The Structural Relationships Between Temperament Dimensions of Personality and Psychological Symptoms of Somatic Symptom Disorder with the Mediation of Emotional Dysregulation
DOI:
https://doi.org/10.61838/kman.pdmd.3.2.4Keywords:
Psychological Symptoms, Somatic Symptom Disorder, Personality Dimensions, Emotional DysregulationAbstract
Background and Objective: The aim of this study was to determine the structural relationships between temperament dimensions of personality and psychological symptoms of somatic symptom disorder with the mediation of emotional dysregulation.
Methods and Materials: For this purpose, 380 students from the University of Tabriz were selected using multi-stage cluster random sampling during the academic year 2021-2022. The variables were measured using the Difficulties in Emotion Regulation Scale, the Somatic Complaint Questionnaire, the short form of the Symptom Checklist, and Cloninger's Temperament and Character Inventory (TCI).
Findings: Data analysis using structural equation modeling showed that novelty seeking, reward dependence, and persistence negatively and significantly explain the variations in psychological symptoms. Harm avoidance and emotional dysregulation positively and significantly explain the variations in psychological symptoms. Reward dependence and persistence negatively and significantly explain the variations in emotional dysregulation. Novelty seeking and reward dependence negatively, and harm avoidance positively, can explain the variations in psychological symptoms through emotional dysregulation.
Conclusion: The three temperament variables—novelty seeking, harm avoidance, and reward dependence—could explain the changes in somatic symptoms through the mediation of emotional dysregulation. These findings indicate that somatic symptom disorder is influenced by personality factors and that inefficiency in emotion regulation exacerbates this disorder. Additionally, these findings suggest that emotional dysregulation is a significant variable in the relationship between temperament dimensions and somatic symptoms.
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References
Afrashteh, M. Y., & Hasani, F. (2022). Mindfulness and Psychological Well-Being in Adolescents: The Mediating Role of Self-Compassion, Emotional
Dysregulation and Cognitive Flexibility. Borderline personality disorder and emotion dysregulation, 9(1). https://doi.org/10.1186/s40479-022-00192-y
Akbari, E., Azimi, Z., Talebi, S., & Fahimi, S. (2020). Prediction of Couples' Emotional Divorce Based on Early Maladaptive Schemas and Emotion
Regulation's Components. Clinical Psychology and Personality, 14(2), 79-92. https://doi.org/10.22070/14.2.79
American Psychiatric Association, A. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. Washington, DC: American psychiatric
association. https://doi.org/10.1176/appi.books.9780890425787
Axelrod, S. R., Perepletchikova, F., Holtzman, K., & Sinha, R. (2010). Emotion Regulation and Substance Use Frequency in Women With Substance
Dependence and Borderline Personality Disorder Receiving Dialectical Behavior Therapy. The American Journal of Drug and Alcohol Abuse, 37(1), 37
42. https://doi.org/10.3109/00952990.2010.535582
Babakhanlou, A. (2023). Presenting Structural Model of Emotional Eating in People with Obesity based on Self-Regulation with the Mediating Role of
Emotional Processing. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(2), 30-40. https://doi.org/10.22034/pdmd.2023.185859
Bajestani, A. B., Shahabizadeh, F., Vaziri, S., & Kashani, F. L. (2022). Effectiveness of Integrative Therapy on Distress and Psychosomatic Symptoms in
Female Patients With Gastrointestinal Dysfunction With Type D Personality. Journal of Shahrekord University of Medical Sciences, 24(2), 70-77.
