PAIN
Volume 133, Issue 1 , Pages 197-209 , 15 December 2007

Temperament and character personality profiles and personality disorders in chronic pain patients

  • Rupert Conrad

      Affiliations

    • Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 22828716299; fax: +49 22828715382.
    • ,
  • Guntram Schilling

      Affiliations

    • Department of Psychosomatic Medicine, LVA-Hospital Bad Nauheim, Germany
    • ,
  • Christiane Bausch

      Affiliations

    • Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany
    • ,
  • Joachim Nadstawek

      Affiliations

    • Department of Anaesthesiology, University of Bonn, Germany
    • ,
  • Hans Christian Wartenberg

      Affiliations

    • Department of Anaesthesiology, University of Bonn, Germany
    • ,
  • Ingo Wegener

      Affiliations

    • Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany
    • ,
  • Franziska Geiser

      Affiliations

    • Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany
    • ,
  • Katrin Imbierowicz

      Affiliations

    • Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany
    • ,
  • Reinhard Liedtke

      Affiliations

    • Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany

Received 19 April 2005 ,Revised 1 July 2007 ,Accepted 25 July 2007.

References 

  1. Abrams KY, Yune SK, Kim SJ, Jeon HJ, Han SJ, Hwang J, et al. Trait and state aspects of Harm Avoidance and its implication for treatment in major depressive disorder, dysthymic disorder, and depressive personality disorder. Psychiatry Clin Neurosci. 2004;58:240–248
  2. Ackenheil M, Stotz G, Dietz-Bauer R, Vossen A. M.I.N.I. Mini International Neuropsychiatric Interview Plus, German Version 5.0.0, DSM-IV. Munich: Psychiatric University Hospital Munich; 1999.
  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.
  4. American Psychiatric Association. DSM-IV-TR: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association; 2000.
  5. Anderberg UM, Forsgren T, Ekselius L, Marteinsdottir I, Hallman J. Personality traits on the basis of the Temperament and Character Inventory in female fibromyalgia syndrome patients. Nord J Psychiatry. 1999;53:353–359
  6. Anderson CB, Joyce PR, Carter FA, McIntosh VV, Bulik CM. The effect of cognitive-behavioral therapy for bulimia nervosa on temperament and character as measured by the temperament and character inventory. Compr Psychiatry. 2002;43:182–188
  7. Asmundson GJG, Norton PJ, Norton GR. Beyond pain: the role of fear and avoidance in chronicity. Clin Psychol Rev. 1999;19:97–119
  8. Bandura A, Cervone D. Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. J Pers Soc Psychol. 1983;45:1017–1028
  9. Bayon C, Hill K, Svrakic DM, Przybeck TR, Cloninger CR. Dimensional assessment of personality in an outpatient sample: relations of the systems of Millon and Cloninger. J Psychiatr Res. 1996;30:341–352
  10. Beck AT. Depression: clinical, experimental and theoretical aspects. New York: Hober; 1967;
  11. Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100
  12. Boz C, Sayar K, Velioglu S, Hocaoglu C, Alioglu Z, Yalman B, et al. Temperament and character profile of patients with chronic tension-type headache. Turk Psikiyatri Derg. 2004;15:105–111
  13. Bradley LA. Cognitive-behavioural therapy for chronic pain. In:  Gatchel RJ,  Turk DC editor. Psychological approaches to pain management. A practitioner’s handbook. New York: Guilford Press; 1996;p. 131–147
  14. Bulik CM, Sullivan PF, Carter FA, McIntosh VV, Joyce PR. Predictors of rapid and sustained response to cognitive-behavioural therapy for bulimia nervosa. Int J Eat Disord. 1999;26:137–144
  15. Bulik CM, Sullivan PF, Fear JL, Pickering A. Outcome of anorexia nervosa: eating attitudes, personality and parental bonding. Int J Eat Disord. 2000;28:139–147
  16. Burton K, Polatin PB, Gatchel RJ. Psychosocial factors and the rehabilitation of patients with chronic work-related upper extremity disorders. J Occup Rehabil. 1997;7:139–153
  17. Campo JV, Bridge J, Ehmann M, Altman S, Lucas A, Birmaher B, et al. Recurrent abdominal pain, anxiety and depression in primary care. Pediatrics. 2004;113:817–824
  18. Cloninger CR. A unified biosocial theory of personality and its role in the development of anxiety states. Psychiatr Dev. 1986;3:167–226
