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[情绪障碍与情感气质之间存在关联吗?]

[Is there a relationship between mood disorders and affective temperaments?].

作者信息

Akdeniz Fisun, Kesebir Sermin, Vahip Simavi, Gönül Ali Saffet

机构信息

Ege U. Tip Fak., Psikiyatri AD., Affektif Hastaliklar Birimi, Izmir.

出版信息

Turk Psikiyatri Derg. 2004 Fall;15(3):183-90.

Abstract

OBJECTIVE

The aim of this study is to investigate whether depressive (DT), hyper thymic (HT), cyclothymic (CT), irritable and anxious temperaments as identified by Turkish version of Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto questionnaire (TEMPS-A) are characteristic to depressive or bipolar disorder (BD) and to compare underlying affective temperamental differences.

METHOD

68 patients with recurrent major depression (MD-R), 50 patients with single episode major depressive disorder (MD-S), 84 euthymic bipolar patients and 100 healthy controls were included in the study and evaluated with TEMPS-A.

RESULTS

There was a gender difference between patient groups. The females were more dominant in the MD-R group. The mean age of onset of illness of bipolar patients was lower than the depressive patients and the mean duration of illness of bipolar patients was longer than those of the MD-R patients. The prevalence of the rate of any dominant affective temperament was significantly higher in the MD-R group than other study groups. The prevalence rate and scores of DT were significantly higher both in MD-R and MD-S groups (25.0% and 12.0% respectively) than the BD group (2.4%) and control subjects (3.0%). The prevalence rate and scores of CT were higher among the patients groups than the controls. None of the subjects except BD patients had HT.

CONCLUSION

With the limitations of the study, it is thus reasonable to speculate that affective temperament, to a degree, determine the nature and the existence of the mood disorders.

摘要

目的

本研究旨在调查通过土耳其版孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估(TEMPS-A)确定的抑郁(DT)、高胸腺(HT)、环性心境(CT)、易怒和焦虑气质是否为抑郁症或双相情感障碍(BD)的特征,并比较潜在的情感气质差异。

方法

本研究纳入了68例复发性重度抑郁症(MD-R)患者、50例单次发作重度抑郁症(MD-S)患者、84例双相情感障碍缓解期患者和100名健康对照者,并采用TEMPS-A进行评估。

结果

患者组之间存在性别差异。女性在MD-R组中占主导地位。双相情感障碍患者的平均发病年龄低于抑郁症患者,且双相情感障碍患者的平均病程长于MD-R患者。MD-R组中任何占主导地位的情感气质发生率均显著高于其他研究组。MD-R组和MD-S组中DT的发生率和得分(分别为25.0%和12.0%)均显著高于BD组(2.4%)和对照组(3.0%)。患者组中CT的发生率和得分高于对照组。除双相情感障碍患者外,其他受试者均无HT。

结论

鉴于本研究的局限性,因此有理由推测情感气质在一定程度上决定了情绪障碍的性质和存在。

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