https://doi.org/10.34172/jsums.2022.12
Benson, A. J., Cavallo, Justin, Daljeet, Kabir N. (2020). Tailoring emotions in romantic relationships: A person-centered approach. Journal of research in
personality, 84(no), 103897. https://doi.org/10.1016/j.jrp.2019.103897
Brandão, T., Matias, Marisa, Ferreira, Tiago, Vieira, Joana, Schulz, Marc S, Matos, Paula Mena. (2020). Attachment, emotion regulation, and well-being in
couples: Intrapersonal and interpersonal associations. Journal of personality, 88(4), 748-761. https://doi.org/10.1111/jopy.12523
Cassimjee, N., & Murphy, R. (2010). Temperament and Character Correlates of Neuropsychological Performance. South African Journal of Psychology, 40(2),
125-138. https://doi.org/10.1177/008124631004000202
Chapman, A. L. (2019). Borderline personality disorder and emotion dysregulation. Development and Psychopathology, 31(3), 1143-1156.
https://doi.org/10.1017/S0954579419000658
Condén, E., Leppert, J., Ekselius, L., & Åslund, C. (2013). Type D Personality Is a Risk Factor for Psychosomatic Symptoms and Musculoskeletal Pain Among
Adolescents: A Cross-Sectional Study of a Large Population-Based Cohort of Swedish Adolescents. BMC pediatrics, 13(1).
https://doi.org/10.1186/1471-2431-13-11
Denollet, J. (2005). DS14: Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality. Psychosomatic Medicine, 67(1).
https://doi.org/10.1097/01.psy.0000149256.81953.49
Elliot, A. J., & Thrash, T. M. (2002). Approach-Avoidance Motivation in Personality: Approach and Avoidance Temperaments and Goals. Journal of
personality and social psychology, 82(5), 804-818. https://doi.org/10.1037/0022-3514.82.5.804
Engelmann, P., Löwe, B., Brehm, T. T., Weigel, A., Ullrich, F., Addo, M. M., Wiesch, J. S. z., Lohse, A. W., & Toussaint, A. (2022). Risk Factors for
Worsening of Somatic Symptom Burden in a Prospective Cohort During the COVID-19 Pandemic. Frontiers in psychology.
https://doi.org/10.3389/fpsyg.2022.1022203
Gagne, J. R., Spann, C. A., & Prater, J. C. (2013). Parent Depression Symptoms and Child Temperament Outcomes: A Family Study Approach. Journal of
Applied Biobehavioral Research. https://doi.org/10.1111/jabr.12013
Giannotta, F., Nilsson, K. W., Åslund, C., & Larm, P. (2022). Among the Swedish Generation of Adolescents Who Experience an Increased Trend of
Psychosomatic Symptoms. Do They Develop Depression and/or Anxiety Disorders as They Grow Older? BMC psychiatry.
https://doi.org/10.1186/s12888-022-04432-x
Hosseini, S., Salehi, M., Jadidi, M., & Aghili, M. (2023). The Mediating Role of cognitive Emotion Regulation Explaining the Casual Relationship between
Personality Traits and Fear of Cancer Recurrence in Breast Cancer Survivors [Research]. Iranian Journal of Breast Diseases, 16(2), 4-21.
https://doi.org/10.30699/ijbd.16.2.4
Jafari, R., & Ahmadi, E. (2021). The Relationship between Behavioral and Metacognitive Brain Systems Sensitivity and Emotion Regulation in Heart Failure
Patients. The-Neuroscience-Journal-of-Shefaye-Khatam, 9(4), 31-40. https://doi.org/10.52547/shefa.9.4.31
John, O. P., & Gross, J. J. (2004). Healthy and Unhealthy Emotion Regulation: Personality Processes, Individual Differences, and Life Span Development.
Journal of personality, 72(6), 1301-1334. https://doi.org/10.1111/j.1467-6494.2004.00298.x
Karreman, A., & Vingerhoets, A. J. J. M. (2012). Attachment and well-being: The mediating role of emotion regulation and resilience. Personality and
individual differences, 53(7), 821-826. https://doi.org/10.1016/j.paid.2012.06.014
Katainen, S., Raïkkönen, K., & Keltikangas‐Järvinen, L. (1997). Childhood temperament and mother's child‐rearing attitudes: stability and interaction in a
three‐year follow‐up study. European Journal of Personality, 11(4), 249-265. https://doi.org/10.1002/(SICI)1099-0984(199711)11:4<249::AID
PER289>3.0.CO;2-Y
Khanjari, C., & Khajevand, A. (2020). The effectiveness of schema therapy on temperament and character dimensions, food craving among obese women
with type 2 diabetes [Research]. Advances in Cognitive Sciences, 22(3), 14-23. https://doi.org/10.30699/icss.22.3.14
LaBounty, J., Bosse, L., Savicki, S. L., King, J., & Eisenstat, S. (2016). Relationship Between Social Cognition and Temperament in Preschool-Aged Children.
