Temperament and character traits in major depressive disorder: Influence of mood state and recurrence of episodes

Fabiano G. Nery, John P. Hatch, Mark A. Nicoletti, E. Serap Monkul, Pablo Najt, Koji Matsuo, C. Robert Cloninger, Jair C. Soares

Research output: Contribution to journalArticlepeer-review

62 Scopus citations

Abstract

Background: The objective of this study was to compare personality traits between major depressive disorder (MDD) patients and healthy comparison subjects (HC) and examine if personality traits in patients are associated with specific clinical characteristics of the disorder. Methods: Sixty MDD patients (45 depressed, 15 remitted) were compared to 60 HC using the Temperament and Character Inventory. Analysis of covariance, with age and gender as covariates, was used to compare the mean Temperament and Character Inventory scores among the subject groups. Results: Depressed MDD patients scored significantly higher than HC on novelty seeking, harm avoidance, and self-transcendence and lower on reward dependence, self-directedness, and cooperativeness. Remitted MDD patients scored significantlylower than HC onlyon self-directedness. Comorbidity with anxiety disorder had a main effect only on harm avoidance. Harm avoidance was positively correlated with depression intensity and with number ofepisodes. Self-directedness had an inverse correlation with depression intensity. Conclusions: MDD patients present a different personality profile from HC, and these differences are influenced by mood state and comorbid anxiety disorders. When considering patients who have been in remission for some time, the differences pertain to few personality dimensions. Cumulated number of depressive episodes may result in increased harm avoidance.

Original languageEnglish (US)
Pages (from-to)382-388
Number of pages7
JournalDepression and Anxiety
Volume26
Issue number4
DOIs
StatePublished - Apr 2009

Keywords

  • Anxiety disorders
  • Character
  • Major depressive disorder
  • Personality
  • Psychopathology
  • Temperament

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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