Evaluation of the temperament and character properties of patients with ankylosing spondylitis

Gökmen, Ferhat; Altınbaş, Kürşat; Akbal, Ayla; Celik, Mustafa; Savaş, Yılmaz; Gökmen, Esra; Reşorlu, Hatice; Karaca, Adem

doi:10.1007/s00393-013-1336-1

Cited by 6 publications

(16 citation statements)

References 17 publications

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“…Depression and anxiety may be subtypes of temperament or may develop as comorbidities of AS disease. In recent years, the relationship between chronic auto-inflammatory and auto-immune diseases and the temperament of patients has attracted the attention of researchers9,10,11,12 ) . The psychiatric status of the patient can affect the disease process, prognosis and even treatment results13 ) .…”

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confidence: 99%

Affective temperament profile in ankylosing spondylitis patients using TEMPS-A

et al. 2017

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[Purpose] This study aimed to compare the most common dominant affective temperaments in Ankylosing Spondylitis patients and investigate the relationship between the dominant affective temperaments and pain levels, disease activity, quality of life, current depression, and anxiety level in Ankylosing Spondylitis patients. [Subjects and Methods] Fifty-one patients diagnosed with axial spondiloartropathy and forty-two age- and gender-matched control subjects were included in this study. Disease duration, erythrocyte sedimentation rate, serum C-reactive protein, pain by the Visual Analog Scale, disease activity by the Bath Ankylosing Spondylitis Disease Activity Index, functional status by the Bath Ankylosing Spondylitis Functional Index; psychological status by the Beck Depression Inventory, Beck Anxiety Inventory and overall health assessment by the Ankylosing Spondylitis Quality of Life Scale were assessed in patients. The Turkish version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto Questionnaire was used to determine the dominant affective temperament. [Results] There was no statistical difference in the distribution of temperament subtypes between patients with Ankylosing Spondylitis and the controls. Depressive, anxious, and cyclothymic temperament scores were higher in patients with high values on the Bath Ankylosing Spondylitis Functional Index and Visual Analog Scale. There was a correlation between anxious subtypes of affective temperament scores and the value of Ankylosing Spondylitis Quality of Life Scale. Correlation analysis also found depressive, cyclothymic, irritable, and anxious temperament and psychiatric symptoms to be significantly related. [Conclusion] Affective temperament may contribute to symptoms of depression and anxiety in patients with Ankylosing Spondylitis and may increase disease activity and may reduce their quality of life.

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Section: Introductionmentioning

confidence: 99%

Affective temperament profile in ankylosing spondylitis patients using TEMPS-A

et al. 2017

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“…20,29 The negative correlation between reward dependency and pain in patients with AS suggests that lower-reward-dependent people are more prone to pain perception. 30 Another differentiating factor between AS and MD seemed to be increased novelty seeking among patients with MD. High novelty seeking is biologically associated with low basal dopaminergic activity, which might be associated with the anhedonia seen in MD.…”

Section: Discussionmentioning

confidence: 99%

Temperament and Character Profiles of Ankylosing Spondylitis Patients Compared With Major Depression Patients and Healthy Controls

et al. 2020

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Background/Objective: Depressive disorder is common in patients with ankylosing spondylitis (AS), who exhibit specific brain imaging abnormalities resembling those in major depression (MD). We compared temperament and character profiles between patients with AS and MD. Methods:The study involved 36 patients with AS, 40 with MD, and 36 healthy controls (HCs). The participants were age-, sex-, and educationmatched. Depression, anxiety, temperament, and character were evaluated using the Temperament and Character Inventory and physician-rated Hamilton Depression and Anxiety Scales. Disease severity was assessed using the Bath Ankylosing Spondylitis Disease Activity, Radiology, Metrology, and Functionality Indexes; erythrocyte sedimentation rate; and C-reactive protein.Results: Depression and anxiety scores were highest in MD, lowest in HCs, and intermediate in AS (p < 0.001). Harm avoidance was significantly higher in MD and AS than HCs (p = 0.01). Reward dependency was lower (p = 0.011) and self-transcendence higher in AS only (p = 0.034). Bath Ankylosing Spondylitis Radiology Index was negatively correlated with depression (p = 0.020). Bath Ankylosing Spondylitis Radiology Index and Bath Ankylosing Spondylitis Metrology Index were negatively correlated with harm avoidance (p < 0.05). Disease duration was negatively correlated with self-transcendence (p = 0.027). Harm avoidance was correlated with depression score (p = 0.029). Patients under tumor necrosis factor α inhibitor treatment had lower cooperativeness score (p = 0.022). Conclusions:Patients with AS had a specific Temperament and Character Inventory pattern. Harm avoidance was common in both AS and MD. In AS, harm avoidance and depression decreased in patients with progression, probably because progressive fusion of the spinal segments causes decrease in pain. Harm avoidance (fear of pain) seemed to be an acting factor for occurrence of depressive symptoms in AS.

