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How Stable are Temperaments in the Clinical Setting: A Pilot Study.

Elie G Karam1, Elaine El Khoury2, Lynn Itani2

  • 1Institute for Development, Research, Advocacy & Applied Care (IDRAAC), Beirut, Lebanon; Department of Psychiatry & Clinical Psychology, St. George Hospital University Medical Center, Balamand University, Faculty of Medicine, Beirut, Lebanon.

Clinical Practice and Epidemiology in Mental Health : CP & EMH
|October 14, 2016
PubMed
Summary

The Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire (TEMPS-A) is stable in adult outpatients. Minor shifts in temperament scores indicate the TEMPS-A scale

Keywords:
AnxiousCyclothymicDysthymicHyperthymicIrritableTemps A

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Area of Science:

  • Psychiatry and Psychology
  • Clinical Assessment
  • Psychometrics

Background:

  • The stability of temperament measurement instruments is crucial, especially in patients with mental disorders.
  • The Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire (TEMPS-A) is widely used in clinical settings.
  • Previous research has not evaluated the TEMPS-A's stability in adult outpatient clinical populations.

Purpose of the Study:

  • To evaluate the stability of temperament scores over time in adult outpatients.
  • To assess the impact of clinical intervention on temperament stability.
  • To determine if factors like age, gender, or diagnosis severity influence temperament score changes.

Main Methods:

  • 89 adult outpatients were assessed using the TEMPS-A at baseline and follow-up.
  • Mental disorder diagnoses were confirmed via clinical interviews.
  • Temperament score changes were analyzed using z-scores, with severity assessed on a Likert scale.

Main Results:

  • Over 86% of participants showed minimal change (less than one z-score) in their temperament scores.
  • Specific temperament categories (depressive, cyclothymic, hyperthymic, irritable, anxious) demonstrated high stability.
  • No significant association was found between age, gender, time, number of diagnoses, or improvement and changes in temperament scores.

Conclusions:

  • Temperament scores, as measured by the TEMPS-A, exhibit significant stability in adult outpatients.
  • The TEMPS-A scale is a reliable instrument for assessing temperaments in clinical settings.
  • Future studies should incorporate robust severity measures to further validate findings.