Confirmation of the factorial structure of the Japanese short version of the TEMPS-A in psychiatric patients and general adults

Nakato, Yasuya; Inoue, Takeshi; Nakagawa, Shin; Kitaichi, Yuji; Kameyama, Rie; Wakatsuki, Yumi; Kitagawa, Kan; Y, Omiya; Kusumi, Ichiro

doi:10.2147/ndt.s97796

Cited by 18 publications

(10 citation statements)

References 26 publications

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“…A possible interpretation of this discrepancy is that, in the study by Di Florio et al, the MDD group included only the subjects diagnosed with recurrent MDD with hypomanic features, because recurrent major depressive episodes is a predictor of bipolarity [18]. The utilization of the short version of the TEMPS-A may also explain the difference between the results of their studies and ours, as the short version of the TEMPS-A (39 items) shows only weak or moderate correlation with the full version of the TEMPS-A (109/110 items) [28].…”

Section: Plos Onementioning

confidence: 82%

Utility of TEMPS-A in differentiation between major depressive disorder, bipolar I disorder, and bipolar II disorder

Morishita

Kameyama²,

Toda

et al. 2020

PLoS ONE

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Background The association between temperament characteristics and mood disorders has gained much attention in recent years. The Temperament Evaluation of Memphis, Pisa, Paris and San Diego-autoquestionnaire version (TEMPS-A) is a self-rating scale measuring 5 affective temperament dimensions. In this study, we aimed to clarify whether each affective temperament of TEMPS-A is a differentiating factor between major depressive disorder (MDD), bipolar I disorder (BD-I), and bipolar II disorder (BD-II), and analyzed the utility of TEMPS-A in their differential diagnosis in a clinical setting. Methods A total of 346 patients (MDD, n = 176; BD-II, n = 112; BD-I, n = 58) filled out TEMPS-A. To assess the patients' mood state at the time of temperament assessment, Patient Health Questionnaire-9 (PHQ-9) and Young Mania Rating Scale (YMRS) were also conducted. Results Multivariate logistic regression analysis demonstrated that cyclothymic and anxious temperament scores were significant factors differentiating the diagnosis of BD-I and BD-II from the diagnosis of MDD, and hyperthymic temperament score was a specific factor for the differential diagnosis of BD-I versus the diagnosis of BD-II. Limitations All of the patients included in our study received treatment in large general hospitals. Because the nature of the present study was cross-sectional, some MDD subjects in this study might have unrecognized BD-I/BD-II.

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Section: Plos Onementioning

confidence: 82%

Utility of TEMPS-A in differentiation between major depressive disorder, bipolar I disorder, and bipolar II disorder

Morishita

Kameyama²,

Toda

et al. 2020

PLoS ONE

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“…To assess cyclothymic and other temperaments, TEMPS-A short-version [ 41 ], which comprises 39 items instead of the 110 items in the full version), may have better usability. Moreover, further development of more straightforward and usable questionnaires that could distinguish cyclothymic temperament in patients with T2DM is required.…”

Section: Discussionmentioning

confidence: 99%

Cyclothymic Temperament is Associated with Poor Medication Adherence and Disordered Eating in Type 2 Diabetes Patients: A Case–Control Study

et al. 2021

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Introduction: Poor medication adherence and disordered eating are major self-care problems in patients with type 2 diabetes that worsen glycemic control and increase the risk of developing severe diabetes complications. Affective temperament, which remains mostly unchanged throughout life, is speculated to predict poor treatment response and high comorbidity. The aim of this study was to explore the link between affective temperament and poor glycemic control due to insufficient self-care. Methods: This single-center case-control study involved 77 outpatients divided into the 'poor glycemic control' group (n = 52) and the 'better glycemic control' group (n = 25) based on their mean glycated hemoglobin (HbA1c) levels over the past 12 months. All participants underwent one-on-one interviews during which they completed the following psychometric questionnaires: (1) the Mini-International Neuropsychiatric Interview 5.0.0;(2) the Temperament Evaluation of Memphis, Pisa, and San Diego Auto-questionnaire; (3) a researcherdesigned single question for assessing subclinical stress-induced overeating; and (4) the Morisky Medication Adherence Scale. The difference between two continuous independent variables was determined using Student's t test. Discrete variables were compared using the Chi-square (v 2 ) or Fisher's exact test. Multiple testing corrections were performed using the false discovery rate. Results: Those outpatients in the poor glycemic control group exhibited significantly

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“…26 The Japanese short version of TEMPS-A was used in the present study. 15,27,28 The patients filled out the short version of TEMPS-A on their admission to hospital. To evaluate the severity of their depression at the time of answering the questionnaire, they also filled out the Japanese version of Patient Health Questionnaire-9 (PHQ-9).…”

Section: Measures and Proceduresmentioning

confidence: 99%

“…26 On the other hand, a recent study on a group composed mostly of patients with psychiatric disorders reported that a firm factor structure was not identified in the shortened version of TEMPS-A, and that an alternative 18-item shorter version showed a firm factor structure. 27 The difference between the results of these two studies may be explained by the different characteristics of the included subjects.…”

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confidence: 96%

TEMPS‐A (short version) plays a supplementary role in the differential diagnosis between major depressive disorder and bipolar disorder

Morishita

Kameyama

Toda

et al. 2021

Psychiatry Clin Neurosci

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Aim: Early differential diagnosis between patients with major depressive disorder (MDD) and bipolar disorder (BD), and subsequently providing appropriate treatments are essential. There has been increased interest regarding the association between affective temperaments and mood disorder diagnosis. Our aim was to analyze the diagnostic validity of affective temperaments assessed by the short version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-autoquestionnaire version (TEMPS-A), in mood disorder patients.Methods: Inpatients with MDD (n = 146) or BD (n = 128) completed the short version of TEMPS-A, and their depressive and manic symptom severities were evaluated. Data of MDD and BD patients were compared by univariable and multivariable analyses.Results: Of the five affective temperament dimensions, substantially higher hyperthymic, irritable, and cyclothymic temperament scores were found in BD patients than in MDD patients. Using a multivariable logistic regression model built using the severities of depressed and manic conditions, and the five affective temperament subscale scores as independent variables, we identified two factors statistically associated with BD diagnosis (anxious temperament and cyclothymic temperament). The recommended cutoff point for the 12 items evaluating cyclothymic temperament to differentiate BD from MDD was 8 or more 'True' items (sensitivity: 35.9%, specificity: 87.7%).Limitations: Our design was cross-sectional, and therefore, there was a possibility of longitudinal diagnostic conversion of patients from MDD to BD. Conclusion:Cyclothymic and anxious temperaments on the short version of TEMPS-A, identified as diagnostic differentiating factors between MDD and BD, may play supplementary roles in the early identification of BD.

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Confirmation of the factorial structure of the Japanese short version of the TEMPS-A in psychiatric patients and general adults

Cited by 18 publications

References 26 publications

Utility of TEMPS-A in differentiation between major depressive disorder, bipolar I disorder, and bipolar II disorder

Utility of TEMPS-A in differentiation between major depressive disorder, bipolar I disorder, and bipolar II disorder

Cyclothymic Temperament is Associated with Poor Medication Adherence and Disordered Eating in Type 2 Diabetes Patients: A Case–Control Study

TEMPS‐A (short version) plays a supplementary role in the differential diagnosis between major depressive disorder and bipolar disorder

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