Akiyama Tsuyoshi, Tsuda Hitoshi, Matsumoto Satoko, Miyake Yuko, Kawamura Yoshiya, Noda Toshie, Akiskal Kareen K, Akiskal Hagop S
Department of Neuropsychiatry, Kanto Medical Center NTT EC, Tokyo, Japan.
J Affect Disord. 2005 Mar;85(1-2):93-100. doi: 10.1016/j.jad.2004.01.011.
In Japan, Kraepelin's descriptions on four "fundamental states" of manic depressive illness, the concepts of schizoid temperament by Kretschmer and obsessional and melancholic type temperament by Shimoda and Tellenbach have been widely accepted. This research investigates the construct validity of these temperaments through factor analysis.
TEMPS-A measured depressive, cyclothymic, hyperthymic and irritable temperaments and MPT rigidity, esoteric and isolation subscales measured, respectively, melancholic type and schizoid temperaments. Factor analysis was implemented with TEMPS-A alone and TEMPS-A and MPT combined data.
With TEMPS-A alone analysis, Factor 1 included 1 depressive, 11 cyclothymic and 12 irritable temperament items with a factor loading higher than 0.4; Factor 2 included 1 depressive and 10 hyperthymic temperament items; and Factor 3 included 2 depressive temperament items only. With TEMPS-A and MPT combined data, Factor 1 included 3 depressive, 11 cyclothymic and 5 irritable temperament items with a factor loading higher than 0.4 (interpreted as the central cyclothymic tendency for all affective temperaments along Kretschmerian lines and accounting for 11.7% of the variance); Factor 2 included 6 hyperthymic temperament items (6.22% of variance); Factor 3 included 1 cyclothymic, 7 irritable and 1 schizoid temperament items (interpreted as the irritable temperament and accounting for 3.24% of the variance); Factor 4 included 1 depressive temperament and 5 melancholic type items (interpreted as the latter, accounting for 2.66% of the variance); Factor 5 included 5 depressive temperament items, along interpersonal sensitivity and passivity lines, and accounting for 2.31% of the variance; and Factor 6 included 4 schizoid temperament items accounting for 2.07% of the variance.
We did not use the Kasahara scale, which some believe to better capture the Japanese melancholic type. Sample was 70% male.
These analyses confirm the factor validity of depressive, hyperthymic, cyclothymic and irritable temperaments (TEMPS-A), as well as the melancholic type and the schizoid temperament (MPT). Traits of the depressive and melancholic types emerge as rather distinct. Indeed, our results permit the delineation of an interpersonally sensitive type that "gives in to others" as the core features of the depressive temperament; this is to be contrasted with the higher functioning, perfectionistic, work-oriented melancholic type. Mood dysregulation is represented by the largest number of traits in this population. Contrary to a widely held belief that the melancholic type with its devotion to work and to others is the signature temperament in Japan, cyclothymic traits account for the largest variance in this nonclinical population. Hyperthymic temperament, melancholic type and schizoid temperaments appear largely independent of mood dysregulation. In this Japanese population, TEMPS-A may identify temperament constructs more comprehensively when implemented with melancholic type and schizoid temperament question items added to it. The proposed new Japanese Temperament and Personality (JTP) Scale has self-rated items divided into six subscales.
在日本,克雷佩林对躁郁症四种“基本状态”的描述、克雷奇默的精神分裂样气质概念以及下田和泰勒恩巴赫的强迫型和抑郁型气质概念已被广泛接受。本研究通过因子分析调查这些气质的结构效度。
TEMPS - A测量抑郁、环性、轻躁狂和易怒气质,MPT的僵化、神秘主义和孤立分量表分别测量抑郁型和精神分裂样气质。分别对单独的TEMPS - A数据以及TEMPS - A和MPT的合并数据进行因子分析。
单独对TEMPS - A进行分析时,因子1包括1个抑郁、11个环性和12个易怒气质项目,因子载荷高于0.4;因子2包括1个抑郁和10个轻躁狂气质项目;因子3仅包括2个抑郁气质项目。对于TEMPS - A和MPT的合并数据,因子1包括3个抑郁、11个环性和5个易怒气质项目,因子载荷高于0.4(按照克雷奇默的思路解释为所有情感气质的核心环性倾向,占方差的11.7%);因子2包括6个轻躁狂气质项目(占方差的6.22%);因子3包括1个环性、7个易怒和1个精神分裂样气质项目(解释为易怒气质,占方差的3.24%);因子4包括1个抑郁气质和5个抑郁型项目(解释为后者,占方差的2.66%);因子5包括5个抑郁气质项目,涉及人际敏感性和被动性,占方差的2.31%;因子6包括4个精神分裂样气质项目,占方差的2.07%。
我们未使用一些人认为能更好地体现日本抑郁型的笠原量表。样本中70%为男性。
这些分析证实了抑郁、轻躁狂、环性和易怒气质(TEMPS - A)以及抑郁型和精神分裂样气质(MPT)的因子效度。抑郁型和抑郁型的特征表现得相当不同。事实上,我们的结果允许将一种“向他人屈服”的人际敏感型描绘为抑郁气质的核心特征;这与功能更高、完美主义、以工作为导向的抑郁型形成对比。情绪失调在该人群中由最多的特征所代表。与一种广泛持有的观点相反,即认为在日本以对工作和他人的奉献为特征的抑郁型是标志性气质,在这个非临床人群中环性特征占最大方差。轻躁狂气质、抑郁型和精神分裂样气质在很大程度上独立于情绪失调。在这个日本人群中,当加入抑郁型和精神分裂样气质问题项目时,TEMPS - A可能更全面地识别气质结构。所提议的新的日本气质与人格(JTP)量表有自我评定项目,分为六个子量表。