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https://doi.org/10.24869/psyd.2017.171

THE TEMPERAMENT AND CHARACTER TRAITS IN PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND BIPOLAR AFFECTIVE DISORDER WITH AND WITHOUT SUICIDE ATTEMPT

Anamarija Petek Erić ; Department of Psychiatry, University Hospital Centre Osijek, Osijek, Croatia; Department of Psychiatry and Psychological Medicine, Josip Juraj Strossmayer University of Osijek, Medical School Osijek, Osijek, Croatia
Ivan Erić ; Department of Surgery, University Hospital Centre Osijek, Medical School Osijek, Josip Juraj Strossmayer University Osijek, Osijek, Croatia
Mario Ćurković ; Department of Family Medicine, Josip Juraj Strossmayer Univeristy of Osijek, Medical School Osijek, Osijek, Croatia
Katarina Dodig-Ćurković ; Department of Psychiatry and Psychological Medicine, Josip Juraj Strossmayer University of Osijek, Medical School Osijek, Osijek, Croatia; Department of Child and Adolescent Psychiatry, University Hospital Centre Osijek, Osijek, Croatia
Kristina Kralik ; Department of Biophysics, Medical Statistics and Medical Informatics, Josip Juraj Strossmayer University of Osijek, Medical School Osijek, Osijek, Croatia
Vlatka Kovač ; Department of Child and Adolescent Psychiatry, University Hospital Centre Osijek, Osijek, Croatia
Pavo Filaković ; Department of Psychiatry and Psychological Medicine, Josip Juraj Strossmayer University of Osijek, Medical School Osijek, Osijek, Croatia

Sažetak

Background: Suicide and mood disorders (especially major depressive disorder (MDD) and bipolar affective disorder (BD))
represent a significant global health burden. Major depressive disorder and bipolar affective disorder have been associated with
increased risk for suicide. Some specific suicide risk factors might be found in underlying individual personality traits. Specific
personality features may predispose an individual to mood disorders (MDD or BD) hence increased suicide risk. The specificity of
this research is in the assessment of personality features during the acute phase of illness immediately after suicide attempt which
resulted in psychiatric inpatient treatment.
Subjects and methods: The study included 119 unrelated Caucasian participants with MDD-severe depressive episode without
psychotic symptoms (MDD) and BD-severe depressive episode without psychotic symptoms (BD-sDE). Both groups of patients with
MDD and BD-sDE were divided into the suicide attempters and non-suicidal group. The diagnoses of the severe depressive episode
without psychotic symptoms in major depressive disorder (MDD; F32.2) and bipolar disorder (BD-sDE; F31.4) were made
according to ICD-10 (WHO 1992) diagnostic criteria. Methods of suicide attempts were also assessed according to ICD-10 and a
self-report questionnaire, the Temperament and Character Inventory (TCI) was applied.
Results: The participants who exhibited suicide attempt had significantly higher scores on harm-avoidance (HA) (p<0.001),
significantly lower score on persistence (PS) (p=0.037) and lower score, however not statistically significant, on novelty-seeking
(NS) (p=0.319) regarding temperament dimensions. In character dimensions, the patients with suicidal attempt had significantly
lower scores on self-directedness (SD) (p<0.001) and significantly lower scores on cooperativeness (CO) (p=0.001).
Conclusion: Patients who had suicide attempt may have some significantly different personality traits than non-suicidal patients
with mood disorders. The combination of high harm-avoidance (HA) and low self-directedness (SD) may be specific for depressive
episode while the combination of high HA, novelty-seeking (NS), and self-transcendence (ST) with low SD may be related to suicide
attempts during the depressive episode in bipolar disorder. The novelty-seeking (NS), self-transcendence (ST) and self-directedness
(SD) may be specific for suicidal group of bipolar patients.

Ključne riječi

major depressive disorder; bipolar disorder; suicide attempt; temperament and character

Hrčak ID:

184752

URI

https://hrcak.srce.hr/184752

Datum izdavanja:

28.6.2017.

Posjeta: 2.186 *