Temperament and character in patients with bipolar II disorder and recurrent brief depression

Autor: Ulrik Fredrik Malt, Erik Falkum, Erlend Bøen, H. Lövdahl, T. Hynnekleiv
Rok vydání: 2009
Předmět:
Zdroj: Comprehensive Psychiatry, Vol 51, Iss 6, Pp 607-617 (2010)
ISSN: 1532-8384
Popis: Objectives We compared the temperament and character profiles of 21 patients with bipolar II disorder, 40 patients with recurrent brief depression (RBD; at least monthly depressive episodes meeting the diagnostic criteria for major depressive episode except for duration that is less than 2 weeks, typically 2-3 days, without fixed relation to menstrual cycle) of which 21 had no history of hypomania and 19 had experienced hypomanic episodes, and 21 age- and sex-matched controls. Methods Assessments included the Montgomery-Asberg Depression Rating Scale, Hypomania Checklist, and Temperament and Character Inventory–125. Patients with cluster A and B personality disorders were excluded. Results Bipolar II and RBD patients had higher harm avoidance (HA) and lower self-directedness (SD) compared with controls. Excluding panic disorder comorbidity effaced this difference in HA and SD (bipolar II only) and harm avoidance. No other differences were found. Conclusions In this first study comparing personality profiles of patients with bipolar II vs RBD, when controlling for confounders, neither bipolar II nor RBD patients differed significantly from healthy controls. The lower SD scores among RBD patients may reflect sampling bias (a higher rate of Axis 2 cluster C disorders).
Databáze: OpenAIRE