, O., & Cloninger, C. R. (2016). Association between neurological soft signs, temperament and character in patients with schizophrenia and non-psychotic relatives. PeerJ, 4, e1651. https://doi.org/10.7717/peer j.1651
Giakoumaki, S.G., Bitsios, P., & Frangou, S. (2006). The level of prepulse inhibition in healthy individuals may index cortical modulation of early information processing. Brain Research, 1078(1), 168-170. https://doi.org/10.1016/j.brainres.2006.01.056
Giakoumaki, S.G., Karagiannopoulou, L., Rózsa, S., Zouraraki, C., Karamaouna, P. & Cloninger, C.R. (2016). Psychometric properties of the Greek TCI-R and its clinical correlates: schizotypy and the self-regulation of affective and cognitive functioning. PeerJ, 4, e1830. https://doi.org/10.7717/peerj.1830
Giakoumaki, S.G., Roussos, P., Rogdaki, M., Karli, C., Bitsios, P. & Frangou, S. (2007). Evidence of disrupted prepulse inhibition in unaffected siblings of bipolar disorder patients. Biological Psychiatry, 62(12), 1418-1422. https://doi.org/10.1016/j.biopsych.2006.12.002
Giakoumaki, S.G., Roussos, P., Tsapakis, E.M., Koiliari, E., Pasparakis, E., Zouraraki, C., & Bitsios, P. (2013). Cognitive and personality analysis of startle reactivity in a large cohort of healthy males. Biological Psychology, 94(3), 582-591.
Golden, C. J. (1978). Stroop Color and Word Test Manual (Cat. 30150M). Stoelting.
Guillem, F., Pampoulova, T., Rinaldi, M., & Stip, E. (2008). Temperament and executive dysfunctions in schizophrenia. Schizophrenia Research, 104(1-3):175-184. https://doi.org/10.1016/j.schres.2008.06 .002
Hori, H., Fujii, T., Yamamoto, N., Teraishi, T., Ota, M., Matsuo, J., Kinoshita, Y., Ishida, I., Hattori, K., Okazaki, M., Arima, K., & Kunugi, H. (2014). Temperament and character in remitted and symptomatic patients with schizophrenia: modulation by the COMT Val158Met genotype. Journal of Psychiatric Research, 56, 82-89. https://doi.org/10.1016/j.jpsychires.2014.05.006
Hori, H., Teraishi, T., Sasayama, D., Matsuo, J., Kawamoto, Y., Kinoshita, Y., & Kunugi, H. (2012). Relationships between season of birth, schizotypy, temperament, character and neurocognition in a non-clinical population. Psychiatry Research, 195(1-2), 69-75. https://doi.org/10.1016/j.psychres .2011.07.028
Jetha, M.K., Goldberg, J.O. & Schmidt, L.A. (2013). Temperament and its relation to social functioning in schizophrenia. International Journal of Social Psychiatry, 59(3), 254-263. https://doi.org/10.1177/00 20764011433639
Lee, B.D., Park, J.M., Lee, Y.M., Moon, E., Jeong, H.J., Chung, Y.I., & Yi, Y.M. (2016). Heritability and familiality of Temperament and Character dimensions in Korean families with schizophrenic linkage disequilibrium. Clinical Psychopharmacology and Neuroscience, 14(2), 203-209. https://doi.org/10 .9758/cpn.2016.14.2.203
Margetić, B.A., Jakovljević, M., Ivanec, D. & Margetić, B. (2011). Temperament, character, and quality of life in patients with schizophrenia and their first-degree relatives. Comprehensive Psychiatry, 52(4), 425-430. https://doi.org/10.1016/j.comppsych.2010.08.007
Miettunen, J., Veijola, J., Isohanni, M., Paunio, T., Freimer, N., Jääskeläinen, E., Taanila, A., Ekelund, J., Järvelin, M.R., Peltonen, L., Joukamaa, M., & Lichtermann, D. (2011). Identifying schizophrenia and other psychoses with psychological scales in the general population. Journal of Nervous and Mental Disease, 199(4), 230-238. https://doi.org/10.1097/NMD.0b013e3182125d2c
Milner, B. (1963). Effects of different brain lesions on card sorting. Archives of Neurology, 9(1), 90-100. https://doi.org/10.1001/archneur.1963.00460070100010
Miralles, C., Alonso, Y., Verge, B., Setó, S., Gaviria, A.M., Moreno, L., Cortés, M.J., Gutiérrez-Zotes, A., Vilella, E., & Martorell, L. (2014). Personality dimensions of schizophrenia patients compared to control subjects by gender and the relationship with illness severity. BMC Psychiatry, 14, 151. https://doi.org/10.1186/1471-244X-14-151
Molina, J.L., Calvó, M., Padilla, E., Balda, M., Alemán, G.G., Florenzano, N.V., Guerrero, G., Kamis, D., Molina-Rangeon, B., Bourdieu, M., Strejilevich, S.A., Conesa, H.A., Escobar, J.I., Zwir, I., Cloninger, C.R, & de Erausquin, G.A. (2017). Parkinsonian motor impairment predicts personality domains related to genetic risk and treatment outcomes in schizophrenia. NPJ Schizophrenia, 3, 16036. https://doi.org/10.1038/npjschz.2016.36
Nelson, H.E. (1976). A modified card sorting test sensitive to frontal lobe defects. Cortex, 12(4), 313–324. https://doi.org/10.1016/S0010-9452(76)80035-4
Ohi, K., Hashimoto, R., Yasuda, Y., Fukumoto, M., Yamamori, H., Iwase, Kazui, H., & Takeda, M. (2012). Personality traits and schizophrenia: evidence from a case-control study and meta-analysis. Psychiatry Research, 198(1), 7-11. https://doi.org/10.1016/j.psychres.2011.12.018
