Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892011000300007
Trends in Psychiatry and Psychotherapy
Review Article

Traços de temperamento associados ao transtorno afetivo bipolar: uma revisão integrativa da literatura

Temperament traits associated with bipolar affective disorder: an integrative literature review

Alina Gomide Vasconcelos; Leandro Fernandes Malloy-Diniz; Elizabeth do Nascimento; Fernando Neves; Humberto Corrêa

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Resumo

Estudos associam características do temperamento ao mau ajustamento e desenvolvimento de transtornos psiquiátricos, entendendo-os como aspectos de vulnerabilidade à psicopatologia. O objetivo deste estudo é realizar uma revisão integrativa da literatura a respeito dos traços de temperamento que caracterizam o transtorno afetivo bipolar em relação à população geral. Para tanto, foi realizada uma pesquisa sistemática sobre o tema nas bases de dados MEDLINE, PsycINFO e LILACS, utilizando os descritores bipolar disorder, temperament e/ou personality, no período compreendido entre janeiro de 2000 e dezembro de 2010. A consulta às bases de dados foi realizada em janeiro de 2011. A busca resultou em 199 artigos potenciais para compor a revisão. Após aplicação dos critérios de exclusão, 15 artigos foram selecionados para revisão e analisados na íntegra. Dentre os estudos selecionados, notou-se heterogeneidade no perfil das amostras e nos traços específicos de temperamento avaliados e respectivos instrumentos utilizados. Características de temperamento de pacientes bipolares são identificadas com base em diferentes modelos teóricos. De forma congruente, os resultados de cinco estudos apontaram que pacientes bipolares apresentam características relacionadas ao traço de personalidade denominado neuroticismo. Revisões futuras devem utilizar descritores mais específicos e restringir a busca a estudos com delineamento longitudinal.

Palavras-chave

Temperamento, transtorno bipolar, revisão

Abstract

Studies have suggested an association between temperament characteristics and adjustment and psychiatric disorders, describing them as different manifestations of vulnerability to psychopathology. The objective of this study was to conduct an integrative review of the literature on temperament traits typical of bipolar patients in relation to the general population. A systematic search was conducted on the MEDLINE, PsycINFO and LILACS databases, using the headings bipolar disorder, temperament and/or personality, between January 2000 and December 2010. The search was performed in January 2011. A total of 199 articles were identified for potential inclusion in the review. After application of the exclusion criteria, a total of 15 articles were selected and their full texts analyzed. Review of the selected studies revealed heterogeneity in terms of sample profile and specific temperament traits assessed with the appropriate instruments. Temperament traits in bipolar patients are identified based on different theoretical models. The results of five studies consistently showed that neuroticism is a distinct personality trait in the temperament profile of bipolar patients. Future reviews should use more specific keywords and limit the search to studies with a longitudinal design.

Keywords

Temperament, bipolar disorder, review

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