Temperament and character in patients with acute abdominal pain.
Compr Psychiatry
; 87: 128-133, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-30367986
ABSTRACT
BACKGROUND:
Several conditions presenting with abdominal pain are associated with specific personality factors although it is unclear if this is true also in emergency clinic settings.OBJECTIVE:
To study personality factors among patients with acute abdominal pain in an emergency ward.METHODS:
Consecutive patients (Nâ¯=â¯165) with abdominal symptoms at an emergency clinic were administrated the Temperament and Character Inventory (TCI). Three main groups were identified; specific abdominal diagnoses, (Nâ¯=â¯77), non-specific abdominal pain, (Nâ¯=â¯67) and organic dyspepsia (Nâ¯=â¯21). TCI results were compared between clinical groups and a control group (Nâ¯=â¯122).RESULTS:
As compared to individuals with specific abdominal diagnoses and controls, those with organic dyspepsia were significantly more anxious (harm avoidance), (pâ¯=â¯0.003), and had lower ability to cooperate (cooperativeness) (pâ¯=â¯0.048 and pâ¯=â¯0.004 respectively). They were also significantly more unpretentious (self-transcendence) compared to individuals with specific abdominal diagnoses (pâ¯=â¯0.048), non-specific abdominal pain (pâ¯=â¯0.012) and controls (pâ¯=â¯0.004) and evidenced less mature character (sum of self-directedness and cooperativeness) compared to those with specific abdominal diagnoses and controls (pâ¯=â¯0.003).CONCLUSION:
Individuals seeking care at an emergency clinic with organic dyspepsia showed a distinguishable pattern of personality features that distinguished them from the other comparison groups. Therefore an evaluation of personality factors may add a new dimension to the diagnostic investigation in the emergency care of abdominal pain and contribute to the optimization of the treatment of organic dyspepsia.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ansiedade
/
Transtornos da Personalidade
/
Temperamento
/
Caráter
/
Abdome Agudo
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Compr Psychiatry
Ano de publicação:
2018
Tipo de documento:
Article