Dembińska-Krajewska Daria, Rybakowski Janusz
Psychiatr Pol. 2014 Mar-Apr;48(2):261-76.
The aim of the paper is to describe the Temperament Evaluation of Memphis, Pisa and San Diego Autoquestionnaire (TEMPS-A) constructed by prominent researchers of affective disorders, under the direction of Hagop Akiskal, and functioning in full version since 2005. The article refers to the definitions of temperament, including the concept of affective temperament, related to the area of emotionality and conceptualized as the endophenotype of affective disorders. Based on clinical observations, initially four types of temperament had been delineated: hiperthymic, depressed, irritable and cyclothymic, and, subsequently, the anxious temperament was added. Full version of the scale contains 110 items for the five types of temperament, which were discussed in detail. The TEMPS-A has been translated into 32 languages and its verification was performed in many countries, including Poland. The scale has been widely used in epidemiological and clinical studies in general population, in patients with affective disorders, and in other diseases. In affective disorders, different types of temperament show, among others, a relationship to the type and symptomatology of bipolar disorder as well as to a predisposition to suicidal behavior. In Poznań centre, an association between several dimensions of temperament of the TEMPS-A, and prophylacic efficacy of lithium has been shown. Different types of temperament also play a role in other mental disorders and somatic diseases. In the final section of the article, the studies performed so far on the molecular-genetic determinants of temperament dimensions, measured by the TEMPS-A are presented.
本文旨在描述由情感障碍领域的杰出研究人员在哈戈普·阿基斯卡尔的指导下构建的孟菲斯、比萨和圣地亚哥自动问卷气质评估量表(TEMPS-A),该量表自2005年起以完整版形式投入使用。文章提及了气质的定义,包括情感气质的概念,情感气质与情绪领域相关,并被概念化为情感障碍的内表型。基于临床观察,最初划定了四种气质类型:轻躁狂型、抑郁型、易怒型和环性心境障碍型,随后又增加了焦虑型气质。该量表的完整版包含针对五种气质类型的110个条目,并对其进行了详细讨论。TEMPS-A已被翻译成32种语言,并在包括波兰在内的许多国家进行了验证。该量表已广泛应用于普通人群、情感障碍患者及其他疾病的流行病学和临床研究中。在情感障碍中,不同类型的气质尤其与双相情感障碍的类型和症状学以及自杀行为的易感性有关。在波兹南中心,已表明TEMPS-A气质的几个维度与锂的预防效果之间存在关联。不同类型的气质在其他精神障碍和躯体疾病中也发挥着作用。在文章的最后部分,展示了迄今为止对通过TEMPS-A测量的气质维度的分子遗传决定因素所进行的研究。