Skip to main content
Erschienen in: Zeitschrift für Rheumatologie 9/2014

01.11.2014 | Originalien

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

verfasst von: F. Gokmen, MD, K. Altinbas, MD, A. Akbal, MD, M. Celik, MD, Y. Savas, MD, E. Gökmen, MD, H. Reşorlu, MD, A. Karaca, MD

Erschienen in: Zeitschrift für Rheumatologie | Ausgabe 9/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study was to evaluate temperament and character of ankylosing spondylitis (AS) patients and to examine the association between these specific temperament and character properties and clinical variables.

Patients and methods

This study involved 73 AS patients. Temperament properties of patients were evaluated using Cloninger’s Temperament and Character Inventory (TCI). Association between clinical variables and specific temperament features were evaluated using correlation and regression analyses.

Results

Forty eight (65.8 %) of the study participants were men and the mean age was 42 ± 11.4 years. There was slight negative correlations between self directedness (S) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) scores (p = 0.01, r = − 0.30), and between the Visual Analog Scale (VAS) and reward dependence (RD) scores (p = 0.03, r = − 0.26). Regression analysis showed that correlations between BASDAI and S, and between VAS and RD scores were statistically significant.

Conclusion

Our study showed that the dimensions temperament and character are related to disease activation, and disease course is more severe in patients who have low scores in these TCI dimensions. Therefore, we suggest that evaluating temperament and character properties of AS patients will help clinicians to predict treatment compliance and motivation of patients during disease course.
Literatur
1.
Zurück zum Zitat Ozgül A, Peker F, Taskaynatan MA et al (2006) Effect of Ankylosing spondylitis on health-related quality of life and different aspects of social life in young patients. Clin Rheumatol 25(2):168–174PubMedCrossRef Ozgül A, Peker F, Taskaynatan MA et al (2006) Effect of Ankylosing spondylitis on health-related quality of life and different aspects of social life in young patients. Clin Rheumatol 25(2):168–174PubMedCrossRef
2.
Zurück zum Zitat Healey EL, Haywood KL, Jordan KP et al (2013) Patients with well-established ankylosing spondylitis show limited deterioration in a ten-year prospective cohort study. Clin Rheumatol 32(1):67–72PubMedCrossRef Healey EL, Haywood KL, Jordan KP et al (2013) Patients with well-established ankylosing spondylitis show limited deterioration in a ten-year prospective cohort study. Clin Rheumatol 32(1):67–72PubMedCrossRef
3.
Zurück zum Zitat Günaydin R, Göksel Karatepe A, Ceşmeli N et al (2009) Fatigue in patients with ankylosing spondylitis: relationships with disease-specific variables, depression, and sleep disturbance. Clin Rheumatol 28(1):1045–1051PubMedCrossRef Günaydin R, Göksel Karatepe A, Ceşmeli N et al (2009) Fatigue in patients with ankylosing spondylitis: relationships with disease-specific variables, depression, and sleep disturbance. Clin Rheumatol 28(1):1045–1051PubMedCrossRef
4.
Zurück zum Zitat Barlow JH, Macey SJ, Struthers GR (1993) Gender, depression and ankylosing spondylitis. Arthritis Care Res 6(1):45–51PubMedCrossRef Barlow JH, Macey SJ, Struthers GR (1993) Gender, depression and ankylosing spondylitis. Arthritis Care Res 6(1):45–51PubMedCrossRef
5.
Zurück zum Zitat Martindale J, Smith J, Sutton CJ et al (2006) Disease and psychological status in ankylosing spondylitis. Rheumatology 45(10):1288–1293PubMedCrossRef Martindale J, Smith J, Sutton CJ et al (2006) Disease and psychological status in ankylosing spondylitis. Rheumatology 45(10):1288–1293PubMedCrossRef
