情感气质的潜在特征预测情绪障碍患者的自杀意念

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-04-22 DOI:10.1016/j.jpsychires.2025.04.045

Myeongkeun Cho , C. Hyung Keun Park

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引用次数: 0

摘要

背景尽管有许多关于情感气质与自杀意念之间关系的研究，但情感气质可能产生的相互作用尚不清楚。目的探讨孟菲斯、比萨、巴黎和圣地亚哥气质评价量表（tempa）的代表性类型，并验证其与自杀意念的关系。方法分析年龄≥18岁、诊断为双相情感障碍I型、双相情感障碍II型或重度抑郁症的门诊患者。使用TEMPS-A评分进行潜在剖面分析，每个剖面以高于总样本的情感气质的样本均值命名。根据患者的TEMPS-A评分将患者分为亚组。通过协方差分析和事后分析验证tems - a量表与自杀意念的关系。结果7种类型的TEMPS-A型是最合适的。TEMPS-A量表对自杀意念水平有显著影响，而情绪障碍诊断对自杀意念及TEMPS-A量表与自杀意念之间的关系强度无显著影响。TEMPS-A型中，抑郁型；焦虑、循环胸腺和抑郁；胸腺紊乱和胸腺亢进；周期性、抑郁和易怒；焦虑、循环胸腺、亢奋和易怒与更严重的自杀意念有关。结论某些情感气质之间可能存在强烈的相互关系。显示自杀意念严重程度高的TEMPS-A档案至少满足以下两种条件中的一种：高度抑郁气质，以及高度循环性和高胸腺性气质。

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Latent profiles of affective temperaments predict suicidal ideation in patients with mood disorders

Background

Despite many studies on the relationship between affective temperaments and suicidal ideation, the possible interaction effects of affective temperaments are unknown.

Objectives

The present study aimed to find the representative types of Temperament Evaluation of Memphis, Pisa, Paris, and San Diego—Autoquestionnaire (TEMPS-A) profiles and verify their relationship with suicidal ideation.

Methods

We analyzed outpatients aged ≥18 years and diagnosed with bipolar I, bipolar II, or major depressive disorder. Latent profile analysis was conducted using TEMPS-A scores, and each profile was named after the sample means of the affective temperaments that were higher than those of the total sample. Patients were assigned into subgroups according to their TEMPS-A scores. Analysis of covariance and post-hoc analyses were conducted to verify the relationship between TEMPS-A profiles and suicidal ideation.

Results

Seven types of TEMPS-A profiles were deemed most appropriate. The TEMPS-A profiles had a significant effect on the level of suicidal ideation, whereas mood disorder diagnoses did not significantly affect suicidal ideation nor the strength of the relationship between TEMPS-A profiles and suicidal ideation. Among the TEMPS-A profiles, depressive profile; anxious, cyclothymic, and depressive profile; cyclothymic and hyperthymic profile; cyclothymic, depressive, and irritable profile; and anxious, cyclothymic, hyperthymic, and irritable profile were related to more severe suicidal ideation.

Conclusion

Certain affective temperaments may be strongly intercorrelated with one another. TEMPS-A profiles that showed high severity of suicidal ideation met at least one of two conditions: highly depressive temperament, and both highly cyclothymic and hyperthymic temperament.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;