Validating affective temperaments in their subaffective and socially positive attributes: psychometric, clinical and familial data from a French national study
| Autor: | E.G. Hantouche, J.-M. Azorin, Marc Bourgeois, Hagop S. Akiskal, Daniel Sechter, Jean-François Allilaire, Giulio Perugi, L. Chatenet-Duchene, Sylvie Lancrenon, K.K. Akiskal, Jean-Philippe Fraud |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Cross-Cultural Comparison Male medicine.medical_specialty Hyperthymic temperament Bipolar Disorder Personality Inventory Psychometrics media_common.quotation_subject Personality Assessment medicine Humans Affective Symptoms Bipolar disorder Social Behavior Temperament Psychiatry Major depressive episode Language media_common Depressive Disorder Major Reproducibility of Results Construct validity medicine.disease Cyclothymic Disorder Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Clinical Psychology Phenotype Mood disorders Feasibility Studies Major depressive disorder Female France medicine.symptom Psychology |
| Zdroj: | Journal of Affective Disorders. 85:29-36 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2003.12.009 |
| Popis: | Background: One of the major objectives of the French National EPIDEP Study was to show the feasibility of systematic assessment of bipolar II (BP-II) disorder and beyond. In this report we focus on the utility of the affective temperament scales (ATS) in delineating this spectrum in its clinical as well as socially desirable expressions. Methods: Forty-two psychiatrists working in 15 sites in four regions of France made semi-structured diagnoses based on DSM IV criteria in a sample of 452 consecutive major depressive episode (MDE) patients (from which bipolar I had been removed). At least 1 month after entry into the study (when the acute depressive phase had abated), they assessed affective temperaments by using a French version of the precursor of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego (TEMPS). Principal component analyses (PCA) were conducted on hyperthymic (HYP-T), depressive (DEP-T) and cyclothymic (CYC-T) temperament subscales as assessed by clinicians, and on a self-rated cyclothymic temperament (CYC-TSR). Scores on each of the temperament subscales were compared in unipolar (UP) major depressive disorder versus BP-II patients, and in the entire sample subdivided on the basis of family history of bipolarity. Results: PCAs showed the presence of a global major factor for each clinician-rated subscale with respective eigenvalues of the correlation matrices as follows: 7.1 for HYP-T, 6.0 for DEP-T, and 4.7 for CYC-T. Likewise, on the self-rated CYC-TSR, the PCA revealed one global factor (with an eigenvalue of 6.6). Each of these factors represented a melange of both affect-laden and adaptive traits. The scores obtained on clinician and self-ratings of CYC-T were highly correlated (r=0.71). The scores of HYP-T and CYC-T were significantly higher in the BP-II group, and DEP-T in the UP group (P |
| Databáze: | OpenAIRE |
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