Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
권호 표지
DOI QR코드

DOI QR Code

Change of Temperament and Personality in Post-traumatic Stress Disorders

외상후 스트레스장애에서 기질 및 성격의 변화

  • Choi, Hyosun (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Kim, Daeho (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Kim, Eunkyeong (Department of Psychiatry, Hanyang University Guri Hospital)
  • 최효선 (한양대학교 의과대학 구리병원 정신건강의학과) ;
  • 김대호 (한양대학교 의과대학 구리병원 정신건강의학과) ;
  • 김은경 (한양대학교 의과대학 구리병원 정신건강의학과)
  • Received : 2020.09.22
  • Accepted : 2020.11.09
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study investigate to identify the stability of temperament and personality characteristics of patients including Posttraumatic Stress Disorder (PTSD) patients. Methods : The number of subjects was 102, of which 33 were PTSD patients and 69 were non-PTSD patients. To demonstrate the change in individual temperament and personality characteristics, Temperament and Character Inventory (TCI) were administered repeatedly on the subjects. Repeated measures ANOVA and simple main effects analysis were conducted. Results : When analysed by dividing the subjects into PTSD groups and non-PTSD groups, the differences between the primary and secondary tests did not appear in the non-PTSD groups, but the differences between the primary and secondary tests were significant in Harm Avoidance (HA), Reward Dependence (RD), Self-Directedness (SD), Cooperativeness (C). In addition, it was noted that the time and group interaction effects of HA, RD, SD and C were significant, and that the main effects of time of HA, RD, SD and C were significant. Conclusions : This study is meaningful in that in the course of experience and recovery of traumatic events, we have clinically confirmed that changes in the temperament, known as stable variables, are possible.

연구목적 본 연구는 외상후 스트레스장애(Posttraumatic Stress Disorder, PTSD)를 비롯한 정신질환자의 기질과 성격의 변화 양상을 확인하고 한다 방 법 PTSD 환자 33명과 비PTSD 환자 69명을 대상으로 Temperament and Character Inventory (TCI)를 1, 2차에 걸쳐 측정하였고, 그 결과값에 대해 반복측정 ANOVA와 단순 주효과분석을 시행하였다. 결 과 비PTSD 집단에서는 1차와 2차 검사 결과의 차이가 나타나지 않았다. 반면, PTSD 집단에서는 위험회피, 사회적 민감성, 자율성, 연대감에서 유의미한 차이가 있었다. 또한 위험회피, 사회적 민감성, 자율성, 연대감에서 시간과 그룹 간의 상호작용과 시간에 따른 주효과가 유의하게 나타났다. 결 론 본 연구는 외상적 사건이 자율성, 연대감과 같은 성격적 특성은 물론, 위험회피와 사회적 민감성과 같은 기질적 특성의 변화에 영향을 미칠 수 있음을 확인하였다는 점에서 의의가 있다.

Keywords

References

  1. Goldsmith HH, Alansky JA. Maternal and infant temperamental predictors of attachment: a meta-analytic review. J Consult Clin Psychol 1987;55:805. https://doi.org/10.1037/0022-006X.55.6.805
  2. Rothbart MK, Posner MI, Kieras J. Temperament, attention, and the development of self-regulation. Hoboken, NS: John Wiley & Sons, 2006.
  3. Cloninger CR. A systematic method for clinical description and classification of personality variants: a proposal. Arch Gen Psychiatry 1987;44:573-588. https://doi.org/10.1001/archpsyc.1987.01800180093014
  4. Cloninger CR, Svrakic DM, Przybeck TR. AA psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50:1-16.
  5. Cicchetti D, Cohen DJ. Perspectives on developmental psychopathology. Hoboken, NS: John Wiley & Sons, 1995.
  6. Thompson RA, Winer AC, Goodvin, R. The individual child: temperament, emotion, self, and personality. In Social and personality development;2003. p.225-266. Psychology Press.
  7. Caspi A, Roberts BW, Shiner RL. Personality development: Stability and change. Annu Rev Psychol 2005;56:453-484. https://doi.org/10.1146/annurev.psych.55.090902.141913
  8. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Publishers, 2013.
  9. Alea N, Diehl M, Bluck S. Personality and emotion in late life. Encyclopedia of applied psychology, San Diego, CA: Elsevier, 2004.
  10. Min BB, Oh HS, Lee JY. Temperament and character inventory-family manual. Seoul: Maumsarang;2007. p.6-14.
  11. Zawadzki B, Popiel, A. Temperamental traits and severity of PTSD symptoms. J Individ Differ;2012.
  12. Lee SR. Trajectories of post-traumatic stress and its relation to post-traumatic growth among emergency personnel. Seoual: Ewha Womans Univ;2009.
  13. Laffaye C, Cavella S, Drescher K, Rosen, C. Relationships among PTSD symptoms, social support, and support source in veterans with chronic PTSD. J Trauma Stress 2008;21:394-401. https://doi.org/10.1002/jts.20348
  14. Cockram DM, Drummond PD, Lee CW. Role and treatment of early maladaptive schemas in Vietnam veterans with PTSD. Clin Psychol Psychother 2010;17:165-182. https://doi.org/10.1002/cpp.690
  15. Newman E, Kaloupek D. Overview of research addressing ethical dimensions of participation in traumatic stress studies: autonomy and beneficence. J Trauma Stress 2009;22:595-602. https://doi.org/10.1002/jts.20465
  16. Yoon SJ, Jun CS, An HY, Kang HR, Jun TY. Patterns of temperament and character in patients with posttraumatic stress disorder and their association with symptom severity. Compr Psychiatry 2009;50:226-231. https://doi.org/10.1016/j.comppsych.2008.08.003
  17. North CS, Hong BA, Suris A, Spitznagel EL. Distinguishing distress and psychopathology among survivors of the Oakland/Berkeley firestorm. Psychiatry 2008;71:35-45. https://doi.org/10.1521/psyc.2008.71.1.35
  18. Kotler M, Cohen H, Matar MA, Amir M, Bleich A, Kaplan Z. Temperamental variables in PTSD patients. Anxiety 1996; 2:251-253. https://doi.org/10.1002/(SICI)1522-7154(1996)2:5<251::AID-ANXI8>3.0.CO;2-P
  19. Lee YJ, Kim HW. Association of traumatic events, post traumatic stress disorder and sexual autonomy among female university students of North Korean defectors. Korean J Women Health Nurs 2019;25:46-59. https://doi.org/10.4069/kjwhn.2019.25.1.46