Temperament and character dimensions and their relationship to major depression and panic disorder

Revista Brasileira de Psiquiatria

Marina Dyskant Mochcovitch²  Antonio Egidio Nardi¹  Adriana Cardoso¹ 

[1] ,Universidade Federal do Rio de Janeiro Institute of Psychiatry Panic and Respiration LaboratoryRio de Janeiro,Brazil

关键词: Temperament;    Character;    Depression;    Panic Disorder;    Temperament and Character Inventory;    Temperamento;    Caráter;    Depressão;    Transtorno do pânico;    Temperamento;   

DOI  :  10.1016/j.rbp.2012.03.002

来源: SciELO

【 摘 要 】

INTRODUCTION: Since the first publication of Cloninger's psychobiological model of personality, the relationship between temperament and character dimensions and psychiatric disorders has been widely studied. The exact nature of this interaction, however, is still unclear. Different models have been proposed (state-dependency, vulnerability, continuous spectrum etc). OBJECTIVE: To analyze the relationship between temperament and character dimensions with depression and panic disorder. METHOD: Systematic review on interventional studies published up until December 2011 on MEDLINE and ISI databases. Also, a brief review on genetic studies is hereby undertaken, aiming to discuss the gene-environment interaction in relation to this topic. RESULTS: Thirteen studies were included: 10 related to depression and 3 to panic disorder (or unspecific anxiety symptoms). All of them showed association between high harm avoidance (HA) and low selfdirectedness (SD) with depression and anxiety symptoms. Longitudinal studies demonstrated that these traits may not be just state-dependent. CONCLUSIONS: HA and SD dimensions are associated with both the occurrence of depressive and anxiety symptoms. There is also some evidence to suggest that high HA and low SD indicates susceptibility to depression. Longitudinal studies are not sufficient to affirm the same about panic disorder up to the present moment.

【 授权许可】

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