  19. Cloninger CR. A systematic method for clinical description and classification of personality variants. Arch Gen Psychiatry. 1987;44:573–588
  20. Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993;50:975–990
  21. Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD. The Temperament and Character Inventory (TCI): a guide to its development and use. St. Louis: Center for Psychobiology of Personality; 1994;
  22. Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD. Das Temperament-und Character-Inventar. Manual. Frankfurt: Swets and Zeitlinger; 1999;
  23. Cloninger CR. A practical way to diagnosis personality disorder: a proposal. J Pers Disord. 2000;14:99–108
  24. Cloninger CR. Feeling good: the science of well-being. New York: Oxford University Press; 2004;p. 269–311
  25. Corruble E, Duret C, Pelissolo A, Falissard B, Guelfi JD. Early and delayed personality changes associated with depression recovery? A one-year follow-up study. Psychiatry Res. 2002;109:17–25
  26. Costa PT, McCrae RR. The NEO personality inventory manual. Orlando: Psychological Assessment Resources; 1985;
  27. Dersh J, Polatin P, Gatchel RJ. Chronic pain and psychopathology: research findings and theoretical considerations. Psychosom Med. 2002;64:773–786
  28. Davison S, Leese M, Taylor PJ. Examination of the screening properties of the personality diagnostic questionnaire-4 (PDQ-4) in a prison population. J Personal Disord. 2001;15:180–194
  29. Eysenck HJ, Eysenck SBJ. Manual of the Eysenck personality questionnaire. Kent: Hodder & Staughton; 1975;
  30. Fields HL, Basbaum AI. Central nervous system mechanisms of pain modulation. In:  Wall PD,  Melzack R editor. Textbook of pain. 4th ed.. Edingburgh: Churchill Livingstone; 1999;p. 309–330
  31. First MB, Spitzer RL, Gibbon M, Williams JBW, Benjamin L. Structured clinical interview for DSM-IV Axis II personality disorders. Washington, DC: American Psychiatric Association; 1997;
  32. Hathaway SR, McKinley J. Minnesota Multiphasic Personality Inventory. Minneapolis: University of Minnesota Press; 1943;
  33. Hautzinger M, Bailer M, Worall H, Keller F. Beck-Depressions-Inventar (BDI). Göttingen: Verlag Hans Huber; 1994;
  34. Hirano S, Sato T, Narita T, Kusunoki K, Ozaki N, Kimura S, et al. Evaluating the state dependency of the Temperament and Character Inventory dimensions in patients with major depression: a methodological contribution. J Affect Disord. 2002;69:31–38
  35. Keefe FJ, Caldwell D, Baucom D, Salley A, Robinson E, Timmons K, et al. Spouse assisted coping skills training in the management of osteoarthritis knee pain. Arthritis Care Res. 1996;9:279–291
  36. Keefe FJ, Caldwell D, Baucom D, Salley A, Robinson E, Timmons K, et al. Spouse assisted coping skills training in the management of osteoarthritis knee pain. Arthritis Care Res. 1999;12:101–111
  37. Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5:195–211
  38. Laux L, Glanzmann P, Schaffner P, Spielberger CD. Das State-Trait Angstinventar. Handanweisung. Weinheim: Beltz Test; 1981;
  39. Livesley WJ, Jang KL. Toward an empirically based classification of personality disorder. J Personal Disord. 2000;14:137–151
  40. Lorig K, Chastain RL, Ung E, Shoor S, Holman HR. Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis Rheum. 1989;36:439–446
  41. Maffei C, Fossati A, Agostoni I, Barraco A, Bagnato M, Deborah D, et al. Interrater reliability and internal consistency of the structured clinical interview for DSM-IV Axis II personality disorders (SCID-II), version 2.0. J Personal Disord. 1997;11:279–284
  42. Malmgren-Olsson EB, Bergdahl J. Temperament and character personality dimensions in patients with nonspecific musculoskeletal disorders. Clin J Pain. 2006;22:625–631
  43. Merskey H. Classification of chronic pain: description of chronic pain syndromes and definition of pain terms. Pain. 1986;3:S1–S225
  44. Mongini F, Fassino S, Tota E, Deregibus A, Levi M, Monticone D, et al. The Temperament and character inventory in women with migraine. J Headache Pain. 2005;6:247–249
  45. Moresco FM, Dieci M, Vita A, Messa C, Gobbo C, Galli L, et al. In vivo serotonin 5HT(2A) receptor binding and personality traits in healthy subjects: a positron emission tomography study. Neuroimage. 2002;17:1470–1478
