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2009, Número 4

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Salud Mental 2009; 32 (4)


Dimensiones de temperamento y carácter en pacientes con primer episodio de depresión mayor

Minaya O, Fresán A, Loyzaga C

Idioma: Español
Referencias bibliográficas: 129
Paginas: 309-315
Archivo PDF: 103.98 Kb.


RESUMEN

La depresión unipolar se ha considerado como uno de los trastornos mentales que tiene un mayor impacto en el funcionamiento psicosocial de los individuos. Se ha documentado que los rasgos de la personalidad influyen directamente sobre la forma en como las personas con depresión mayor se adaptan y enfrentan este padecimiento. Diversos estudios que han empleado el abordaje multidimensional de la personalidad mediante el modelo psicobiológico de la personalidad de Cloninger, han considerado que la personalidad es un constructo que diferencia a los sujetos que cursan con un trastorno depresivo mayor de los sujetos sin esta patología. El hallazgo más reportado en la bibliografía ha mostrado que una elevada Evitación al Daño (HA) se asocia con la depresión. Sin embargo, otras investigaciones han encontrado que la depresión mayor también se asocia con una mayor Dependencia a la Recompensa (RD). En cuanto a las dimensiones de carácter, se ha encontrado que los pacientes con depresión muestran una Baja Autodirección (SD) y una Baja Cooperatividad (CO).


REFERENCIAS (EN ESTE ARTÍCULO)

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  3. Hirschfeld R. Personality disorders and depression: comorbidity. Depress

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  75. symptoms: a multi-dimensional analysis. J Affect Disord

  76. 2003;74:123-130.

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  78. of the Tridimensional Personality Questionnaire. Psychiatry Res

  79. 1995;57:209-214.

  80. Hansenne M, Pitchot W, Moreno A, Reggers J, Machurot P et al. Harm

  81. avoidance dimension of the Tridimensional Personality Questionnaire

  82. and serotonin-1A activity in depressed patients. Biol Psychiatry

  83. 1997;42:959-961.

  84. Mulder R, Joyce P, Cloninger C. Temperament and early environment

  85. influence comorbidity and personality disorders in major depression.

  86. Compr Psychiatry 1994;35:225-233.

  87. Tanaka E, Kijima N, Kitamura T. Correlations between the Temperament

  88. and Character Inventory and the Self-rating Depression Scale

  89. among Japanese Students. Psychol Rep 1997;80:251-254.

  90. Naito M, Kijima N, Kitamura T. Temperament and Character Inventory

  91. (TCI) as predictors of depression among Japanese college students. J

  92. Clin Psychol 2000;56:1579-1585.

  93. Enns M, Cox B. Personality dimensions and depression: review and

  94. commentary. Can J Psychiatry 1997;42:274-284.

  95. Mulder R. Personality pathology and treatment outcome in major depression: A review. Am J Psychiatry 2002;159:359-371.

  96. Hirschfeld R. Personality disorders and depression: comorbidity. Depress Anxiety 1999;10:142-146.

  97. Cloninger C, Przybeck T, Svrakic D. The Tridimensional Personality Questionnaire: U.S. normative data. Psychological Reports 1991;69:1047-1057.

  98. Cloninger C, Przybeck T, Svrakic D, Wetzel R. The Temperament and Character Inventory (TCI): a guide to its development and use. St. Louis, MO: Washington University; 1994.

  99. Cloninger C, Svrakic D. Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry 1997;60:120-141.

  100. Cloninger C, Svrakic D, Przybeck T. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50:975-990.

  101. Cloninger C. A unified biosocial theory of personality and its role in the development of anxiety states. Psychiatr Dev 1986;4:167-226.

  102. Cloninger C. A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry 1987;44:573-588.

  103. Cloninger C, Sigvardsson S, Bohman M. Childhood personality predicts alcohol abuse in young adults. Alcohol Clin Exp Res 1988;12:494-505.

  104. Abrams K, Yune S, Kim S, Jeon H, Han S et al. Trait and state aspects of harm avoidance and its implication for treatment in major depressive disorder, dysthymic disorder, and depressive personality disorder. Psychiatry Clin Neurosci 2004;58:240-248.

  105. Farmer A, Mahmood A, Redman K, Harris T, Sadler S et al. A sib-pair study of the Temperament and Character Inventory Scales in major depression. Arch Gen Psychiatry 2003;60:490-496.

