Yıl: 2020 Cilt: 50 Sayı: 5 Sayfa Aralığı: 1314 - 1322 Metin Dili: İngilizce DOI: 10.3906/sag-1912-18 İndeks Tarihi: 25-07-2022

The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy

Öz:
Background/aim: Epilepsy is a common chronic neurological problem that impairs daily activities, functionality, and quality of life. Childhood traumas (CTs) are known to be critical factors in the onset or development of many psychiatric and medical disorders. They also play a critical role in the development of temperament and personality. This study aimed to investigate the association between CTs and common temperament patterns and features seen in epilepsy patients. Materials and methods: The study included 38 patients who were diagnosed with juvenile myoclonic epilepsy (JME) and volunteered to participate in the study. In addition to the sociodemographic form and questions on disease features, Structured Clinical Interview for DSM-IV Axis I Disorders, Temperament Evaluation of Memphis, Pisa, Paris and San Diego Questionnaire (TEMPS-A), Childhood Trauma Questionnaire (CTQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were administered to all participants. In the present study, a cut-off value of 35 was used for the CTQ scale. The patients with CTQ scores lower than 35 (50%, n = 19, Group 1) and the patients with CTQ scores above 35 (50%, n = 19, Group 2) were compared. Results: The comparison of TEMPS-A and its subscale scores in the JME patients in the groups with CTQ scores above or below a cut-off value detected significant differences between the groups in depressive and irritable temperament scores. The mean BDI scores were also different between the two groups. Furthermore, a significant positive correlation was detected between the disease duration, anxiety, and depression scores in the JME patients. A significant relationship was detected between the emotional neglect subscale score of the JME patients and the BDI scores. A significant positive correlation was found between the total disease duration, BDI, and BAI. Significant moderate-level relationships were found between the BDI score and irritable, depressive, cyclothymic, and anxious temperaments and between the BAI score and irritable, depressive, cyclothymic, and anxious temperaments. Conclusion: Several temperamental features of JME patients are related to CTs. More depressive symptoms are seen in JME patients with higher disease durations.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Goldman L, Schafer AI. Goldman’s Cecil Medicine E-Book. 24th ed. Philadelphia, PA, USA: Elsevier/Saunders; 2015.
  • 2. Mendez MF, Cummings JL, Benson DF. Depression in epilepsy: significance and phenomenology. Archives of Neurology 1986; 43(8): 766-770.
  • 3. Harden CL, Goldstein MA. Mood disorders in patients with epilepsy. CNS Drugs 2002; 16(5): 291-302.
  • 4. O’Donoghue MF, Goodridge DM, Redhead K, Sander JW, Duncan JS. Assessing the psychosocial consequences of epilepsy: a community-based study. British Journal of General Practice 1999; 49(440): 211-214.
  • 5. Dreifuss FE. Classification of epileptic seizures and the epilepsies. Pediatric Clinics of North America 1989; 36(2): 265-279.
  • 6. Camfield CS, Striano P, Camfield PR. Epidemiology of juvenile myoclonic epilepsy. Epilepsy & Behavior 2013; 28: S15-S17.
  • 7. Zhang Y, Chen J, Ren J, Liu W, Yang T et al. Clinical features and treatment outcomes of Juvenile myoclonic epilepsy patients. Epilepsia Open 2019; 4(2): 302.
  • 8. Taycan SE, Taycan O. Affective temperament profiles and clinical correlates in patients with epilepsy: a link from mood disorders. Journal of Affective Disorders 2014; 164: 1-4.
  • 9. Kobow K, Blümcke I. Epigenetic mechanisms in epilepsy. In: Steinlein OK (editor). Progress in brain research. Philadelphia, PA, USA: Elsevier; 2014. pp. 279-316.
  • 10. Sengoku A, Toichi M, Murai T. Comparison of psychotic states in patients with idiopathic generalized epilepsy and temporal lobe epilepsy. Epilepsia 1997; 38: 22-25.
  • 11. Trinka E, Kienpointner G, Unterberger I, Luef G, Bauer G et al. Psychiatric comorbidity in juvenile myoclonic epilepsy. Epilepsia 2006; 47(12): 2086-2091.
  • 12. Perini GI, Tosin C, Carraro C, Bernasconi G, Canevini MP et al. Interictal mood and personality disorders in temporal lobe epilepsy and juvenile myoclonic epilepsy. Journal of Neurology Neurosurgery and Psychiatry 1996; 61(6): 601-605.
  • 13. Swinkels WA, Kuyk JV, Van Dyck R, Spinhoven PH. Psychiatric comorbidity in epilepsy. Epilepsy & Behavior 2005; 7(1): 37-50.
  • 14. Gaitatzis A, Trimble MR, Sander JW. The psychiatric comorbidity of epilepsy. Acta Neurologica Scandinavica 2004; 110(4): 207-220.
  • 15. Swinkels WAM, Duijsens IJ, Spinhoven PH. Personality disorder traits in patients with epilepsy. Seizure 2003; 12(8): 587-594.
