Aktuelle Rheumatologie 2015; 40(01): 58-61
DOI: 10.1055/s-0034-1384573
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Assessment of Temperament and Character of Rheumatoid Arthritis Patients

Bewertung von Temperament und Charakter Eigenschaften von Patienten mit rheumatoider Arthritis
F. Gökmen
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
K. Altınbaş
2   Department of Psychiatry, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
A. Akbal
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
M. Çelik
3   Department of Psychiatry, Adıyaman University Faculty of Medicine, Medical School, Adıyaman, Turkey
,
H. Reşorlu
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
E. Gökmen
4   Department of Internal Medicine, Canakkale State Hospital, Canakkale, Turkey
,
Y. Savaş
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
B. S. Budak
5   Department of Physical Medicine and Rehabilitation, Korkuteli State Hospital, Antalya, Turkey
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
12. Januar 2015 (online)

Abstract

Objective: It is widely known that perception of disease affects clinical course and treatment response in patients with rheumatoid arthritis (RA). In this study we aim to define temperament and character properties of RA patients and to discuss the relation between these specific temperament and character properties and clinic variables.

Methods: Study involved 93 RA patients. Temperament and character properties of patients were evaluated using Temperament and Character Inventory. Associations of clinical variables and specific temperament characteristics were evaluated using correlation and association analyses. Approval was obtained from institutional ethical commitee.

Results: 74 (79.6%) of study subjects were females and 19 (20.4%) were males. Mean age of the patients was 53.3±11.5 years. There wasn’t any difference between sociodemographic and clinical variables and temperament scores of patients according to gender (p>0.05). Comparison of temperament features and clinical variables showed that there was a weak correlation between harm avoidance and Anticitrullinated Peptide Antibodies (p=0.04, r=0.22) and between reward dependance and Disease Activity Score (DAS 28). Regression analysis showed an association between reward dependance and DAS-28.

Conclusion: Our findings indicated that there is an association between harm avoidance and reward dependance temperament properties of RA patients and disease activation, and disease course is more severe in patients who have high scores in these temperament dimensions. Therefore, adding assessment of temperament and character properties will help clinicians while evaluating treatment compliance and motivation of patients at initial and later stages of disease.

Zusammenfassung

Ziel: Es ist bekannt, dass die Krankheitswahrnehmung von Patienten mit rheumatoider Arthritis (RA) deren klinischen Verlauf und das Ansprechen auf Therapien beeinflusst. Ziel dieser Studie war die Bestimmung von Temperament und Charaktereigenschaften von RA Patienten und die Diskussion über deren Beziehung zu klinischen Parametern.

Methoden: Die Studie inkludierte 93 RA Patienten. Temperament und Charaktereigenschaften wurden anhand des Temperament-und-Charakter-Inventars bewertet. Assoziationen zwischen klinischen Variablen und spezifischen Charaktereigenschaften wurden mittels Korrelations- und Assoziationsanalysen evaluiert. Die Zustimmung der zuständigen Ethikkommission wurde eingeholt.

Ergebnisse: Von den Studienteilnehmern waren 74 (79,6%) Frauen und 19 (20,4%) Männer. Das mittlere Alter lag bei 53,3±11,5 Jahren. Es bestand kein Unterschied zwischen soziodemografischen und klinischen Variablen und Temperament Punktwerten der Geschlechtergruppen (p>0,05). Der Vergleich von Temperamentmerkmalen und klinischen Variablen ergab eine schwache Korrelation zwischen „Schadensvermeidung“ und Anticitrullinierten Peptid Anti­körpern (p=0,04, r=0,22) und zwischen „Beloh­nungsabhängigkeit“ und dem Krankheitsaktivitätsscore (DAS 28). Die Regressionsanalyse zeigte eine Assoziation zwischen „Belohnungsabhängigkeit“ und DAS-28.

Schlussfolgerung: Unsere Ergebnisse legen nahe, dass es bei RA Patienten eine Assoziation zwischen den Charaktereigenschaften „Schadensvermeidung“ und „Belohnungsabhängigkeit“ und der Krankheitsaktivität gibt. Der Krankheitsverlauf ist bei Patienten mit höheren Punktwerten in diesen Charaktereigenschaften schwerer. Daher kann die zusätzliche Beurteilung von Temperament und Charaktereigenschaften Klinikern bei der Einschätzung von Compliance und Behandlungsmotivation zu Beginn und im Krankheitsverlauf der RA helfen.

