TEMPS-A (short version) plays a supplementary role in the differential diagnosis between major depressive disorder and bipolar disorder.
Adult
Anxiety
/ diagnosis
Bipolar Disorder
/ diagnosis
Cross-Sectional Studies
Cyclothymic Disorder
/ diagnosis
Depressive Disorder, Major
/ diagnosis
Diagnosis, Differential
Female
Humans
Irritable Mood
/ physiology
Male
Middle Aged
Neuropsychological Tests
/ standards
Reproducibility of Results
Temperament
/ physiology
TEMPS-A
affective disorders
affective temperament
bipolar disorder
major depressive disorder
Journal
Psychiatry and clinical neurosciences
ISSN: 1440-1819
Titre abrégé: Psychiatry Clin Neurosci
Pays: Australia
ID NLM: 9513551
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
revised:
12
12
2020
received:
29
08
2020
accepted:
12
01
2021
pubmed:
17
1
2021
medline:
9
11
2021
entrez:
16
1
2021
Statut:
ppublish
Résumé
Early differential diagnosis between patients with major depressive disorder (MDD) and bipolar disorder (BD), and subsequently providing appropriate treatments are essential. There has been increased interest regarding the association between affective temperaments and mood disorder diagnosis. Our aim was to analyze the diagnostic validity of affective temperaments assessed by the short version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-autoquestionnaire version (TEMPS-A), in mood disorder patients. Inpatients with MDD (n = 146) or BD (n = 128) completed the short version of TEMPS-A, and their depressive and manic symptom severities were evaluated. Data of MDD and BD patients were compared by univariable and multivariable analyses. Of the five affective temperament dimensions, substantially higher hyperthymic, irritable, and cyclothymic temperament scores were found in BD patients than in MDD patients. Using a multivariable logistic regression model built using the severities of depressed and manic conditions, and the five affective temperament subscale scores as independent variables, we identified two factors statistically associated with BD diagnosis (anxious temperament and cyclothymic temperament). The recommended cutoff point for the 12 items evaluating cyclothymic temperament to differentiate BD from MDD was 8 or more 'True' items (sensitivity: 35.9%, specificity: 87.7%). Our design was cross-sectional, and therefore, there was a possibility of longitudinal diagnostic conversion of patients from MDD to BD. Cyclothymic and anxious temperaments on the short version of TEMPS-A, identified as diagnostic differentiating factors between MDD and BD, may play supplementary roles in the early identification of BD.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
166-171Informations de copyright
© 2021 The Authors Psychiatry and Clinical Neurosciences © 2021 Japanese Society of Psychiatry and Neurology.
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