Sarisoy Gökhan, Kaçar Ö Mer Faruk, Öztürk Arif, Yilman Tuba, Mor Sema, Özturan Deniz Deniz, Yazici Neslihan, Gümüş Kübra
Department of Psychiatry, Medical Faculty, Ondokuz Mayis University, Samsun, Turkey,
Psychiatr Danub. 2015 Dec;27(4):390-6.
The purpose of this study was to investigate temperament and character traits in patients with conversion disorder and the relation of these traits with dissociative symptoms.
Sixty patients (60) diagnosed with conversion disorder according to DSM-IV-TR and 60 healthy volunteers were included in the study. All participants' temperament and character traits were determined using Cloninger's Temperament and Character Inventory (TCI). Patients with conversion disorder were divided into two subgroups using the Dissociative Experiences Scale (DES), dissociative (n=30, 50%) and non-dissociative (n=30, 50%). The two conversion disorder subgroups were compared with the control group in terms of temperament and character traits. Correlation analysis was also performed between TCI and DES scores in the entire conversion group.
Novelty seeking (NS) scores were lower in both the dissociative and non-dissociative groups compared to the control group. Harm avoidance (HA) scores were higher in the dissociative group than in the control group. Reward dependence (RD) scores were lower in the dissociative group than in the non-dissociative and control group. Self-directedness (SD) scores were lower in the dissociative group than in the control group. Self-transcendence (ST) scores were higher in the dissociative group than in the non-dissociative group. DES scores were negatively correlated with RD and SD scores in the entire conversion group and positively correlated with ST scores.
Low NS temperament traits may be associated with conversion disorder. High HA and low RD temperament traits and low SD and high ST character traits may be associated with pathological dissociation in patients with conversion disorder.
本研究旨在调查转换障碍患者的气质和性格特征，以及这些特征与分离症状之间的关系。
本研究纳入了60例根据《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）诊断为转换障碍的患者和60名健康志愿者。所有参与者的气质和性格特征均使用克隆宁格气质性格量表（TCI）进行测定。转换障碍患者使用分离体验量表（DES）分为两个亚组，分离性（n = 30，50%）和非分离性（n = 30，50%）。在气质和性格特征方面，将两个转换障碍亚组与对照组进行比较。还对整个转换组的TCI和DES得分进行了相关性分析。
与对照组相比，分离性和非分离性组的新奇寻求（NS）得分均较低。分离性组的回避伤害（HA）得分高于对照组。分离性组的奖赏依赖（RD）得分低于非分离性组和对照组。分离性组的自我导向（SD）得分低于对照组。分离性组的自我超越（ST）得分高于非分离性组。在整个转换组中，DES得分与RD和SD得分呈负相关，与ST得分呈正相关。
低NS气质特征可能与转换障碍有关。高HA和低RD气质特征以及低SD和高ST性格特征可能与转换障碍患者的病理性分离有关。