6.
Zurück zum Zitat Eren İ, Şahin M, Cüre E et al (2007) Interactions between psychiatric symptoms and disability and quality of life in ankylosing spondylitis patients. Arch Neuropsychiatry 44(1):1–9 Eren İ, Şahin M, Cüre E et al (2007) Interactions between psychiatric symptoms and disability and quality of life in ankylosing spondylitis patients. Arch Neuropsychiatry 44(1):1–9
7.
Zurück zum Zitat Murphy H, Dickens C, Creed F et al (1999) Depression, illness perception and coping in rheumatoid arthritis. J Psychosom Res 46(2):155–164PubMedCrossRef Murphy H, Dickens C, Creed F et al (1999) Depression, illness perception and coping in rheumatoid arthritis. J Psychosom Res 46(2):155–164PubMedCrossRef
8.
Zurück zum Zitat Baubet T, Ranque B, Taieb O et al (2011) Mood and anxiety disorders in systemic sclerosis patients. Presse Med 40(2):111–119CrossRef Baubet T, Ranque B, Taieb O et al (2011) Mood and anxiety disorders in systemic sclerosis patients. Presse Med 40(2):111–119CrossRef
9.
Zurück zum Zitat Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50(12):975–990PubMedCrossRef Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50(12):975–990PubMedCrossRef
10.
Zurück zum Zitat Von Zerssen D, Akiskal HS (1998) Personality factors in affective disorders: historical developments and current issues with special reference to the concepts of temperament and character. J Affect Disord 51(1):1–5CrossRef Von Zerssen D, Akiskal HS (1998) Personality factors in affective disorders: historical developments and current issues with special reference to the concepts of temperament and character. J Affect Disord 51(1):1–5CrossRef
11.
Zurück zum Zitat Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD (1994) The Temperament and Character Inventory (TCI): a guide to its development and use. Center for Psychobiology of Personality. Department of Psychiatry, Washington University School of Medicine Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD (1994) The Temperament and Character Inventory (TCI): a guide to its development and use. Center for Psychobiology of Personality. Department of Psychiatry, Washington University School of Medicine
12.
Zurück zum Zitat Köse S (2003) A psychobiological model of temperament and character (TCI). Yeni Symp 41(2):86–97 Köse S (2003) A psychobiological model of temperament and character (TCI). Yeni Symp 41(2):86–97
13.
Zurück zum Zitat Peirson AR, Heuchert JW, Thomala L et al (1999) Relationship between serotonin and the temperament and character inventory. Psychiatry Res 89(1):29–37PubMedCrossRef Peirson AR, Heuchert JW, Thomala L et al (1999) Relationship between serotonin and the temperament and character inventory. Psychiatry Res 89(1):29–37PubMedCrossRef
14.
Zurück zum Zitat Cloninger CR (1987) A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry 44(2):573–588PubMedCrossRef Cloninger CR (1987) A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry 44(2):573–588PubMedCrossRef
15.
Zurück zum Zitat Averbuch M, Katzper M (2004) Assesment of visual analog versus categorical pain for measurement of osteoarthritis pain. J Clin Pharmacol 44(4):368–372PubMedCrossRef Averbuch M, Katzper M (2004) Assesment of visual analog versus categorical pain for measurement of osteoarthritis pain. J Clin Pharmacol 44(4):368–372PubMedCrossRef
16.
Zurück zum Zitat Garrett S, Jenkinson T, Kennedy LG et al (1994) A new approach to defining disease status in ankylosing spondylitis: the bath ankylosing spondylitis disease activity index. J Rheumatol 21(12):2286–2291PubMed Garrett S, Jenkinson T, Kennedy LG et al (1994) A new approach to defining disease status in ankylosing spondylitis: the bath ankylosing spondylitis disease activity index. J Rheumatol 21(12):2286–2291PubMed