Owen, A. M., Downes, J. J., Sahakian, B. J., Polkey, C. E., & Robbins, T. W. (1990). Planning and spatial working memory following frontal lobe lesions in man. Neuropsychologia, 28(10), 1021–1034. https://doi.org/10.1016/0028-3932(90)90137-D
Putnam, L.E., & Vanman, E.J. (1999). Long lead interval startle modification. In M.E., Dawson, A.M., Schell, & A.H. Böhmelt (Eds.), Startle Modification: Implications for Neuroscience, Cognitive Science and Clinical Science (pp. 51-71). Cambridge: Cambridge University Press. , https://doi.org/10.1017/CBO 9780511665523.006
Robbins, T.W., James, M., Owen, A.M., Sahakian, B.J., Lawrence, A.D., McInnes, L., & Rabbitt, P.M.A. (1998). A study of performance on tests from the CANTAB battery sensitive to frontal lobe dysfunction in a large sample of normal volunteers: implications for theories of executive functioning and cognitive aging. Journal of the International Neuropsychological Society, 4(5), 474–490. https://doi.org/ 10.1017/S1355617798455073
Rönnlund, M., Vestergren, P., Mäntylä, T., & Nilsson, L.G. (2011). Predictors of self-reported prospective and retrospective memory in a population-based sample of older adults. Journal of Genetic Psychology, 172(3), 266-284. https://doi.org/10.1080/00221325.2010.538450
Saarinen, A., Rosenström, T., Hintsanen, M., Hakulinen, C., Pulkki-Råback, L., Lehtimäki, T., Raitakari, O.T., Cloninger, C.R., & Keltikangas-Järvinen, L. (2018). Longitudinal associations of temperament and character with paranoid ideation: A population-based study. Psychiatry Research, 261, 137-142. https://doi.org/10.1016/j.psychres.2017.12.044
Sánchez-Morla, E.M., Mateo, J., Aparicio, A., García-Jiménez, M.Á., Jiménez, E. & Santos, J.L. (2016). Prepulse inhibition in euthymic bipolar disorder patients in comparison with control subjects. Acta Psychiatrica Scandinavica, 134(4), 350-359. https://doi.org/10.1111/acps.12604
Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G.C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59 (Suppl 20), 22-33.
Sim, M., Kim, J.H., Yim, S.J., Cho, S.J. & Kim, S.J. (2012). Increase in harm avoidance by genetic loading of schizophrenia. Comprehensive Psychiatry, 53(4), 372-378. https://doi.org/10.1016/j.comppsy ch.2011.05.004
Smith, M.J., Cloninger, C.R., Harms, M.P. & Csernansky, J.G. (2008). Temperament and character as schizophrenia-related endophenotypes in non-psychotic siblings. Schizophrenia Research, 104(1-3), 198-205. https://doi.org/10.1016/j.schres.2008.06.025
Smith, M.J., Greenberg, J.S., Sciortino, S.A., Sandoval, G.M. & Lukens, E.P. (2016). Life course challenges faced by siblings of individuals with schizophrenia may increase risk for depressive symptoms. Mental Health in Family Medicine, 12(1), 147-151. https://doi.org/10.25149/1756-8358.1201003
Song, Y.Y., Kang, J.I., Kim, S.J., Lee, M.K., Lee, E. & An, S.K. (2013). Temperament and character in individuals at ultra-high risk for psychosis and with first-episode schizophrenia: associations with psychopathology, psychosocial functioning, and aspects of psychological health. Comprehensive Psychiatry, 54(8), 1161-1168. https://doi.org/10.1016/j.comppsych.2013.05.015
Stålberg, G., Ekerwald, H. & Hultman, C.M. (2004). At issue: Siblings of patients with schizophrenia: Sibling bond, coping patterns, and fear of possible schizophrenia heredity. Schizophrenia Bulletin, 30(2), 445-458. https://doi.org/10.1093/oxfordjournals.schbul.a007091
Stogiannidou, A. (2014). Wechler Adult Intelligence Scale, Standardization in Greek. (WAIS-IV GR, 4th ed.). Motibo.
Svrakic, D.M., Draganic, S., Hill, K., Bayon, C., Przybeck, T.R. & Cloninger, C.R. (2002). Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatrica Scandinavica, 106(3), 189-195. https://doi.org/10.1034/j.1600-0447.2002.02196.x
Takahashi, H., Iwase, M., Yasuda, Y., Ohi, K., Fukumoto, M., Iike, N., Yamamori, H., Nakahachi, T., Ikezawa, K., Azechi, M., Canuet, L., Ishii, R., Kazui, H., Hashimoto, R., & Takeda, M. (2012). Relationship of prepulse inhibition to temperament and character in healthy Japanese subjects. Neuroscience Research, 72(2), 187-193. https://doi.org/10.1016/j.neures.2011.10.009
Thaker, G.K. (2008). Neurophysiological endophenotypes across bipolar and schizophrenia psychosis. Schizophrenia Bulletin, 34(4), 760-773. https://doi.org/10.1093/schbul/sbn049
Wechsler, D. (2008). Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV). NCS Pearson Inc., San Antonio TX. https://doi.org/10.1037/t15169-000
Zalonis, I., Kararizou, E., Triantafyllou, N. I., Kapaki, E., Papageorgiou, S., Sgouropoulos, P., & Vassilopoulos, D. (2008). A normative study of the trail making test A and B in Greek adults. The Clinical Neuropsychologist, 22(5), 842–850. https://doi.org/10.1080/13854040701629301
Most read articles by the same author(s)