Temperaments in psychotic and major affective disorders

Maurizio Pompili, Ross J. Baldessarini, Marco Inammorati, Gustavo H. Vázquez, Z. Ríhmer, X. Gonda, Alberto Forte, Dorian A. Lamis, Denise Erbuto, Gianluca Serafini, Andrea Fiorillo, Mario Amore, Paolo Girardi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background Assessment of affective temperaments with the extensively validated, 110-item TEMPS-A autoquestionnaire has been used to characterize patients with mood disorders, and its scores have been associated consistently with suicidal behavior. Much less has been reported about comparisons of characteristics of such assessments in psychotic and other psychiatric disorders. Methods We analyzed results of TEMPS-A assessments in 1081 psychiatrically hospitalized patients in Rome and compared subscale scores (anxious [anx], cyclothymic [cyc], depressive [dep], irritable [irr], hyperthymic [hyp]) and a composite score (anx+cyc+dep+irr – hyp) among diagnoses and subjects with vs. without a suicide attempt. Results TEMPS-A subscale scores differed significantly among diagnoses and were higher with major affective than psychotic or other disorders. Suicide attempts were 1.5-times more frequent among women than men and with affective versus nonaffective disorders, ranking: bipolar-II > major depression > bipolar-I > other disorders > psychotic disorders. TEMPS-A subscores were significantly higher among suicidal subjects (ranking: anx ≥ cyc ≥ dep > irr) except hyp (lower), but the composite score differed most (1.37-fold higher). Multivariable logistic regression modeling indicated that suicide attempt was significantly and independently associated with: TEMPS-A composite score > female sex > affective disorder > older age. Conclusions TEMPS-A scores, particularly a composite score (anx+cyc+dep+irr – hyp) may help effectively evaluate suicidal risk in association with nonaffective as well as affective disorders.

Original languageEnglish
Pages (from-to)195-200
Number of pages6
JournalJournal of Affective Disorders
Volume225
DOIs
Publication statusPublished - Jan 1 2018

Keywords

  • Affective temperaments
  • Bipolar disorders
  • Major affective disorders
  • Major depressive disorder
  • Psychotic disorders
  • Suicide attempt
  • TEMPS-A

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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    Pompili, M., Baldessarini, R. J., Inammorati, M., Vázquez, G. H., Ríhmer, Z., Gonda, X., Forte, A., Lamis, D. A., Erbuto, D., Serafini, G., Fiorillo, A., Amore, M., & Girardi, P. (2018). Temperaments in psychotic and major affective disorders. Journal of Affective Disorders, 225, 195-200. https://doi.org/10.1016/j.jad.2017.08.026