17.
Zurück zum Zitat Calin A, Garrett S, Whitelock H et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the bath ankylosing spondylitis functional index. J Rheumatol 21(12):2281–2285PubMed Calin A, Garrett S, Whitelock H et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the bath ankylosing spondylitis functional index. J Rheumatol 21(12):2281–2285PubMed
18.
Zurück zum Zitat Köse S, Sayar K, Kalelioglu Ü et al (2004) Turkish version of the Temperament and Character Inventory (TCI): reliability, validity and factorial structure. Bull Clin Psychopharmacol 14(3):107–131 Köse S, Sayar K, Kalelioglu Ü et al (2004) Turkish version of the Temperament and Character Inventory (TCI): reliability, validity and factorial structure. Bull Clin Psychopharmacol 14(3):107–131
19.
Zurück zum Zitat Sadock BJ, Sadock V (2004) Kaplan & Sadock’s comprehensive textbook of psychiatry. Lippincott Williams & Wilkins, Baltimore Sadock BJ, Sadock V (2004) Kaplan & Sadock’s comprehensive textbook of psychiatry. Lippincott Williams & Wilkins, Baltimore
20.
Zurück zum Zitat Ak M, Haciomeroglu B, Turan Y et al (2012) Temperament and character properties of male psoriasis patients. J Health Psychol 17(2):774–781PubMedCrossRef Ak M, Haciomeroglu B, Turan Y et al (2012) Temperament and character properties of male psoriasis patients. J Health Psychol 17(2):774–781PubMedCrossRef
21.
Zurück zum Zitat Altunoren Ö, Orhan FÖ, Nacitarhan V et al (2011) Evaluation of depression, temperament and character profiles in female patients with fibromyalgia syndrome. Arch Neuropsychiatry 48(1):31–38 Altunoren Ö, Orhan FÖ, Nacitarhan V et al (2011) Evaluation of depression, temperament and character profiles in female patients with fibromyalgia syndrome. Arch Neuropsychiatry 48(1):31–38
22.
Zurück zum Zitat Borkowska A, Pulkowska J, Pulkowski G et al (2007) Association of temperament, character and depressive symptoms with clinical features of the ischaemic heart disease. Wiad Lek 60(5–6):209–214 Borkowska A, Pulkowska J, Pulkowski G et al (2007) Association of temperament, character and depressive symptoms with clinical features of the ischaemic heart disease. Wiad Lek 60(5–6):209–214
23.
Zurück zum Zitat Conrad R, Schilling G, Bausch C et al (2007) Temperament and character personality profiles and personality disorders in chronic pain patients. Pain 133(1–3):197–209 Conrad R, Schilling G, Bausch C et al (2007) Temperament and character personality profiles and personality disorders in chronic pain patients. Pain 133(1–3):197–209
24.
Zurück zum Zitat Malmgren-Olsson EB, Bergdahl J (2006) Temperament and character personality dimensions in patients with nonspecific musculoskeletal disorders. Clin J Pain 22(7):625–631PubMedCrossRef Malmgren-Olsson EB, Bergdahl J (2006) Temperament and character personality dimensions in patients with nonspecific musculoskeletal disorders. Clin J Pain 22(7):625–631PubMedCrossRef
Metadaten
Titel
Evaluation of the temperament and character properties of patients with ankylosing spondylitis
verfasst von
F. Gokmen, MD
K. Altinbas, MD
A. Akbal, MD
M. Celik, MD
Y. Savas, MD
E. Gökmen, MD
H. Reşorlu, MD
A. Karaca, MD
Publikationsdatum
01.11.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Rheumatologie / Ausgabe 9/2014
Print ISSN: 0340-1855
Elektronische ISSN: 1435-1250
DOI
https://doi.org/10.1007/s00393-013-1336-1

Weitere Artikel der Ausgabe 9/2014

Zeitschrift für Rheumatologie 9/2014 Zur Ausgabe

Einführung zum Thema

Der rheumatische Fuß

Mitteilungen der DRL

Mitteilungen der DRL

Wegbereiter der Rheumatologie

Emeriti-Treffen in Berlin

Klinische Studien kurzgefasst

Rituximab

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.