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青少年肌阵挛癫痫患者的人格特征。

Personality traits in patients with juvenile myoclonic epilepsy.

机构信息

Laboratory of Clinical Neurophysiology, Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil.

出版信息

Epilepsy Behav. 2011 Aug;21(4):473-7. doi: 10.1016/j.yebeh.2011.03.036. Epub 2011 Jun 17.

Abstract

There is evidence of personality disorders in patients with juvenile myoclonic epilepsy (JME). To date, there have been no published quantitative studies on personality traits in JME. The aim of the work described here was to study a group of patients with JME and quantitatively measure personality traits. We evaluated 42 patients (mean age: 26.57 years, SD: 8.38) and 42 controls (mean age: 26.96, SD: 8.48) using a validated personality inventory, the Temperament and Character Inventory (TCI). We applied two scores, one for the Beck Depression Inventory and one for the State-Trait-Anxiety Inventory, as depression and anxiety may impact the performance of these patients on the TCI. We compared both groups on TCI scales using analysis of covariance with Beck Depression Inventory and State-Trait-Anxiety Inventory scores as covariates. Patients with JME obtained significantly higher scores on Novelty Seeking (P=0.001) and Harm Avoidance (P=0.002) and significantly lower scores on Self-Directedness (P=0.001). Patients with JME have a higher expression of impulsive personality traits that demand early recognition to avoid further consequences and facilitate social insertion, consequently avoiding future stigma.

摘要

有证据表明,青少年肌阵挛癫痫(JME)患者存在人格障碍。迄今为止,尚未有关于 JME 人格特征的定量研究发表。这里描述的工作旨在研究一组 JME 患者,并对人格特征进行定量测量。我们使用经过验证的人格量表,即气质与性格量表(TCI),评估了 42 名患者(平均年龄:26.57 岁,SD:8.38)和 42 名对照组(平均年龄:26.96 岁,SD:8.48)。我们应用了两个分数,一个用于贝克抑郁量表,另一个用于状态-特质焦虑量表,因为抑郁和焦虑可能会影响这些患者在 TCI 上的表现。我们使用协方差分析比较了两组在 TCI 量表上的得分,将贝克抑郁量表和状态-特质焦虑量表的得分作为协变量。JME 患者在新奇寻求(P=0.001)和回避伤害(P=0.002)方面的得分显著更高,而在自我导向(P=0.001)方面的得分显著更低。JME 患者表现出更高的冲动人格特质,需要及早识别,以避免进一步的后果,并促进社会融入,从而避免未来的污名化。

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