본문 바로가기
KERD
논문KCI 등재

Comparison of Clinical Features and Personality Dimensions between Patients with Major Depressive Disorder and Normal Control

2

조회

0

다운로드

6

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective:Personality dimension is considered as a risk factor of depression. This study was to compare aggression, impulsivity, hopelessness, and TCI (temperament and character dimensions) between patients with major depressive disorder (MDD) and normal controls. Methods: A total of 56 MDD patients and the same number of normal controls who were matched for age, gender, and education were recruited. All subjects completed the following questionnaires; Aggression Questionnaire (AQ), Beck Hopelessness Scale (BHS), Barratt Impulsiveness Scale, 11th Version (BIS-11), and Temperament and Character Inventory (TCI). Results: MDD patients were significantly higher scores in anger, hostility of AQ, BHS, motor impulsivity of BIS-11, and Harm Avoidances (HA) of TCI with all subscales of HA than normal controls, whereas novelty seeking 1 (NS1) (Exploratory of NS), Reward Dependence (RD) with RD3 (Attachment) · RD4 (Dependence), Self-Directedness (SD) with most subscales of SD, Cooperativeness (CO), and ST3 (Spiritual Acceptance) showed lower scores than normal controls. Moreover, BHS and HA, BIS and NS showed moderate positive correlation in MDD patients, while BHS and SD, HA and SD were negatively correlated. Conclusion: The present study showed unique clinical features, especially personality dimensions of patients with MDD. Our results could be applicable to suggest treatment process and to predict one’s prognosis for depression in that psychological properties are important for drug compliance and treatment response.

Abstract

Objective:Personality dimension is considered as a risk factor of depression. This study was to compare aggression, impulsivity, hopelessness, and TCI (temperament and character dimensions) between patients with major depressive disorder (MDD) and normal controls. Methods: A total of 56 MDD patients and the same number of normal controls who were matched for age, gender, and education were recruited. All subjects completed the following questionnaires; Aggression Questionnaire (AQ), Beck Hopelessness Scale (BHS), Barratt Impulsiveness Scale, 11th Version (BIS-11), and Temperament and Character Inventory (TCI). Results: MDD patients were significantly higher scores in anger, hostility of AQ, BHS, motor impulsivity of BIS-11, and Harm Avoidances (HA) of TCI with all subscales of HA than normal controls, whereas novelty seeking 1 (NS1) (Exploratory of NS), Reward Dependence (RD) with RD3 (Attachment) · RD4 (Dependence), Self-Directedness (SD) with most subscales of SD, Cooperativeness (CO), and ST3 (Spiritual Acceptance) showed lower scores than normal controls. Moreover, BHS and HA, BIS and NS showed moderate positive correlation in MDD patients, while BHS and SD, HA and SD were negatively correlated. Conclusion: The present study showed unique clinical features, especially personality dimensions of patients with MDD. Our results could be applicable to suggest treatment process and to predict one’s prognosis for depression in that psychological properties are important for drug compliance and treatment response.

참고문헌 (33)

