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3 results

  • Temperament and Character Personality Dimensions in Patients with Bipolar Mood Disorder-i

  • M. Kazemian, M.R. Fayyazi Bordbar, A.A. Samari, M. Kashani Lotf Abadi, F. Farid Hoseini
  • Journal:
    European Psychiatry / Volume 30 / Issue S1 / March 2015
    Published online by Cambridge University Press:
    15 April 2020, p. 1
    • Article
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  • Objectives

    In the present study, Cloninger's dimensions of temperament and character have been investigated in patients with bipolar mood disorder-I (BMD-I), and obtained results were compared to those of healthy control participants from the general population.

    Method

    This cross sectional study investigates 96 patients with BMD-I, selected based on DSM-IV-TR criteria, who are admitted into a psychiatry hospital due to an acute episode of mania, depression or mixed episode in year 2011 in Iran. After stabilization of acute phase, patients completed the 125-item Persian version of Temperament and Character Inventory (TCI). Seven dimensions of temperament and character were compared between the designated bipolar group and 1212 healthy individuals via independent samples t-test. Moreover, the correlation between age, duration of disorder, and mood variables (depression and mania scores) with temperament and character inventory scores were assessed by Pearson's correlation coefficient.

    Results

    Bipolar patients showed significantly higher harm avoidance (P=.001) and lower reward dependency (P=.001), persistence (P=.044), cooperativeness (P=.001), self-directedness (P=.001) and self-transcendence (P=.004) in comparison with healthy individuals. In females, Reward Dependency (P=0.001), Self-Directedness (P=0.001) and Cooperativeness (P=0.001) scores were lower. Furthermore, TCI scores had no significant correlation with scores related to depression and mania, duration of the disorder and marital status.

    Conclusion

    Personality profile of patients with BMD-I differ from those of healthy individuals. Lower scores on Self-Directedness and Cooperativeness in bipolar patients seem to be related with more immature personality traits.

  • 5 - Bipolar mood disorders: diagnosis, etiology, and treatment

  • Edited by Stan Kutcher, Dalhousie University, Nova Scotia
  • Book:
    Practical Child and Adolescent Psychopharmacology
    Published online:
    31 August 2009
    Print publication:
    18 April 2002, pp 106-133

  • Summary

    Bipolar disorder in adolescents and children has recently become the focus of increasing study. During adolescence, normal developmental mood shifts may complicate the diagnosis of mood disorders. The commonality of symptoms associated with a variety of childhood disorders (especially ADHD) confuses the diagnostic process. Confusion regarding comorbidity can also occur if cross-sectional rather than longitudinal analyses are conducted. Genetic imprinting is the differential gene expression depending on whether the illness is transmitted maternally or paternally. Psychosocial functioning in bipolar youth has been described premorbidly and postillness onset (4.6 years) in a cohort of BMD I teenagers. Many young people who are initially diagnosed as having unipolar depression or dysthymia later meet criteria for a bipolar disorder. Electro-convulsive therapy (ECT) in adults with bipolar illness is one of the most effective treatments in both the depressive and manic phases of bipolar illness.