Different temperament and character dimensions correlate with panic disorder comorbidity in bipolar disorder and unipolar depression

被引:23
作者
Mula, Marco [1 ]
Pini, Stefano [1 ]
Monteleone, Palmiero [2 ]
Iazzetta, Paolo [1 ]
Preve, Matteo [1 ]
Tortorella, Alfonso [2 ]
Amato, Emilia [2 ]
Di Paolo, Luca [1 ]
Conversano, Ciro [1 ]
Rucci, Paola [1 ]
Cassano, Giovanni B. [1 ]
Maj, Mario [2 ]
机构
[1] Univ Pisa, Dept Psychiat Neurobiol Pharmacol & Biotechnol, I-56100 Pisa, Italy
[2] Univ Naples SUN, Dept Psychiat, Naples, Italy
关键词
Bipolar disorder; Panic disorder; Temperament; Comorbidity; Major depression;
D O I
10.1016/j.janxdis.2008.02.004
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: This study aimed to investigate temperament and character correlates of panic disorder (PD) comorbidity in euthymic patients with bipolar disorder (BID) or unipolar depression (UD). Methods: Temperament and character were assessed using the Temperament and Character Inventory Revised (TCI-R) in 181 patients (70 patients with BD-I, 51 patients with BD-II and 60 with UD) in a euthymic state for at least 2 months. Results: PD was diagnosed in 14.3% of BD-I patients, 31.4% of BD-II and 40% of UD. BD patients with PD, when compared with BD patients without PD, had higher scores on harm avoidance (OR = 1.04; 95% CI = 1.02-1.07: p = 0.002). Patients with UD and PD, when compared to patients with UD without PD, had higher scores on social acceptance (OR = 1.27; 95% CI = 1.08-1.49; p = 0.004). Conclusion: Different temperament and character dimensions correlated with PD comorbidity in BD and UD patients, suggesting different underlying pathophysiological mechanisms. (c) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1421 / 1426
页数:6
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