Temperament and character dimensions explain self-reported resilience deficits in patients with affective disorders.

IF 2.1 3区 医学 Q3 PHARMACOLOGY & PHARMACY
Evdoxia Tsigkaropoulou, Ioannis Michopoulos, Evgenia Porichi, Konstantinos Dafnas, Alessandro Serretti, Panagiotis Ferentinos
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Abstract

This is the first study exploring how temperament and character personality dimensions impact self-reported resilience in major depressive disorder (MDD) and bipolar disorder (BD). We included 130 euthymic patients with affective disorders (AFD; 66 MDD and 64 BD) and 134 healthy controls (HC). Connor and Davidson resilience scale and Temperament and Character Inventory (TCI-140) were administered. Multiple linear regressions and interaction analyses were performed. Mediation analyses examined if personality dimensions explained group differences in resilience. Resilience was lower in MDD and BD vs. HC and in MDD vs. BD, adjusting for sex, age and education. Higher resilience was predicted by lower harm avoidance (HA) and higher persistence (P) in AFD and MDD, lower HA in BD and higher P and self-directedness (SD) in HC. However, only HA and P had a group-specific effect on resilience in AFD vs. HC. In mediation analyses, specific TCI dimensions at least partially explained differences in resilience: HA, P and SD in AFD or MDD vs. HC; SD in BD vs. HC; P in BD vs. MDD. Concludingly, two temperament traits (HA, P) and a character trait (SD) predict resilience in AFD. Focusing on personality could identify sources of compromised resilience as potential treatment targets.

气质和性格维度可解释情感障碍患者自我报告的复原力缺陷。
这是第一项探索气质和性格人格维度如何影响重度抑郁障碍(MDD)和双相情感障碍(BD)患者自我报告复原力的研究。我们纳入了 130 名情绪低落的情感障碍(AFD;66 名 MDD 和 64 名 BD)患者和 134 名健康对照组(HC)。采用 Connor 和 Davidson 复原力量表以及气质和性格量表 (TCI-140)。进行了多元线性回归和交互分析。中介分析检验了人格维度是否能解释复原力的群体差异。在对性别、年龄和教育程度进行调整后,MDD 和 BD 相对于 HC 以及 MDD 相对于 BD 的复原力更低。在AFD和MDD中,较低的伤害回避(HA)和较高的持久性(P),在BD中较低的伤害回避,在HC中较高的持久性和自我导向性(SD),都预示着较高的复原力。然而,只有HA和P对AFD与HC的复原力有组间特异性影响。在中介分析中,特定的 TCI 维度至少部分解释了复原力的差异:AFD或MDD与HC的HA、P和SD;BD与HC的SD;BD与MDD的P。总之,两种气质特征(HA、P)和一种性格特征(SD)可以预测抗逆境能力。关注性格特征可以找出复原力受损的根源,并将其作为潜在的治疗目标。
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来源期刊
CiteScore
4.40
自引率
23.10%
发文量
97
审稿时长
>12 weeks
期刊介绍: International Clinical Psychopharmacology provides an essential link between research and clinical practice throughout psychopharmacology. It reports on studies in human subjects, both healthy volunteers and patients, which relate the effects of drugs on psychological processes. A major objective of the journal is to publish fully refereed papers which throw light on the ways in which the study of psychotropic drugs can increase our understanding of psychopharmacology. To this end the journal publishes results of early Phase I and II studies, as well as those of controlled clinical trials of psychotropic drugs in Phase II and IV. Other topics covered include the epidemiology of psychotropic drug prescribing and drug taking, the sociology of psychotropic drugs including compliance, and research into the safety and adverse effects of these compounds.
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