  • 16. Akiskal HS. Criteria for the “soft” bipolar spectrum: treatment implications. Psychopharmacology Bulletin 1987; 23: 68-73.
  • 17. Sayin A, Aslan S. The relationship between mood disorders and temperament, character and personality. Turkish Journal of Psychiatry 2005; 16(4): 276-283.
  • 18. Özmen M, Tecer Ö. Psychiatric disorders in epilepsy. Turkiye Klinikleri Journal of Internal Medical Sciences 2006; 2(47): 48- 56.
  • 19. Tatlıdil E, Yılmaz A, Kumbasar H. Personality change due to a medical condition. Turkiye Klinikleri Journal of Internal Medical Sciences 2007; 3(12): 76-81 .
  • 20. Blumer D. Evidence supporting the temporal lobe epilepsy personality syndrome. Neurology 1999; 53(5 Suppl 2): S9-S12.
  • 21. Herman JL, Perry JC, Van der Kolk BA. Childhood trauma in borderline personality disorder. American Journal of Psychiatry 1989; 146(4): 490-495.
  • 22. Tunç S, Yenilmez Y, Altınbaş K. Comparison of temperament and clinical features of bipolar disorder patients with and without suicide attempt history. Anatolian Journal of Psychiatry 2014; 15(3): 214-220.
  • 23. Johnson JG, Cohen P, Brown J, Smailes EM, Bernstein DP. Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry 1999; 56(7): 600-606.
  • 24. Windle M, Windle RC, Scheidt DM, Miller GB. Physical and sexual abuse and associated mental disorders among alcoholic inpatients. American Journal of Psychiatry 1995; 152(9): 1322- 1328.
  • 25. Sudbrack R, Manfro PH, Kuhn IM, de Carvalho HW, Lara DR. What doesn’t kill you makes you stronger and weaker: How childhood trauma relates to temperament traits. Journal of Psychiatry Research 2015; 62: 123-129.
  • 26. Proença ICGF, Castro LHM, Jorge CL, Marchetti RL. Emotional trauma and abuse in patients with psychogenic nonepileptic seizures. Epilepsy & Behavior 2011; 20(2): 331-333.
  • 27. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured clinical interview for DSM-IV clinical version (SCID-I/CV). Washington, DC, USA: American Psychiatric Press; 1997.
  • 28. Çorapçıoğlu A, Aydemir Ö, Yıldız M, Esen A, Köroğlu E. DSMIV Eksen I Bozuklukları (SCID-I) için yapılandırılmış klinik görüşme klinik versiyon. Ankara: Hekimler Yayın Birliği; 1999 (in Turkish).
  • 29. Akiskal HS, Akiskal KK, Haykal RF, Manning JS, Connor PD. TEMPS-A: progress towards validation of a self-rated clinical version of the Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego Autoquestionnaire. Journal of Affective Disorders 2005; 85(1): 3-16.
  • 30. Ulusoy M, Sahin N, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of Cognitive Psychotherapy 1998; 12: 163-172.
  • 31. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Archives of General Psychiatry 1961; 4(6): 561-571.
  • 32. Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi 1989; 7: 3-13 (in Turkish).
  • 33. Bernstein DP, Fink L, Handelsman L, Foote J, Lovejoy M et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry 1994; 151(8): 1132-1136.
  • 34. Şar V, Öztürk PE, İkikardeş E. Validity and reliability of the Turkish version of childhood trauma questionnaire. Turkiye Klinikleri Journal of Internal Medical Sciences 2012; 32(4): 1054-1063 (In Turkish).
  • 35. Aydemir Ö, Köroğlu E. Psikiyatride Kullanılan Klinik Ölçekler. 3rd ed. Ankara: Hekimler Yayın Birliği; 2007 (in Turkish).
  • 36. Iqbal N, Caswell HL, Hare DJ, Pilkington O, Mercer S et al. Neuropsychological profiles of patients with juvenile myoclonic epilepsy and their siblings: a preliminary controlled experimental video-EEG case series. Epilepsy & Behavior 2009; 14(3): 516-521.
  • 37. Pung T, Schmitz B. Circadian rhythm and personality profile in juvenile myoclonic epilepsy. Epilepsia 2006; 47: 111-114.
  • 38. de Araújo Filho GM, Jackowski AP, Lin K, Silva I, Guaranha MSB et al. The integrity of corpus callosum and cluster B personality disorders: a quantitative MRI study in juvenile myoclonic epilepsy. Progress in Neuro-psychopharmacology & Biological Psychiatry 2010; 34(3): 516-521.
  • 39. Gelisse P, Genton P, Samuelian JC, Thomas P, Bureau M. Psychiatric disorders in juvenile myoclonic epilepsy. Revue Neurologique (Paris) 2001; 157(3): 297-302.
  • 40. Schore AN. The effects of early relational trauma on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal 2001; 22(1‐2): 201-269.
  • 41. Wandschneider B, Thompson PJ, Vollmar C, Koepp MJ. Frontal lobe function and structure in juvenile myoclonic epilepsy: a comprehensive review of neuropsychological and imaging data. Epilepsia 2012; 53(12): 2091-2098.
