Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.47626/2237-6089-2020-0003
Trends in Psychiatry and Psychotherapy
Original Article

Associations between Gilbert’s syndrome and personality characteristics

Tolga Düzenli, Özgür Maden, Alpaslan Tanoğlu, Mustafa Kaplan, Yusuf Yazgan

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Abstract

Objective: Gilbert’s syndrome (GS) is a benign genetic disorder that is characterized by intermittent mild jaundice in which the liver doesn’t process bilirubin properly. The aim of this study was to determine whether GS patients have a different personality structure and if there are associations between properties of temperament and character and total bilirubin levels. Methods: A total of 1665 young male individuals aged from 19 to 30 who were admitted for occupational examinations were included in this study. Careful patient history was taken, a detailed physical examination was conducted, and hematologic and biochemical tests and abdominal ultrasonography were performed. The Turkish version of the Temperament and Character Inventory (TCI) was administered to all participants. 81 patients diagnosed with GS and 150 randomly chosen healthy individuals (control group) were investigated with comparison and correlation analyses. Results: GS patients had higher scores than healthy controls for disorderliness (NS4) (p = 0.018), sentimentality (RD1) (p = 0.042), and fatigability (HA4) (p = 0.03). Moreover, Gilbert syndrome patients scored lower than controls for empathy (C2) (p = 0.041) and transpersonal identification (ST2) (p = 0.044). Bilirubin levels were positively associated with disorderliness (NS4) (r = 0.141, p = 0.032) and fatigability (HA4) (r = 0.14, p = 0.033). Conclusions: GS patients may have some different personality characteristics from healthy individuals. This study is an initial exploration of the personality structure of GS patients and the findings should be interpreted with caution. Further prospective studies are needed to identify the relationship between Gilbert disease and personality characteristics.

Keywords

Gilbert’s syndrome, Temperament and Character İnventory, personality profile.

References

1. Fretzayas A, Moustaki M, Liapi O, Karpathios T. Gilbert syndrome. Eur J Pediatr. 2012;171:11-5.

2. Yamaguchi T, Shioji I, Sugimoto A, Yamaoka M. Psychological stress increases bilirubin metabolites in human urine. Biochem Biophys Res Commun. 2002;293:517-20.

3. Horsfall LJ, Nazareth I, Pereira SP, Petersen I. Gilbert’s syndrome and the risk of death: a population-based cohort study. J Gastroenterol Hepatol. 2013;28:1643-7.

4. Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD. The Temperament and Character Inventory (TCI): a guide to ıts development and use. St. Louis: Center for Psychobiology of Personality, Washington University; 1994.

5. Kose S, Sayar K, Kalelioglu U, Aydin N, Celikel FC, Gulec H, et al. Normative data and factorial structure of the Turkish version of the Temperament and Character Inventory. Compr Psychiatry. 2009;50:361-8.

6. Hirschfield GM, Alexander GJ. Gilbert’s syndrome: an overview for clinical biochemists. Ann Clin Biochem. 2006;43:340-3.

7. Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993;50:975-90.

8. Otani K, Shimizu S, Chijiiwa K, Yamaguchi K, Kuroki S, Tanaka M. Increased urinary excretion of bilirubin oxidative metabolites in septic patients: a new marker for oxidative stress in vivo. J Surg Res. 2001;96:44-9.

9. Novío S, Núñez MJ, Ponte CM, Freire-Garabal M. Urinary biopyrrins: potential biomarker for monitoring of the response to treatment with anxiolytics. Basic Clin Pharmacol Toxicol. 2012;111:206-10.

10. Vítek L. Relationship of bilirubin to diseases caused by increased oxidative stres. Vnitr Lek. 2013;59:618-21.

11. Maruhashi T, Soga J, Fujimura N, Idei N, Mikami S, Iwamoto Y, et al. Hyperbilirubinemia, augmentation of endothelial function, and decrease in oxidative stress in Gilbert syndrome. Circulation. 2012;126:598-603.

12. Miyaoka T, Yasukawa R, Yasuda H, Shimizu M, Mizuno S, Sukegawa T, et al. Urinary excretion of biopyrrins, oxidative metabolites of bilirubin, increases in patients with psychiatric disorders. Eur Neuropsychopharmacol. 2005;15:249-52.

13. Widschwendter CG, Rettenbacher MA, Kemmler G, et al. Bilirubin concentration correlates with positive symptoms in patients with schizophrenia. J Clin Psychiatry. 2016;77:512-6.

14. Tang WK, Liang H, Chu WC, Mok V, Ungvari GS, Wong KS. Association between high serum total bilirubin and post-stroke depression. Psychiatry Clin Neurosci. 2013;67:259-64.

15. Gazzin S, Vitek L, Watchko J, Shapiro SM, Tiribelli C. A Novel Perspective on the Biology of Bilirubin in Health and Disease. Trends Mol Med. 2016;22:758-68.

16. Kao TW, Chou CH, Wang CC, Chou CC, Hu J, Chen WL. Associations between serum total bilirubin levels and functional dependence in the elderly. Intern Med J. 2012;42:1199-207.

17. Oren DA, Desan PH, Boutros N, Anand A, Charney DS. Effects of light on low nocturnal bilirubin in winter depression: a preliminary report. Biol Psychiatry. 2002;51:422-5.

18. Cleary KJ, White PD. Gilbert’s and chronic fatigue syndromes in men. Lancet. 1993;341:842.

19. Valesini G, Conti F, Priori R, Balsano F. Gilbert’s syndrome and chronic fatigue syndrome. Lancet. 1993;341:1162-3.

20. Lee P, Jones G, Seibel MJ. Dual polymorphisms in UDPglucuronosyltransferases 1A1 and 1A6: a novel mechanism for hyperserotoninaemia in Gilbert’s syndrome mimicking carcinoid syndrome? Eur J Gastroenterol Hepatol. 2007;19:337-40.

21. Peters WH, te Morsche RH, Roelofs HM. Combined polymorphisms in UDP-glucuronosyltransferases 1A1 and 1A6: implications for patients with Gilbert’s syndrome. J Hepatol. 2003;38:3-8.

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