 
  • References

  • 1 Gümüşdiş G. Bağ Dokusu Hastalıkları: Romatoid Artrit. Gümüşdiş G, Doğanavşargil E. (ed.) Klinik Romatoloji, Deniz Matbaası. İstanbul: 1999: 269-279
  • 2 Birtane M, hakgüder A, Eryavuz M et al. Akut Romatoid Artritli Kadınlarda fonksiyonel özürlülük indeksleri ile hastalık aktivite belirteçlerinin korelasyonu. Romatizma 2001; 16: 125-130
  • 3 Taştekin N, Uzunca K, Birtane M et al. Romatoid artritli hastalarda el eklemlerindeki hareket açıklığı ve el kavrama kuvvetlerinin hastalık aktivasyonu, el fonksiyonları ve özürlülük ile ilişkisi. Romatizma 2006; 21: 13-17
  • 4 Ataoğlu S, Özçetin A, Ataoğlu A et al. Fibromyaljili ve romatoid artritli hastalarda ağrı şiddeti ile anksiyete ve depresyon ilişkisi. Anadolu Psikiyatri Dergisi 2002; 3: 223-226
  • 5 Altındağ Ö, Altındağ A, Soran N et al. Romatoid Artrit ve Osteoartrit Hastalarında Yetiyitimi ve Depresyon. Klinik Psikofarmakoloji Bülteni 2007; 17: 24-29
  • 6 Whalley D, McKenna SP, de Jong Z et al. Quality of life in rheumatoid arthritis. Br J Rheumatol 1997; 36: 884-888
  • 7 Von Zerssen D, Akiskal HS. Personality factors in affective disorders: historical developments and current issues with special reference to the concepts of temperament and character. J Affect Disord 1998; 51: 1-5
  • 8 Cloninger C, Svrakic DM, Pryzbeck TR. A Psychobiological model of Temperament and Character. Arch Gen Psychiatry 1993; 50: 975-990
  • 9 Santos Dde M, Lage LV, Jabur EK et al. The association of major depressive episode and personality traits in patients with fibromyalgia. Clinics (Sao Paulo) 2011; 66: 973-978
  • 10 Kurt E, Karacan İ, Ozaras N et al. Affective Temperament In Stroke Patients. Acta Neuropsychiatrica 2008; 20: 295-299
  • 11 Boz C, Velioglu S, Ozmenoglu M et al. Temperament and character profiles of patients with tension-type headache and migraine. Psychiatry Clin Neurosci 2004; 58: 536-543
  • 12 Sánchez-Román S, Téllez-Zenteno JF, Zermeño-Phols F et al. Personality in patients with migraine evaluated with the “Temperament and Character Inventory”. J Headache Pain 2007; 8: 94-104
  • 13 Cloninger CR, Przybeck TR, Svrakic DM et al. The Temperament and Character Inventory (TCI): a quide to its development and use. Washington University, St. Louis: Center for Psychobiology of Personality 1994;
  • 14 Averbuch M, Katzper M. Assesment of visual analog versus categorical pain for measurement of osteoarthritis pain. J Clin Pharmacol 2004; 44: 368-372
  • 15 Aletaha D, Ward MM, Machold KP et al. Remission and active disease in rheumatoid arthritis. Defining criteria for disease activity states. Arthritis Rheum 2005; 52: 2625-2636
  • 16 Küçükdeveci A, Şahin H, Ataman Ş et al. Issue in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis & Rheum 2004; 51: 14-19
  • 17 Kose S, Sayar K, Ak İveark. Mizac ve Karakter Envanteri (Türkçe TCI): Geçerlilik, güvenirlilik ve faktor yapısı. Klinik Psikofarmakoloji ­Bülteni. 2004; 14: 107-131
  • 18 Kose S. A psychobiological model of Temperament and Character: TCI. Yeni Symposium 2003; 41: 86-97
  • 19 Sadock BJ, Sadock V. Kaplan& Sadock’s Comprehensive Textbook of Psychiatry. Baltimore: Lippincott Williams & Wilkins; 2004
  • 20 Peirson AR, Heuchert JW, Thomala L et al. Relationship between serotonin and the temperament and character inventory. Psychiatry Res 1999; 89: 29-37
  • 21 Altunoren Ö, Orhan F.Ö, Nacitarhan V et al. Evaluation of Depression, Temperament and Character Profiles in Female Patients with Fibromyalgia Syndrome. Archives of Neuropsychiatry 2011; 48: 31-38
  • 22 Leistad RB, Nilsen KB, Stovner LJ et al. Similarities in stress physiology among patients with chronic pain and headache disorders: evidence for a common pathophysiological mechanism?. J Headache Pain 2008; 9: 165-175
  • 23 Boz E, Gazioglu S, Altunayoglu V et al. Effect of serotoninergic antidepressant therapy on temperament and character scales in patients with chronic tension-type headache. Psychiatry Clin Neurosci 2007; 61: 534-542
  • 24 Borkowska A, Pulkowska J, Pulkowski G et al. Association of temperament, character and depressive symptoms with clinical features of the ischaemic heart disease. Wiad Lek 2007; 60: 209-214
  • 25 Van Campen E, Van Den Eede F, Moorkens G et al. Use of the Temperament and Character inventory (TCI) for assessment of personality in chronic fatigue syndrome. Psychosomatics 2009; 50: 147-154
  • 26 Kilic A, Gulec MY, Gul U et al. Temperament and character profile of patients with psoriasis. Journal of the European Academy of Dermatology Venereology 2008; 22: 537-542
  • 27 Guler O, Emul M, Ozbulut O et al. A temperament and character profile in patients with psoriasis, vitiligo and neurodermatitis. Archives of Neuropsychiatry 2007; 44: 139-144
  • 28 Ak M, Haciomeroglu B, Turan Y et al. Temperament and character properties of male psoriasis patients. J Health Psychol 2012; 17: 774-781
  • 29 Malmgren-Olsson EB, Bergdahl J. Temperament and character personality dimensions in patients with nonspecific musculoskeletal disorders. Clin J Pain 2006; 22: 625-631
  • 30 Conrad R, Schilling G, Bausch C et al. Temperament and character personality profiles and personality disorders in chronic pain patients. Pain 2007; 133: 197-209