Temperament and character traits in patients with anorectal disorder

Authors

Keywords:

Anorectal disorder, Temperament and character traits, Mental disorders

Abstract

Aim: The aim of this cross-sectional study is to investigate temperament and character traits in patients with anorectal disorders, considering that temperament and character traits of patients with anorectal disorders will be affected differently from healthy individuals.

Methods: We compared 102 patients diagnosed with one of the four most common anorectal disorders (hemorrhoidal disease, anal fissure, anorectal abscess/fistulae, and sacrococcygeal pilonidal disease) who applied to the out-patient clinic and 80 healthy adults without any medical condition. Both groups were administered sociodemographic and descriptive information questionnaire, Temperament and Character Scale (TCS), Beck Depression Scale (BDI), Beck Anxiety Scale (BAI) and State and Trait Anxiety Scale (STAI).

Results: According to the control group, the patients with anorectal disorders had higher harm avoidance (HA) scores from temperament dimensions and lower self-directedness (SD) scores from character dimensions. The anxiety and depression rates were higher in the group with anorectal disorders.

Conclusions: Anorectal disorders are common diseases in the society. Temperament and character traits are closely related to comorbid psychiatric disorders seen in patients with anorectal region disease. At the same time temperament and character traits can affect compliance with medical and surgical interventions for anorectal disease. Our study has provided important data to encourage clinicians to evaluate patients in a multidisciplinary approach in the treatment of anorectal disorders that are generally predisposed to chronicity.


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References

- Okuş A, Karahan Ö, Eryılmaz MA, Ay AS, Sevinç B et al. Pilonidal Hastalığın Toplumda Görülme Sıklığı, Yaşa ve Cinsiyete Göre Dağılımı [Erken Sonuçlarımız]. Selçuk Tıp Dergisi 2013;29(3):120-122.

- Çayır Y. Sık Görülen Anorektal Hastalıklar. Türkiye Klinikleri Journal of Family Medicine Special Topics. 2015;6(4):78-82.

- Griffin N, Acheson AG, Tung P, Sheard C, Glazebrook C et al. Quality of life in patients with chronic anal fissure. Colorectal Disease. 2004;6(1):39-44.

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

-Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Archives of General Psychiatry. 1993;50:975–990

- Cloninger CR, Thomas R, Przybeck and Dragan M Svrakic. "The Temperament and Character Inventory (TCI): A guide to its development and use. 1994;19-28.

- Cloninger CR, A Unfied biosocial theory of personality and its role in the development of anxiety-states. Psychiatric Developments 1986;4:167-226.

- Güleç MY, Psikosomatik hastalıklarda mizaç ve karakter. Psikiyatride Güncel Yaklaşımlar 2009;1:201-14.

- First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM- IV Axis I Disorders, Clinician Version (SCID-CV). Washington DC: American Psychiatric Press Inc. 1997.

- Çorapçıoğlu A, Aydemir Ö, Yıldız M, Köroğlu E. “DSM-IV Eksen I Bozuklukları (SCID-I) için Yapılandırılmış Klinik Görüşme”. Klinik Versiyon. Ankara: Hekimler Yayın Birliği. 1999.

- Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD. The Temperament and Character Inventory (TCI): A Guide to İts Development And Use. St. Louis, Missouri, Center for Psychobiology of Personality. 1994.

- Köse S, Sayar K, Kalelioğlu Ü, Aydın N, Ak İ, Kırpınar İ,ve ark. Mizaç ve karakter envanteri (Türkçe TCI): Geçerlik, güvenirliği ve faktör yapısı. Klinik Psikofarmakoloji Bülteni 2004;14:107-131.

- Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi 1989;7:3-13.

- Ulusoy M, Şahin N, Erkmen H. Turkish version of The Beck Anxiety Inventory: Psychometric properties. Journal of Cognitive Psychotherapy: An International quarterly. 1998;12:163-72.

- Spielberger CD: Anxiety as an emotional state. In: Spielberger CD (ed), Current Trend in Theory and Research vol:1. New York: Academic Press 1972;p 24-49

- Öner N, Le Compte A: Durumluk-sürekli kaygı envanteri el kitabı. İstanbul: Boğaziçi Üniversitesi Yayınları 1985.

- Arkar H, Sorias O, Tunca Z, Safak C, Alkin T, Binnur Akdede B, et al. Factorial structure, validity, and reliability of the Turkish temperament and character inventory. Türk Psikiyatri Dergisi 2005;16:190-204.

- Malmgren-Olsson EB, Bergdahl J. Temperament and character personality dimensions in patients with nonspecific musculoskeletal disorders. Clin J Pain 2006;22:625–31.

- Cloninger CR, Bayon C, Svrakic DM. Measurement of temperament and character in mood disorders: a model of fundamental states as personality types. J Affect Disord 1998;51:223-32.

- Fahlen T. Core symptom pattern of social phobia. Depress Anxiety 1997;4:223-32. 21-Conrad R, Schilling G, Bausch C, Nadstawek J, Wartenberg HC, Wegener I, et al. Temperament and character personality profiles and personality disorders in chronic pain patients. Pain 2007;133:197-209.

- Van Campen E, Van Den Eede F, Moorkens G, Schotte C, Schacht R, Sabbe BG, et al. Use of the Temperament and Character inventory (TCI) for assessment of personality in chronic fatigue syndrome. Psychosomatics 2009;50:147-54.

- Taymur İ, Özen NE, Boratav C, Güliter S. İrritabl barsak sendromlu hastaların aleksitimi, mizaç, karakter özellikleri ve psikiyatrik tanı açısından değerlendirilmesi. Klinik Psikofarmakoloji Bülteni 2007;17:186-94.

- Arne M, Janson C, Janson S, et al. Physical activity and quality of life in subjects with chronic disease: Chronic obstructive pulmonary disease compared with rheumatoid arthritis and diabetes mellitus. Scandinavian Journal of Primary Health Care 2009;27:141-7.

- Sit M et al. Health-related quality of life in patients with anal fissure: effect of type D personality. Przeglad gastroenterologiczny 2014:93.

- Kronik Hastalık ve Depresyon, Hayriye Elbi Mete, Klinik Psikiyatri 2008;11(Ek 3):3-18.

- Tanrıkol G ve ark., Onkolojik hastalarda yaşam kalitesinin değerlendirilmesi yaşam kalitesinin değerlendirilmesi; Medical Network Klinik Bilimler ve Doktor 2005;11(2):122‐ 6.

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Published

2018-02-04

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Research Article

How to Cite

1.
Akçay BD, Gül VO, Özer S. Temperament and character traits in patients with anorectal disorder. J Surg Med [Internet]. 2018 Feb. 4 [cited 2022 Oct. 3];2(1):17-22. Available from: https://jsurgmed.com/article/view/370190