Department of Neuroscience, AORN Santobono-Pausilipon, Naples, Italy; Department of Translational Medical Sciences, Federico II University, Naples, Italy.
Department of Psychology, University of Campania "Luigi Vanvitelli", Naples, Italy.
J Affect Disord. 2020 Jun 15;271:272-278. doi: 10.1016/j.jad.2020.03.155. Epub 2020 Apr 27.
Although a better understanding of the prodromes of affective disorders in youth has important clinical and research implications, empirical data are still unconclusive. Cyclothymic-hypersensitive temperament (CHT) has been linked to both depression and bipolarity, as well as to suicidality. Its conceptualization is still debated, as well as a comprehensive, psychometrically sound way of assessment.
factor structure, reliability, measurement invariance, convergent and divergent validity of the previously published CHT questionnaire (a youth version derived from Temperament Evaluation in Memphis Pisa and San Diego (TEMPS) was assessed in a school-based sample of 2959 students aged from 10 to 14 years (mean age = 11.8 ± 0.97 years). Furthermore, accuracy, sensitivity and specificity were calculated for a new cut-off score related to the presence of general psychopathology symptoms.
CHT is better conceptualized in a two-correlated factors model, a moodiness/hypersensitiveness factor, more associated with internalizing symptoms, and an impulsiveness/emotional dysregulation factor, more associated with externalizing symptoms. The revised 22-items version of the CHT questionnaire with a cut-off score of 15 for females and 17 for males results accurate, sensitive and specific enough for the recognition of cyclothymic adolescents with clinical symptoms.
the cross sectional design and the self-report nature of the measures limit the findings.
Cyclothymic-hypersensitive temperament is a relevant concept in the realm of affective disorder and can be reliably assessed in youths. It may describe youths with the coexistence of both internalizing and externalizing symptoms that can be difficult to diagnose with a DSM perspective.
尽管更好地了解青年情感障碍的前驱症状具有重要的临床和研究意义，但实证数据仍不确定。环性敏感气质（CHT）与抑郁和双相情感障碍以及自杀倾向有关。其概念化仍存在争议，以及一种全面、心理测量可靠的评估方法。
在一个基于学校的 2959 名年龄在 10 至 14 岁之间的学生样本中（平均年龄为 11.8±0.97 岁），评估了先前发表的 CHT 问卷（从 Memphis Pisa 和 San Diego 的 TEMPS 衍生的青年版）的因子结构、信度、测量不变性、聚合和发散效度。此外，还计算了与一般精神病理学症状存在相关的新截断分数的准确性、敏感性和特异性。
CHT 在两个相关因素模型中得到了更好的概念化，一个是情绪不稳定/敏感因素，与内化症状更相关，另一个是冲动/情绪失调因素，与外化症状更相关。女性的 CHT 问卷修订版有 22 个项目，分数为 15，男性的分数为 17，分数为 15，结果足够准确、敏感和特异，可识别具有临床症状的环性青少年。
横断面设计和测量的自我报告性质限制了研究结果。
环性敏感气质是情感障碍领域的一个相关概念，可以在年轻人中可靠地评估。它可能描述了既有内化症状又有外化症状的年轻人，这可能难以用 DSM 视角来诊断。
