Jon E Grant, Stephanie Valle, Ibrahim Aslan, Eve K Chesivoir, Samuel R Chamberlain
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引用次数: 0
摘要
背景:搔痒症(TTM)和皮肤搔痒症(SPD)给社会心理造成了巨大的负担。然而,尽管存在这种负担,与这些障碍的发展相关的风险因素仍不清楚。本研究对TTM或SPD成人样本的气质进行了评估:共招募了 202 名 18 至 65 岁的成年人,其中 44 人患有 TTM,30 人患有 SPD,128 人作为对照组。参与者填写了自我报告三维人格问卷(TPQ),以检查TTM和SPD症状的严重程度、生活质量和气质。结果发现,与对照组相比,患有 TTM 和 SPD 的患者的生活质量更高:与对照组相比,TTM 或 SPD 患者在伤害回避及其分量表上的得分明显更高,其中 TTM 患者的得分高于 SPD 患者。TTM或SPD患者仅在一项寻求新奇的测量指标(奢侈)上得分明显较高。更高的TPQ伤害回避与更严重的拔毛和更差的生活质量相关:结论:TTM或SPD患者的气质特征与对照组有显著差异;TTM或SPD患者一般表现出相似的特征。对TTM或SPD患者的性格特征进行维度分析,可为治疗策略提供洞察力和线索。
Temperament in trichotillomania and skin picking disorder.
Background: Trichotillomania (TTM) and skin picking disorder (SPD) result in significant psychosocial burden. Despite this burden, however, risk factors related to the development of these disorders remain unclear. The present study assessed temperament in a well-characterized sample of adults with TTM or SPD.
Methods: A total of 202 adults age 18 to 65 were enrolled; 44 had TTM, 30 had SPD, and 128 served as controls. Participants completed the self-report Tridimensional Personality Questionnaire (TPQ) to examine the severity of TTM and SPD symptoms, quality of life, and temperament. Group differences were characterized and correlations with other measures were examined.
Results: Compared to controls, those with TTM or SPD scored significantly higher on harm avoidance and its subscales, with TTM associated with higher scores than SPD. Those with TTM or SPD scored significantly higher on only 1 measure of novelty seeking (extravagance). Higher TPQ harm avoidance correlated with worse hair pulling severity and worse quality of life.
Conclusions: The temperament traits of participants with TTM or SPD differed in significant ways from controls; those with TTM or SPD generally demonstrated similar trait profiles. A dimensional approach to the personalities of those with TTM or SPD may offer insight and provide clues to treatment strategies.
期刊介绍:
The ANNALS publishes up-to-date information regarding the diagnosis and /or treatment of persons with mental disorders. Preferred manuscripts are those that report the results of controlled clinical trials, timely and thorough evidence-based reviews, letters to the editor, and case reports that present new appraisals of pertinent clinical topics.