  46. Mulder RT, Joyce RP, Sullivan PF, Bulik CM, Carter FA. The relationship of three models of personality psychopathology: DSM-III-R personality disorder, TCI scores and DSQ defences. Psychol Med. 1999;29:943–951
  47. Mulder RT, Joyce PR, Frampton CM, Luty SE, Sullivan PF. Six months of treatment for depression: outcome and predictors of the course of illness. Am J Psychiatry. 2006;163:95–100
  48. Perry JC. Problems and considerations in the valid assessment of personality disorders. Am J Psychiatry. 1992;149:1645–1653
  49. Polatin PB, Kinney RK, Gatchel RJ, Lillo E, Mayer TG. Psychiatric illness and chronic low back pain. The mind and the spine – which goes first?. Spine. 1993;18:66–71
  50. Radbruch L, Loick G, Kiencke P, Lindena G, Sabatowski R, Grond S, et al. Validation of the German version of the Brief Pain Inventory. J Pain Symptom Manage. 1999;18:180–187
  51. Richter J, Brändström S, Przybeck T. Assessing personality: the Temperament and Character Inventory in a cross-cultural comparison between Germany, Sweden, and the USA. Psychol Rep. 1999;84:1315–1330
  52. Richter J, Krecklow B, Eisemann M. Interrelations between temperament, character, and parental rearing among delinquent adolescents: a cross-validation. Compr Psychiatry. 2002;43:210–214
  53. Samuels JF, Nestadt G, Romanowski AJ, Folstein MF, McHugh PR. DSM-III-R personality disorders in the community. Am J Psychiatry. 1994;151:1055–1062
  54. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59:22–33quiz 34–57.
  55. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press; 1969;
  56. 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;106:189–195
  57. Svrakic DM, Whitehead C, Przybeck TR, Cloninger CR. Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Arch Gen Psychiatry. 1993;50:991–999
  58. Tan G, Jensen MP, Thornby JI, Shanti BF. Validation of the Brief Pain Inventory for chronic nonmalignant pain. J Pain. 2004;5:133–137
  59. Tanaka E, Sakamoto S, Kijima N, Kitamura T. Different personalities between depression and anxiety. J Clin Psychol. 1998;54:1043–1051
  60. Turk DC, Okifuji A. Psychological factors in chronic pain: evolution and revolution. J Consult Clin Psychol. 2002;70:678–690
  61. Tyrer P. Are personality disorders well classified in DSM-IV. In:  Livesley WJ editors. The DSM-IV personality disorders. New York: Guilford Press; 1995;p. 29–45
  62. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85:317–332
  63. Vlaeyen JWS, Linton SJ. Are we “fear-avoidant”?. Pain. 2006;124:240–241
  64. Waddell G, Newton M, Henderson I, Sommerville D, Main C. A Fear-avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52:157–168
  65. Weisberg J, Gallagner R, Gorin A. Personality disorders in chronic pain: a longitudinal approach to validation of diagnosis. Proceedings of the Annual Meeting of the American Pain Society. Washington, DC; 1996.
  66. Weisberg JN, Vaillancourt PD. Personality factors and disorders in chronic pain. Semin Clin Neuropsychiatry. 1999;4:155–166
  67. Weisberg JN, Keefe FJ. Personality, individual differences and psychopathology in chronic pain. In:  Gatchel RJ,  Turk DC editor. Psychosocial factors in pain: critical perspectives. New York: Guilford Press; 1999;p. 56–73
  68. Weisenberg M. Cognitive aspects of pain. In:  Wall PD,  Melzack R editor. Textbook of pain. 4th ed.. Edingburgh: Churchill Livingstone; 1999;p. 345–358
  69. Widiger TA, Simonsen E. Alternative dimensional models of personality disorder: finding a common ground. J Personal Disord. 2005;19:110–130
  70. Wittchen HU, Zaudig M, Fydrich TS. KID. Strukturiertes Klinisches Interview für DSM-IV Achse I und II. Handanweisung. Göttingen: Hogrefe; 1997;
  71. Workman EA, Hubbard JR, Felker BL. Comorbid psychiatric disorders and predictors of pain management program success in patients with chronic pain. Primary care companion. J Clin Psychiatry. 2002;4:137–140
  72. Zimmermann M. Diagnosing personality disorders. A review of issues and research methods. Arch Gen Psychiatry. 1994;51:225–245

PII: S0304-3959(07)00427-7

doi: 10.1016/j.pain.2007.07.024

PAIN
Volume 133, Issue 1 , Pages 197-209 , 15 December 2007

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