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“…Personality and temperament characteristics are also among the factors affecting pain, 19 and the relationship between chronic pain diseases and the personality and temperament of patients has attracted attention in recent years. [20][21][22] According to the biopsychosocial theory, Cloninger 23 defined personality in 2 different dimensions: temperament and character. According to this theory, temperament reflects a biological and hereditary basic structure; the human character is formed due to the interaction of the individual's attitudes and the environment.…”

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confidence: 99%

“…23,27,28 The relationship between somatic diseases causing chronic pain and the temperament of patients was also investigated, and similar results were obtained. [20][21][22] Understanding personality traits may play a critical role in understanding and treating chronic pain, as these traits may play a role in the development of and adaptation to chronic pain. 29 In our literature review, we did not find a controlled study on temperament evaluation in patients with CPP.…”

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confidence: 99%

“…Crucially, factors such as emotional issues, coping and behavioral strategies, interpretations, and beliefs about pain influence the intensity and tolerability of pain. Personality and temperament characteristics are also among the factors affecting pain, 19 and the relationship between chronic pain diseases and the personality and temperament of patients has attracted attention in recent years 20–22 …”

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The Effect of Affective Temperament, Pain Catastrophizing, and Anxiety Sensitivity on Pain Severity in Patients With Chronic Pelvic Pain: A Pilot Study

Kayacik Günday,

Harmanci,

Şenol

2023

Journal of Psychiatric Practice

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Objective: The goals of this study were to investigate whether there was a dominant temperament type, and to assess the effect of temperament, pain catastrophizing, and anxiety sensitivity on pain severity, in female patients diagnosed with chronic pelvic pain (CPP) compared with healthy controls. Methods: This cross-sectional study involved 51 patients 18 to 65 years of age who were diagnosed with CPP without a history of psychiatric treatment and 97 healthy volunteer women with sociodemographic characteristics similar to those of the study group. A sociodemographic form prepared by the researchers, the Anxiety Sensitivity Index, the Pain Catastrophizing Scale, a temperament scale (Temperament Evaluation of Memphis, Pisa, Paris, and San Diego–Autoquestionnaire), and a visual analog pain scale (VAS) were completed. The results were compared between the patient and control groups. Multiple regression analyses were performed to examine the predictive effects of temperament characteristics, pain catastrophizing, and anxiety sensitivity on pain severity. Results: Scores on the Pain Catastrophizing Scale and the VAS were statistically significantly higher in the CPP group (P<0.001). The frequency of depressive, cyclothymic, and irritable temperaments was found to be significantly higher in the CPP group (CPP: 7.78±3.32 vs. controls: 6.54±3.19; P=0.027; CPP:10.61±4.41 vs. controls: 8.82±4.21; P=0.017; CPP: 5.22±4.29 vs. controls: 3.75±3.41; P=0.025). According to the model established by temperament traits, anxiety sensitivity, and pain catastrophizing level, pain catastrophizing level explained 11.6% of the variance in pain severity. A 1-unit change in the score for pain catastrophizing level caused a 0.278-point change in the VAS total score (P<0.01). Conclusions: Cyclothymic, depressive, and irritable temperament types that increase the risk of affective disease are more common in patients with CPP. The level of pain catastrophizing in patients with CPP affects their perception of the severity of the pain.

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Evaluation of the temperament and character properties of patients with ankylosing spondylitis

Cited by 6 publications

References 17 publications

Affective temperament profile in ankylosing spondylitis patients using TEMPS-A

Affective temperament profile in ankylosing spondylitis patients using TEMPS-A

Temperament and Character Profiles of Ankylosing Spondylitis Patients Compared With Major Depression Patients and Healthy Controls

The Effect of Affective Temperament, Pain Catastrophizing, and Anxiety Sensitivity on Pain Severity in Patients With Chronic Pelvic Pain: A Pilot Study

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