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Rivista di Psichiatria, Psicologia e Psicofarmacologia
Official Journal of the Italian Society of Social Psychiatry
Indexed/Abstracted in: EMBASE, e-psyche, PsycINFO, Scopus, Emerging Sources Citation Index
Minerva Psichiatrica 2016 September;57(3):85-92
Personality disorders and temperamental traits in patients with breast disease: preliminary results
Graziella DI GREZIA 1, Vincenzo PRISCO 2, Teresa IANNACCONE 2, Roberto GRASSI 1, Nicola SERRA 1, Gianluca GATTA 1
1 Department of Radiology, Second University of Naples, Naples, Italy; 2 Department of Psychiatry, Second University of Naples, Naples, Italy
BACKGROUND: The aim of this study was to identify individual characteristics in patients with a benign or malignant breast disease diagnosis. The role of specific personality traits has been considered in the assessment of temperament and character as a predictor of a certain psychopathological state in patients with breast disease diagnosis.
METHODS: Participants were interviewed using a structured clinical test (SCID-II, version 2.0) disorders, and the Italian version of Akiskal’s semi-structured clinical interview for temperamental profiles (TEMPS-I) after clinical breast exams and ultrasonography.
RESULTS: All patients presented different personality disorders and heterogeneity in temperamental profiles. Of 29 patients with benign breast disease diagnosis, 12 presented with histrionic, 7 narcissistic, 5 dependent, 4 obsessive, 2 borderline, one antisocial and one paranoid personality disorder. The histrionic-narcissistic disorder is associated with benign breast disease. The three patients with malignant diagnosis presented the same temperamental profile: depressive temperament was associated with malignant breast disease diagnosis.
CONCLUSIONS: According to the recent literature, personality disorders cannot influence breast cancer or its prognosis. However, psychological consultation is a very important step to predispose specific interventions, treating psychiatric reactive comorbidities. This study shows the relevance of psychiatric counselling in breast units in the diagnostic cluster detection. Future purpose is to extend the sample and to add a follow-up evaluation.