  • 42. Davies, RK. Incest: some neuropsychiatric findings. The International Journal of Psychiatry in Medicine 1979; 9(2): 117-121.
  • 43. Teicher, MH, Tomoda, Andersen SL. Neurobiological consequences of early stress and childhood maltreatment: are results from human and animal studies comparable? Annals of the New York Academy of Sciences 2006; 1071(1): 313-323.
  • 44. Lee I, Strawn JR, Dwivedi AK, Walters M, Fleck A et al. Childhood trauma in patients with self-reported stressprecipitated seizures. Epilepsy & Behavior 2015; 51: 210-214.
  • 45. Yazici E, Yazici AB, Aydin N, Varoglu AO, Kirpinar I. Affective temperaments in epilepsy. Bulletin of Clinical Psychopharmacology 2012; 22(3): 254-261.
  • 46. Karakis I, Cole AJ, Montouris GD, San Luciano M, Meador KJ et al. Caregiver burden in epilepsy: determinants and impact. Epilepsy Research and Treatment 2014; 2014: 808421.
  • 47. Vazquez B, Devinsky O. Epilepsy and anxiety. Epilepsy & Behavior 2003; 4: 20-25.
  • 48. Hill J. Childhood trauma and depression. Current Opinion in Psychiatry 2003; 16(1): 3-6.
  • 49. Grünewald RA, Panayiotopoulos CP. Juvenile myoclonic epilepsy. Archives of Neurology 1993; 50(6): 594-598.
  • 50. Baker GA, Spector S, McGrath Y, Soteriou H. Impact of epilepsy in adolescence: a UK controlled study. Epilepsy & Behavior 2005; 6(4): 556-562.
APA Yaşar A, SAYMAN C, Erdogan Taycan S, Çetinkaya Y, Gündüz A, tireli h (2020). The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. , 1314 - 1322. 10.3906/sag-1912-18
Chicago Yaşar Alişan Burak,SAYMAN CEYHUN,Erdogan Taycan Serap,Çetinkaya Yılmaz,Gündüz Anıl,tireli hulya The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. (2020): 1314 - 1322. 10.3906/sag-1912-18
MLA Yaşar Alişan Burak,SAYMAN CEYHUN,Erdogan Taycan Serap,Çetinkaya Yılmaz,Gündüz Anıl,tireli hulya The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. , 2020, ss.1314 - 1322. 10.3906/sag-1912-18
AMA Yaşar A,SAYMAN C,Erdogan Taycan S,Çetinkaya Y,Gündüz A,tireli h The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. . 2020; 1314 - 1322. 10.3906/sag-1912-18
Vancouver Yaşar A,SAYMAN C,Erdogan Taycan S,Çetinkaya Y,Gündüz A,tireli h The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. . 2020; 1314 - 1322. 10.3906/sag-1912-18
IEEE Yaşar A,SAYMAN C,Erdogan Taycan S,Çetinkaya Y,Gündüz A,tireli h "The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy." , ss.1314 - 1322, 2020. 10.3906/sag-1912-18
ISNAD Yaşar, Alişan Burak vd. "The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy". (2020), 1314-1322. https://doi.org/10.3906/sag-1912-18
APA Yaşar A, SAYMAN C, Erdogan Taycan S, Çetinkaya Y, Gündüz A, tireli h (2020). The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. Turkish Journal of Medical Sciences, 50(5), 1314 - 1322. 10.3906/sag-1912-18
Chicago Yaşar Alişan Burak,SAYMAN CEYHUN,Erdogan Taycan Serap,Çetinkaya Yılmaz,Gündüz Anıl,tireli hulya The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. Turkish Journal of Medical Sciences 50, no.5 (2020): 1314 - 1322. 10.3906/sag-1912-18
MLA Yaşar Alişan Burak,SAYMAN CEYHUN,Erdogan Taycan Serap,Çetinkaya Yılmaz,Gündüz Anıl,tireli hulya The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. Turkish Journal of Medical Sciences, vol.50, no.5, 2020, ss.1314 - 1322. 10.3906/sag-1912-18
AMA Yaşar A,SAYMAN C,Erdogan Taycan S,Çetinkaya Y,Gündüz A,tireli h The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. Turkish Journal of Medical Sciences. 2020; 50(5): 1314 - 1322. 10.3906/sag-1912-18
Vancouver Yaşar A,SAYMAN C,Erdogan Taycan S,Çetinkaya Y,Gündüz A,tireli h The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy. Turkish Journal of Medical Sciences. 2020; 50(5): 1314 - 1322. 10.3906/sag-1912-18
IEEE Yaşar A,SAYMAN C,Erdogan Taycan S,Çetinkaya Y,Gündüz A,tireli h "The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy." Turkish Journal of Medical Sciences, 50, ss.1314 - 1322, 2020. 10.3906/sag-1912-18
ISNAD Yaşar, Alişan Burak vd. "The association between temperament features and childhood traumas in patients with juvenile myoclonic epilepsy". Turkish Journal of Medical Sciences 50/5 (2020), 1314-1322. https://doi.org/10.3906/sag-1912-18