Rezvani Aylin, Aytüre Lütfiye, Arslan Mehtap, Kurt Erhan, Eroğlu Demir Saliha, Karacan İlhan
Department of Physical Medicine and Rehabilitation, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Int J Rheum Dis. 2014 Jan;17(1):34-8. doi: 10.1111/1756-185X.12033. Epub 2013 Jan 24.
The issue whether patients with rheumatoid arthritis (RA) have certain personality characteristics has been discussed. The temperament and personality characteristics of the patient may influence success in competing with stress. The aims of the study were to determine the most common dominant affective temperaments in patients with RA and whether temperament affects the disability.
A total of 88 patients with RA participated in this cross-sectional study. The Turkish version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto Questionnaire scale was used to determine the dominant affective temperament, and the Health Assessment Questionnaire (HAQ) was used to determine functional ability.
Depressive temperament was found in 52 patients (59.1%) as the most common dominant affective temperament followed by irritable temperament in 17 patients (19.3%). There was no significant difference in HAQ scores of the patients according to the subscales of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto Questionnaire. Disability levels of patients were found as low-level disability in 65 patients and high-level disability in 23 patients. Multiple linear regression analysis indicated that HAQ score was not associated with gender, body mass index, duration of the disease, depressive temperament, anxious temperament, cyclothymic temperament or irritable temperament.
The current study showed that depressive and irritable temperaments are the most common affective temperaments in patients with RA. The dominant affective temperament does not affect the functional ability of patients with RA.
关于类风湿关节炎（RA）患者是否具有某些人格特征的问题已被讨论。患者的气质和人格特征可能会影响应对压力的成效。本研究的目的是确定RA患者中最常见的主导情感气质类型，以及气质是否会影响残疾状况。
共有88例RA患者参与了这项横断面研究。采用孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估量表的土耳其语版本来确定主导情感气质类型，并使用健康评估问卷（HAQ）来确定功能能力。
52例患者（59.1%）被发现具有抑郁气质，是最常见的主导情感气质类型，其次是17例患者（19.3%）具有易怒气质。根据孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估量表的子量表，患者的HAQ评分没有显著差异。发现65例患者的残疾水平为低水平残疾，23例患者为高水平残疾。多元线性回归分析表明，HAQ评分与性别、体重指数、病程、抑郁气质、焦虑气质、环性心境气质或易怒气质无关。
当前研究表明，抑郁和易怒气质是RA患者中最常见的情感气质类型。主导情感气质类型不会影响RA患者的功能能力。
