동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제23권4호
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  • Pages.107-122
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  • 2012
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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기질 및 성격검사(TCI)에 나타난 한방신경정신과 환자의 전반적 특성 및 화병 환자의 특성

Personality Profiles of Patients Who Visit Oriental Neuropsychiatric Clinic : Analysis of Temperament and Character Inventory(TCI)

  • 김상영 (경희대학교 한의과대학 신경정신과학교실) ;
  • 송승연 (경희대학교 한의과대학 신경정신과학교실) ;
  • 정선용 (경희대학교 한의과대학 신경정신과학교실) ;
  • 김종우 (경희대학교 한의과대학 신경정신과학교실)
  • Kim, Sang-Young (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University) ;
  • Song, Seung-Yeon (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University) ;
  • Chung, Sun-Yong (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Jong-Woo (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University)
  • 투고 : 2012.10.31
  • 심사 : 2012.12.03
  • 발행 : 2012.12.30
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초록

Objectives : The purpose of this study is to examine the general personality profiles of patients who visited an oriental neuropsychiatric clinic and to investigate the specific profiles of patients diagnosed with Hwa-byung. Methods : We analyzed the profiles of 122 patients who completed TCI-RS questionnaire for the purpose of counseling. Patients were divided by sex, age and diagnosis related groups. Scales and subscales of each group were compared by an independent t-test and ANCOVA with SPSS windows 16.0. Types of temperament and character were classified by percentile ranks of the total patients and diagnosis related groups. Results : 1. Total patients were classified as the high harm avoidance type of temperament and of low self-directedness type of character. 2. Male patients showed significantly higher scores on NS, all subscales of NS, P2 and P3 than female patients. HA4 and C5 scores were significantly higher in the female group. Younger patients showed significantly higher scores on NS, all subscales of NS, HA1 and P3. However, older patients had significantly higher scores on SD4, SD5, ST2 and ST3. 3. Between diagnosis related groups, Hwa-byung group had significantly higher scores on RD, ST, SD3 and ST2. However P3 score of non-hwa-byung patients was higher than hwa-byung patients. In typical classification, both hwa-byung and non-hwa-byung groups were classified as the same types as total patients. Conclusions : This study showed that the patients visited an oriental neuropsychiatric clinic and had similar personality with that of general psychiatric disorders. Hwa-byung patients exhibited higher RD and ST scores than other disorders, but they had no typical differences.

