Gündoğar Duru, Kesebir Sermin, Demirkan Arda Kazim, Yaylaci Elif Tatlidil
Süleyman Demirel University School of Medicine, Department of Psychiatry.
Erenköy Psychiatry Education and Research Hospital.
Compr Psychiatry. 2014 May;55(4):870-5. doi: 10.1016/j.comppsych.2014.01.016. Epub 2014 Mar 5.
The aim of this study was to investigate if the relationship between affective temperament and resilience in major depression is different in cases with and without childhood trauma.
For this purpose 100 cases with major depressive disorder (MDD) diagnosis according to DSM-IV were evaluated consecutively in their regular outpatient clinic follow-up interviews. Diagnostic interviews were done with SCID-I, affective temperament was evaluated with TEMPS-A (Evaluation of Temperament Memphis, Pisa, Paris and SanDiego-Autoquestionnaire) Temperament Questionnaire, resilience was evaluated with The Resilience Scale for Adults (RSA)-Turkish version. The presence of childhood trauma (CT) was determined by Early Trauma Inventory.
In MDD cases without CT a correlation was present between psychological resilience and hyperthymic temperament, while there was a correlation between psychological resilience and depressive temperament in cases with CT. The relationship between depressive temperament and psychological resilience in cases with CT was observed in the perception of self, family cohesion, and social resources dimensions of psychological resilience.
In depression cases with and without childhood trauma, the relationship between temperament and resilience appears to be different. According to our results psychological resilience was associated with hyperthymic temperament in depressive cases without childhood trauma, while it was associated with depressive temperament in depressive cases with childhood trauma.
本研究旨在调查在伴有和不伴有童年创伤的重度抑郁症病例中，情感气质与心理弹性之间的关系是否存在差异。
为此，对100例根据《精神疾病诊断与统计手册》第四版（DSM-IV）诊断为重度抑郁症（MDD）的病例，在其定期门诊随访访谈中进行了连续评估。采用SCID-I进行诊断访谈，用TEMPS-A（孟菲斯、比萨、巴黎和圣地亚哥气质评估-自填问卷）气质问卷评估情感气质，用成人心理弹性量表（RSA）土耳其版评估心理弹性。童年创伤（CT）的存在通过早期创伤问卷来确定。
在无童年创伤的MDD病例中，心理弹性与轻躁狂气质之间存在相关性，而在有童年创伤的病例中，心理弹性与抑郁气质之间存在相关性。在有童年创伤的病例中，抑郁气质与心理弹性之间的关系在心理弹性的自我认知、家庭凝聚力和社会资源维度中有所体现。
在伴有和不伴有童年创伤的抑郁症病例中，气质与心理弹性之间的关系似乎有所不同。根据我们的结果，在无童年创伤的抑郁病例中，心理弹性与轻躁狂气质相关，而在有童年创伤的抑郁病例中，心理弹性与抑郁气质相关。