  1. Peselow ED, "Relationship between hypomania and personality disorders before and after successful treatment", Am J Psychiatry, 152, pp.232~238 (1995)
  2. Van Praag HM, "Depression, aggression, and anxiety: a biological hypothesis about their interrelation", Eur Neuropsychopharmacol, 2, pp.393~402 (1992)
  3. Fava M, "Anger attacks in unipolar depression, Part 1: clinical correlates and response to fluoxetine treatment", Am J Psychiatry, 150, pp.1158~1163 (1993)
  4. Lejoyeux M, "Impulse control disorders and depression", J Nerv Ment Dis, 190, pp.310~314 (2002)
  5. New AS, "Suicide, impulsive aggression, and HTR1B genotype", Biol Psychiatry, 50, pp.62~65 (2001)
  6. Abramson LY, "Hopelessness depression: a theory-based subtype of depression", Psychol Rev, 96, pp.358~372 (1989)
  7. Naito M, "Temperament and character inventory (TCI) as predictors of depression among Japanese college students", J Clin Psychol, 56, pp.1579~1585 (2000)
  8. Cloninger CR, "The temperament and character inventory (TCI): a guide to its development and use: center for psychobiology of personality" (1994), Washington University
  9. Hansenne M, "Temperament and character inventory (TCI) and depression", J Psychiatr Res, 33, pp.31~36 (1999)
  10. Peirson AR, "The relationship between personality and mood: comparison of the BDI and the TCI", Personality and Individual Differences, 30, pp.391~399 (2001)
  11. Kusunoki K, "Low novelty-seeking differentiates obsessive-compulsive disorder from major depression", Acta Psychiatr Scand, 101, pp.403~405 (2000)
  12. van Heeringen C, "Prefrontal 5-HT2a receptor binding index, hopelessness and personality characteristics in attempted suicide", J Affect Disord, 74, pp.149~158 (2003)
  13. Marijnissen G, "The temperament and character inventory in major depression", J Affect Disord, 70, pp.219~223 (2002)
  14. Loftus ST, "Temperament and character dimensions in bipolar I disorder: a comparison to healthy controls", J Psychiatr Res, 42, pp.1131~1136 (2008)
  15. "American Psychiatric Association. Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Press
  16. Hamilton M, "A rating scale for depression", J Neurol Neurosurg Psychiatry, 23, pp.56~62 (1960)
  17. Harris JA, "A further evaluation of the aggression questionnaire: issues of validity and reliability", Behav Res Ther, 35, pp.1047~1053 (1997)
  18. Beck AT, "The measurement of pessimism:the hopelessness Scale", J Consult Clin Psychol, 42, pp.861~865 (1974)
  19. Patton JH, "Factor structure of the Barratt impulsiveness scale", J Clin Psychol, 51, pp.768~774 (1995)
  20. Pasquini M, "Relevance of anger and irritability in outpatients with major depressive disorder", Psychopathology, 37, pp.155~160 (2004)
  21. Henkel V, "Cognitive-behavioural theories of helplessness", hopelessness: valid models of depression?, 2002, pp.252, 240~249
  22. Fava M, "Gender differences in hostility among depressed and medical outpatients", J Nerv Ment Dis, 183, pp.10~14 (1995)
  23. Biondi M, "Dimensional psychopathology of depression: detection of an ‘activation’ dimension in unipolar depressed outpatients", J Affect Disord, 84, pp.133~139 (2005)
  24. Arciero G, "Experience, explanation, and the quest for coherence" (2000), American Psychological Association
  25. Hirano S, "Evaluating the state dependency of the temperament and character inventory dimensions in patients with major depression: a methodological contribution", J Affect Disord, 69, pp.31~38 (2002)
  26. Svrakic DM, "Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues", Acta Psychiatr Scand, 106, pp.189~195 (2002)
  27. Kimura S, "Typus melancholicus and the temperament and character inventory personality dimensions in patients with major depression", Psychiatry Clin Neurosci, 54, pp.181~189 (2000)
  28. Brown SL, "The relationship of personality to mood and anxiety states: a dimensional approach", J Psychiatr Res, 26, pp.197~211 (1992)
  29. Chien AJ, "The tridimensional personality questionnaire in depression: state versus trait issues", J Psychiatr Res, 30, pp.21~27 (1996)
  30. Reed PG, "Self-transcendence and mental health in oldest-old adults", Nurs Res, 40, pp.5~11 (1991)
  31. Lorenzi C, "5-HT 1A polymorphism and self-transcendence in mood disorders", Am J Med Genet B Neuropsychiatr Genet, 137B, pp.33~35 (2005)
  32. Lesch KP, "5-HT1A receptor responsivity in unipolar depression. Evaluation of ipsapirone-induced ACTH and cortisol secretion in patients and controls", Biol Psychiatry, 28, pp.620~628 (1990)
  33. Sato T, "Depression and personality", Archives of Psychiatric Diagnostics and Clinical Evalu, 6, pp.399~428 (1995)

관련 논문AI추천

이 간행물의 다른 논문 (11건)