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Temperament and character in depressive disorders

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2016, v.21 no.1, pp.287-297
https://doi.org/10.17315/kjhp.2016.21.1.015



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Abstract

The purpose of this study was to investigate the traits of depressive patients with Cloninger's Temperament and Character Inventory (TCI). Specifically, based on the two concepts of vulnerable temperament and immature character proposed by Cloninger, 175 heterogeneous depressive patients were divided into four groups i.e., adaptive, vulnerable temperament, immature character, and complex vulnerability group. Following four factors were measured as the indices of level of adaptation-rates of comorbid personality or anxiety disorders, and symptom severity of depression (HAM-D) and anxiety (HAM-A). Chi-square test was performed to compare the group differences in rates of comorbid disorders; and multivariate ANOVA was performed to compare the symptom severity of depression, anxiety and the scores of reward dependence, persistence, and self-transcendence among the four groups. The findings were as follows: Firstly, the rate of comorbid personality disorder showed no significant differences among groups, but the immature character group showed the highest rate of comorbid anxiety disorder. Secondly, depression severity was not significantly different among groups, but anxiety severity had the lowest score in the adaptive group. Thirdly, vulnerable temperament group showed significantly higher scores on temperament scales of reward dependence and persistence; and on character scale of self-transcendence, as compared to the complex vulnerability group. The results need further confirmation in more controlled samples. However, they emphasize the importance of adaptive character on psychological adaptation regardless of vulnerable temperaments, and its consequent role in the management of character factors in interventions for depressive disorders.

keywords
Depressive Disorder, TCI, Temperament, Character, Vulnerable Temperament, Immature Character, 우울장애, TCI, 기질, 성격, 취약기질, 미성숙 성격

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The Korean Journal of Health Psychology