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Disturbi di personalità e temperamenti affettivi nei disturbi dell'umore

Nivoli, Luisa Giuseppina Fabrizia (2016) Disturbi di personalità e temperamenti affettivi nei disturbi dell'umore. Doctoral Thesis.

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Abstract

Introduction. Personality disorders (PD) and Affective temperaments (AT) have been considered vulnerability factors for the development of mood disorder (MD).
Objective. To study the simultaneous presence of PD and AT in patients with DU and differences between unipolar depression (DD) and bipolar disorder BD.
Methods. An observational study was conducted. Patients were administered the Temperament Evaluation of Memphis, Pisa, Paris and San Diego questionnaire (TEMPS-A) for AT and the Structured Clinical Interview for DSM IV Axis II Disorders (SCID-II) for PD. The interrelationships of the different PD and AT were studied by factor analysis (principal component analysis, PCA) (orthogonal rotation, Varimax).
Results. Participants were 156 adult patients with MD, 37,1% with DD and 62,9% with BD. DD patients presented with significantly more paranoid PD (p=0.009), depressive (p=0.029), anxious (p=0.009) and hirritable temperament (p=0.006) compared to BD. PCA results showed four significant factors, explaining the 63,1% of total variance, corresponding to four potential groups of patients with specific PD and AT associations.
Conclusion. The comorbidity between MD and PD and AT may differentiate DD from BD. Specific patterns of comorbidity may be useful as they may substantially influence the course of the mood disorders and how patients respond to treatment.

Item Type:Doctoral Thesis
ID Code:11181
Contributors:Sotgiu, Maria Alessandra
Publisher:Universita' degli studi di Sassari
Uncontrolled Keywords:Disturbi dell'umore, disturbi di personalità, temperamento affettivo, comorbidità
Subjects:Area 06 - Scienze mediche > MED/25 Psichiatria
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Biomediche
Cicli, scuole e corsi:Ciclo 28 > Scienze biomediche > Fisiologia, morfologia e fisiopatologia del sistema nervoso
Deposited On:09 May 2016 14:39

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