Temperament and character in patients with acute abdominal pain

• Published in: Comprehensive psychiatry Vol. 87; pp. 128 - 133
• Main Authors: Lexne, Erik, Brudin, Lars, Strain, James J., Nylander, Per-Olof, Marteinsdottir, Ina
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2018; Elsevier Limited
• Subjects: Abdomen; Abdomen, Acute - diagnosis; Abdomen, Acute - psychology; Adult; Alcohol; Anxiety; Anxiety - etiology; Character; Emergency clinic; Emergency medical care; Emergency Service, Hospital; Female; Functional gastrointestinal disorders; Gastroesophageal reflux; Harm avoidance; Humans; Male; Medical records; Middle Aged; Organic dyspepsia; Pain; Personality; Personality Disorders - complications; Personality Disorders - diagnosis; Personality Inventory; Personality traits; Questionnaires; Temperament; Ulcers; Sweden; Harm avoidance; Anxiety; Organic dyspepsia; Character; Functional gastrointestinal disorders; Emergency clinic
• ISSN: 0010-440X; 1532-8384; 1532-8384
• DOI: 10.1016/j.comppsych.2018.09.008

Several conditions presenting with abdominal pain are associated with specific personality factors although it is unclear if this is true also in emergency clinic settings. To study personality factors among patients with acute abdominal pain in an emergency ward. Consecutive patients (N = 165) with abdominal symptoms at an emergency clinic were administrated the Temperament and Character Inventory (TCI). Three main groups were identified; specific abdominal diagnoses, (N = 77), non-specific abdominal pain, (N = 67) and organic dyspepsia (N = 21). TCI results were compared between clinical groups and a control group (N = 122). As compared to individuals with specific abdominal diagnoses and controls, those with organic dyspepsia were significantly more anxious (harm avoidance), (p = 0.003), and had lower ability to cooperate (cooperativeness) (p = 0.048 and p = 0.004 respectively). They were also significantly more unpretentious (self-transcendence) compared to individuals with specific abdominal diagnoses (p = 0.048), non-specific abdominal pain (p = 0.012) and controls (p = 0.004) and evidenced less mature character (sum of self-directedness and cooperativeness) compared to those with specific abdominal diagnoses and controls (p = 0.003). Individuals seeking care at an emergency clinic with organic dyspepsia showed a distinguishable pattern of personality features that distinguished them from the other comparison groups. Therefore an evaluation of personality factors may add a new dimension to the diagnostic investigation in the emergency care of abdominal pain and contribute to the optimization of the treatment of organic dyspepsia.