Your browser doesn't support javascript.
loading
Cyclothymic-hypersensitive temperament in youths: Refining the structure, the way of assessment and the clinical significance in the youth population.
Pisano, Simone; Senese, Vincenzo Paolo; Bravaccio, Carmela; Santangelo, Pia; Milone, Annarita; Masi, Gabriele; Catone, Gennaro.
Afiliação
  • Pisano S; Department of Neuroscience, AORN Santobono-Pausilipon, Naples, Italy; Department of Translational Medical Sciences, Federico II University, Naples, Italy. Electronic address: pisano.simone@gmail.com.
  • Senese VP; Department of Psychology, University of Campania "Luigi Vanvitelli", Naples, Italy.
  • Bravaccio C; Department of Translational Medical Sciences, Federico II University, Naples, Italy.
  • Santangelo P; Department of Neuroscience, AORN Santobono-Pausilipon, Naples, Italy.
  • Milone A; IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, Pisa, Italy.
  • Masi G; IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, Pisa, Italy.
  • Catone G; Department of Educational, Psychological and Communication Sciences, Suor Orsola Benincasa, Naples, Italy.
J Affect Disord ; 271: 272-278, 2020 06 15.
Article em En | MEDLINE | ID: mdl-32479326
BACKGROUND: Although a better understanding of the prodromes of affective disorders in youth has important clinical and research implications, empirical data are still unconclusive. Cyclothymic-hypersensitive temperament (CHT) has been linked to both depression and bipolarity, as well as to suicidality. Its conceptualization is still debated, as well as a comprehensive, psychometrically sound way of assessment. METHODS: factor structure, reliability, measurement invariance, convergent and divergent validity of the previously published CHT questionnaire (a youth version derived from Temperament Evaluation in Memphis Pisa and San Diego (TEMPS) was assessed in a school-based sample of 2959 students aged from 10 to 14 years (mean age = 11.8 ± 0.97 years). Furthermore, accuracy, sensitivity and specificity were calculated for a new cut-off score related to the presence of general psychopathology symptoms. RESULTS: CHT is better conceptualized in a two-correlated factors model, a moodiness/hypersensitiveness factor, more associated with internalizing symptoms, and an impulsiveness/emotional dysregulation factor, more associated with externalizing symptoms. The revised 22-items version of the CHT questionnaire with a cut-off score of 15 for females and 17 for males results accurate, sensitive and specific enough for the recognition of cyclothymic adolescents with clinical symptoms. LIMITATION: the cross sectional design and the self-report nature of the measures limit the findings. DISCUSSION: Cyclothymic-hypersensitive temperament is a relevant concept in the realm of affective disorder and can be reliably assessed in youths. It may describe youths with the coexistence of both internalizing and externalizing symptoms that can be difficult to diagnose with a DSM perspective.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Temperamento / Transtornos do Humor Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Temperamento / Transtornos do Humor Idioma: En Ano de publicação: 2020 Tipo de documento: Article