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Do Relational and Self-Definitional Traits Influence Deep Brain Stimulation Device Preference?

Andrea L Crowell1,2, Stefanie L Speanburg1,2, Lydia N Denison1

  • 1Emory University School of Medicine, Department of Psychiatry and Behavioral Sciences.

Psychoanalytic Psychology : the Official Journal of the Division of Psychoanalysis, American Psychological Association, Division 39
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PubMed
Summary
This summary is machine-generated.

Individuals with higher relational needs preferred non-rechargeable batteries for deep brain stimulation (DBS) devices. This suggests personality influences preferences for neuromodulation therapy maintenance and caregiver interaction.

Keywords:
anacliticdeep brain stimulationdepressionintrojectiveobject relationsrelationalself-definitional

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Psychology

Background:

  • Personality psychodynamics impact treatment response in psychiatric care.
  • Neuromodulation therapies are emerging for treatment-resistant depression.
  • Deep brain stimulation (DBS) is a key neuromodulation technique.

Purpose of the Study:

  • To investigate how relational versus self-definitional personality traits influence patient preference for deep brain stimulation (DBS) battery types.
  • To understand the role of personality in the acceptance of medical device maintenance in neuromodulation therapy.

Main Methods:

  • Twenty-six patients with treatment-resistant depression undergoing DBS were surveyed.
  • Patients completed the Depressive Experiences Questionnaire (DEQ) to assess personality traits.
  • A questionnaire assessed patient preference between non-rechargeable and rechargeable DBS batteries.

Main Results:

  • Higher scores on the DEQ dependency subscale, particularly neediness, correlated with a preference for non-rechargeable DBS batteries.
  • Individuals with greater relational needs favored battery types requiring more caregiver interaction.
  • Self-critical personality traits did not predict battery type preference.

Conclusions:

  • Patient personality psychodynamics, specifically relational needs, significantly influence preferences for neuromodulation device characteristics.
  • Treatment approaches incorporating medical devices may need to consider patient personality for optimal engagement.
  • Further research is warranted on the interplay between personality and biomedical intervention responses.