  106. Kusunoki K, Sato T, Taga C, Yoshida T, Komori K et al. Low noveltyseeking differentiates obsessive-compulsive disorders from major depression. Acta Psychiatr Scand 2000;101:403-405.

  107. Richter J, Eisemann M, Richter G. Temperament and character during the course of unipolar depression among inpatients. Eur Arch Psychiatry Clin Neurosci 2000;250:40-47.

  108. Marijnissen G, Tuinier S, AES. S, Verhoeven W. The temperament and character inventory in major depression. J Affect Disord 2002;70: 219-223.

  109. Smith D, Duffy L, Stewart M, Muir W, Blckwood D. High harm avoidance and low self-directedness in euthymic young adults with recurrent, early-onset depression. J Affect Disord 2005;87:83-89.

  110. Ampollini P, Marchesi C, Signifredi R, Ghinaglia E, Scardovi F et al. Temperament and personality features in patients with major depression, panic disorder and mixed conditions. J Affect Disord 1999;52:203-207.

  111. Elovainio M, Kivimaki M, Puttonen S, Heponiemi T, Pulkki L et al. Temperament and depressive symptoms: a population-based longitudinal study on Cloninger’s psychobiological temperament model. J Affect Disord 2004;83:227-232.

  112. Hansenne M. P300 and personality: an investigation with the Cloninger’s model. Biol Psychiatry 1999;50:143-155.

  113. Hirano S, Sato T, Narita T, Kusunoki K, Ozaki N et al. Evaluating the state dependency of the Temperament and Character Inventory dimensions in patients with major depression: a methodological contribution. J Affect Disord 2002;69:31-38.

  114. Cloninger C, Svrakic D, Przybeck T. Can personality assessment predict future depression? A twuelve-month follow-up of 631 subjects. J Affect Disord 2006;92:35-44.

  115. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Cuarta edición. Washington, DC; 1994.

  116. First M, Spitzer R, Gibbon M, Williams J. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), clinician version. Washington, D.C.: American Psychiatric Press; 1996.

  117. Derogatis L. Symptom Checklist 90-R: Administration, Scoring and Procedures Manual. Baltimore: Clinical Psychometric Research; 1983.

  118. Montgomery S, Asberg M. A new depressive scale designed to be sensitive to change. Br J Psychiatry 1979;134:382-389.

  119. Susuki A, Aoshima T, Fukasawa T. A three-factor model of the MADRS in major depressive disorder. Depress Anxiety 2005;21:95-97.

  120. Rosado A. Estudio de confiabilidad de la escala Montgomery-Asberg para la evaluación de la depresión. México: UNAM; 1993.

  121. Sánchez de Carmona M, Paéz F, López J, Nicolini H. Traducción y confiabilidad del inventario de temperamento y carácter (ITC). Salud Mental 1996;19(Supl 3):5-9.

  122. Sato T, Narita T, Hirano S. Factor validity of the temperament and character inventory in patients with major depression. Compr Psychiatry 2001;42:337-341.

  123. Grucza R, Przybeck T, Spitznagel E, Cloninger C. Personality and depressive symptoms: a multi-dimensional analysis. J Affect Disord 2003;74:123-130.

  124. Strakowski S, Dunayevich E, Keck P, McElroy S. Affective state dependence of the Tridimensional Personality Questionnaire. Psychiatry Res 1995;57:209-214.

  125. Hansenne M, Pitchot W, Moreno A, Reggers J, Machurot P et al. Harm avoidance dimension of the Tridimensional Personality Questionnaire and serotonin-1A activity in depressed patients. Biol Psychiatry 1997;42:959-961.

  126. Mulder R, Joyce P, Cloninger C. Temperament and early environment influence comorbidity and personality disorders in major depression. Compr Psychiatry 1994;35:225-233.

  127. Tanaka E, Kijima N, Kitamura T. Correlations between the Temperament and Character Inventory and the Self-rating Depression Scale among Japanese Students. Psychol Rep 1997;80:251-254.

  128. Naito M, Kijima N, Kitamura T. Temperament and Character Inventory (TCI) as predictors of depression among Japanese college students. J Clin Psychol 2000;56:1579-1585.

  129. Enns M, Cox B. Personality dimensions and depression: review and commentary. Can J Psychiatry 1997;42:274-284.




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