Temperament and character profiles of ankylosing spondylitis patients compared with major depression patients and healthy controls

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dc.authorid0000-0003-0290-9341en_US
dc.authorid0000-0002-1422-1600en_US
dc.authorid0000-0002-1669-7629en_US
dc.authorid0000-0001-6541-0666en_US
dc.contributor.authorTönük, Şükrü Burak
dc.contributor.authorArısoy, Özden
dc.contributor.authorÖztürk, Erhan Arif
dc.contributor.authorBoztaş, Mehmet Hamid
dc.contributor.authorKaygusuz, Çiğdem Çifci
dc.date.accessioned2023-06-21T13:51:53Z
dc.date.available2023-06-21T13:51:53Z
dc.date.issued2021en_US
dc.departmentBAİBÜ, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractBackground/Objective Depressive disorder is common in patients with ankylosing spondylitis (AS), who exhibit specific brain imaging abnormalities resembling those in major depression (MD). We compared temperament and character profiles between patients with AS and MD. Methods The study involved 36 patients with AS, 40 with MD, and 36 healthy controls (HCs). The participants were age-, sex-, and education-matched. Depression, anxiety, temperament, and character were evaluated using the Temperament and Character Inventory and physician-rated Hamilton Depression and Anxiety Scales. Disease severity was assessed using the Bath Ankylosing Spondylitis Disease Activity, Radiology, Metrology, and Functionality Indexes; erythrocyte sedimentation rate; and C-reactive protein. Results Depression and anxiety scores were highest in MD, lowest in HCs, and intermediate in AS (p < 0.001). Harm avoidance was significantly higher in MD and AS than HCs (p = 0.01). Reward dependency was lower (p = 0.011) and self-transcendence higher in AS only (p = 0.034). Bath Ankylosing Spondylitis Radiology Index was negatively correlated with depression (p = 0.020). Bath Ankylosing Spondylitis Radiology Index and Bath Ankylosing Spondylitis Metrology Index were negatively correlated with harm avoidance (p < 0.05). Disease duration was negatively correlated with self-transcendence (p = 0.027). Harm avoidance was correlated with depression score (p = 0.029). Patients under tumor necrosis factor alpha inhibitor treatment had lower cooperativeness score (p = 0.022). Conclusions Patients with AS had a specific Temperament and Character Inventory pattern. Harm avoidance was common in both AS and MD. In AS, harm avoidance and depression decreased in patients with progression, probably because progressive fusion of the spinal segments causes decrease in pain. Harm avoidance (fear of pain) seemed to be an acting factor for occurrence of depressive symptoms in AS.en_US
dc.identifier.citationTönük, Ş. B., Arısoy, Ö., Öztürk, E. A., Boztaş, M. H., Kaygusuz, Ç. Ç., & Sultanoğlu, T. E. (2021). Temperament and Character Profiles of Ankylosing Spondylitis Patients Compared With Major Depression Patients and Healthy Controls. JCR: Journal of Clinical Rheumatology, 27(8), e425-e431.en_US
dc.identifier.doi10.1097/RHU.0000000000001510
dc.identifier.endpageE431en_US
dc.identifier.issn1076-1608
dc.identifier.issn1536-7355
dc.identifier.issue8en_US
dc.identifier.pmid32815905en_US
dc.identifier.scopus2-s2.0-85120897678en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE425en_US
dc.identifier.urihttp://dx.doi.org/10.1097/RHU.0000000000001510
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11168
dc.identifier.volume27en_US
dc.identifier.wosWOS:000721553200029en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTönük, Şükrü Burak
dc.institutionauthorArısoy, Özden
dc.institutionauthorBoztaş, Mehmet Hamid
dc.institutionauthorKaygusuz, Çiğdem Çifci
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofJCR: Journal of Clinical Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnkylosing Spondylitisen_US
dc.subjectCharacteren_US
dc.subjectDepressionen_US
dc.subjectTemperamenten_US
dc.subjectQuality-of-Lifeen_US
dc.subjectPsychological Statusen_US
dc.titleTemperament and character profiles of ankylosing spondylitis patients compared with major depression patients and healthy controlsen_US
dc.typeArticleen_US

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