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참고문헌

  1. Min SG. Modern Psychiatry(5th Edition). Seoul: Ilchokak, 2007;387-390.
  2. Min BB, Oh HS, Lee JY. Temperament and Character Inventory-Family Manual. Seoul. Maumsarang, 2007:6-14.
  3. Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993:50(12): 975-90. https://doi.org/10.1001/archpsyc.1993.01820240059008
  4. Svrakic DM, Draganic S, Hill K, Bayon C, Przybeck TR, Cloninger CR. Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatr Scand. 2002;106(3):189-95. https://doi.org/10.1034/j.1600-0447.2002.02196.x
  5. Richter J, Brandstrom S. Personality disorder diagnosis by means of the Temperament and Character Inventory. Compr Psychiatry. 2009; 50(4):347-52 https://doi.org/10.1016/j.comppsych.2008.09.002
  6. Hur JW, Kim YK. Comparison of Clinical Features and Personality Dimensions between Patients with Major Depressive Disorder and Normal Control. Psychiatry Investig. 2009;6(3): 150-5. https://doi.org/10.4306/pi.2009.6.3.150
  7. Kampman O, Poutanen O. Can onset and recovery in depression be predicted by temperament? A systematic review and meta-analysis. J Affect Disord. 2011;135(1-3):20-7. https://doi.org/10.1016/j.jad.2010.12.021
  8. Goekoop JG, De Winter RF, Goekoop R.An Increase of the Character Function of Self- Directedness Is Centrally Involved in Symptom Reduction during Remission from Major Depression. Depress Res Treat. 2011;2011: 749640. Epub 2011 Nov 24.
  9. Lee J, Min SK, Kim KH, Kim B, Cho SJ, Lee SH, Choi TK, Suh SY. Differences in temperament and character dimensions of personality between patients with Hwa-byung, an anger syndrome, and patients with major depressive disorder. J Affect Disord. 2012;138(1-2):110-6. https://doi.org/10.1016/j.jad.2011.12.014
  10. Lee JH, Chae H, Park SJ, Kwon YK. Analysis on Character and Temperament of Sasang Types with Repeated QSCC II Tested Subjects. Korean J. Oriental Physiology and Paathology. 2007;21(5):1319-31.
  11. Jung SA, Kim SH, Yoo JS, Lee SG. Study about the Psychological Factors of Sasang Constitution Classified by QSCC II. J of Oriental Neuropsychiatry. 2012:23(1):83-92. https://doi.org/10.7231/JON.2012.23.1.083
  12. Choi DS, Kim KH, Sung WY, Han SJ, Song JM. Characteristics of each Sasang Constitutional Type as assessed by the Temperament and Character Inventory(TCI). J of Sasang Constitutional Medicine. 2011;23(3):351-360.
  13. Kang DW, Shin YS, Kim HJ, Oh HS, Park YB, Park YJ. Analysis on Difference of Eight Constitution in Temperament and Character. The Journal Of The Korea Institute Of Oriental Medical Diagnostics. 2011;15(3):261-270.
  14. Kim JY, Kim JH, Jeong SY, Myoung SM. The Correlation between TCI and BDI, STAI in Traffic Accident Patients. J. of Oriental Neuropsychiatry 2010;21(4):1-11.
  15. Kang DW, Oh HS, Park YB, Park YJ. A Review on The Comparative Study on Temperament And Character Inventory(TCI) And Constitutionalpsychological Questionnaire. The journal of the Korea institute of oriental medical diagnostics. 2011;15(1):29-46.
  16. Wachleski C, Salum GA, Blaya C, Kipper L, Paludo A, Salgado AP, Manfro GG. Harm avoidance and self-directedness as essential features of panic disorder patients. Compr Psychiatry. 2008;49(5):476-81. https://doi.org/10.1016/j.comppsych.2008.03.003
  17. Lee S, Kim SJ, Park JE, Cho SJ, Cho IH, Lee YJ. Biogenetic temperament and character in insomnia and depression. J Psychosom Res. 2012;72(5):383-7. https://doi.org/10.1016/j.jpsychores.2012.01.016
  18. Nery FG, Hatch JP, Glahn DC, Nicoletti MA, Monkul ES, Najt P, Fonseca M, Bowden CL, Cloninger CR, Soares JC. Temperament and character traits in patients with bipolar disorder and associations with comorbid alcoholism or anxiety disorders. Psychiatr Res. 2008;42(7): 569-77. https://doi.org/10.1016/j.jpsychires.2007.06.004
  19. Fresan A, Robles-García R, Lopez-Avila A, Cloninger CR. Personality differences according to age and sex in a Mexican sample using the Temperament and Character Inventory- Revised. Compr Psychiatry. 2011;52(6):774-9. https://doi.org/10.1016/j.comppsych.2010.11.003
  20. Trouillet R, Gana K. Age differences in temperament, character and depressive mood: a cross-sectional study. Clin Psychol Psychother. 2008;15(4):266-75 . https://doi.org/10.1002/cpp.580
  21. Lu X, Chen Z, Cui X, Uji M, Miyazaki W, Oda M, Nagata T, Kitamura T, Katoh T. Effects of temperament and character profiles on state and trait depression and anxiety: a prospective study of a Japanese youth population. Depress Res Treat. 2012;2012:604684. Epub 2012 Aug 22.
  22. Milivojevic D, Milovanovic SD, Jovanovic M, Svrakic DM, Svrakic NM, Svrakic SM, Cloninger CR. Temperament and character modify risk of drug addiction and influence choice of drugs. Am J Addict. 2012;21(5):462-7. https://doi.org/10.1111/j.1521-0391.2012.00251.x
  23. Lee Y. A Study on the Processing Mechanism of Hwa-byung. Daegu University. Master's Thesis. 2003.
  24. Aluja A, Blanch A. The five and seven factors personality models: differences and similitude between the TCI-R, NEO-FFI-R and ZKPQ-50 CC. Span J Psychol. 2011;14(2):659-66. https://doi.org/10.5209/rev_SJOP.2011.v14.n2.14

피인용 문헌

  1. The Temperament and Character Inventory for Integrative Medicine vol.25, pp.3, 2014, https://doi.org/10.7231/jon.2014.25.3.213
  2. Clinical Guidelines for Hwabyung I. (Overview) vol.24, pp.spc1, 2013, https://doi.org/10.7231/jon.2013.24.Spc1.003
  3. The Relationship Between Children's Temperament and Character to Functional Gastrointestinal Disorders vol.29, pp.1, 2015, https://doi.org/10.7778/jpkm.2015.29.1.060
  4. Mediating Effect of Cognitive Emotion Regulation Strategies on the Effect of Temperament on Somatic Symptoms vol.22, pp.4, 2012, https://doi.org/10.17315/kjhp.2017.22.4.010
  5. 성격검사 및 전산화신경심리검사를 활용한 사상체질별 성격, 인지 특성 연구 vol.28, pp.4, 2012, https://doi.org/10.7231/jon.2017.28.4.381