Infant and Child Development, 26(2), e1981. https://doi.org/10.1002/icd.1981
Lee, S. J., Cloninger, C. R., Park, S. H., & Chae, H. (2015). The Association of Parental Temperament and Character on Their Children’s Behavior Problems.
Peerj. https://doi.org/10.7717/peerj.1464
Lesiewska, N., Borkowska, A., Junik, R., Kaminska, A., Pulkowska-Ulfig, J., Tretyn, A., & Bieliński, M. (2019). The Association Between Affective
Temperament Traits and Dopamine Genes in Obese Population. International Journal of Molecular Sciences, 20(8), 1847.
https://doi.org/10.3390/ijms20081847
Löwe, B., Andresen, V., Bergh, O. V. d., Huber, T. B., Knesebeck, O. v. d., Lohse, A. W., Nestoriuc, Y., Schneider, G., Schneider, S. W., Schramm, C.,
Ständer, S., Vettorazzi, E., Zapf, A., Shedden-Mora, M. C., & Toussaint, A. (2022). Persistent SOMAtic Symptoms ACROSS Diseases — From Risk
Factors to Modification: Scientific Framework and Overarching Protocol of the Interdisciplinary SOMACROSS Research Unit (RU 5211). BMJ open.
https://doi.org/10.1136/bmjopen-2021-057596
Martel, M. M., Nigg, J. T., & Lucas, R. E. (2008). Trait Mechanisms in Youth With and Without Attention-Deficit/Hyperactivity Disorder. Journal of research
in personality, 42(4), 895-913. https://doi.org/10.1016/j.jrp.2007.12.004
Martínez-López, J. N. I., Medina-Mora, M.-E., Robles-García, R., Chacón‐Madrigal, E., Juárez, F., Tovilla-Zarate, C.-A., Reyes, C., Monroy, N., & Fresán,
A. (2019). Psychopathic Disorder Subtypes Based on Temperament and Character Differences. International journal of environmental research and
public health, 16(23), 4761. https://doi.org/10.3390/ijerph16234761
Mayou, R., Bass, C., & Sharpe, M. (1995). Treatment of Functional Somatic Symptoms. Oxford University Press.
https://doi.org/10.1093/oso/9780192624994.001.0001
Micheli, N., Porcelli, P., Barrault-Couchouron, M., & Dantzer, C. (2022). Does the Practice of Mindfulness Reduce Somatic Symptoms and COVID-19-related
Anxiety? A Community-Based Survey. Frontiers in psychology. https://doi.org/10.3389/fpsyg.2022.996559
O’Malley, P. (2023). Alexithymia in Children/ Adolescents and Psychosomatic Families. In J. M. Maldonado-Duran, A. Jimenez-Gomez, & K. Saxena (Eds.),
Handbook of Mind/Body Integration in Child and Adolescent Development (pp. 157-166). Springer International Publishing. https://doi.org/10.1007/978
3-031-18377-5_11
Oldehinkel, A. J., Veenstra, R., Ormel, J., Winter, A. F. d., & Verhulst, F. C. (2005). Temperament, Parenting, and Depressive Symptoms in a Population
Sample of Preadolescents. Journal of Child Psychology and Psychiatry, 47(7), 684-695. https://doi.org/10.1111/j.1469-7610.2005.01535.x
Renzi, A., Conte, G., & Tambelli, R. (2022). Somatic, Emotional and Behavioral Symptomatology in Children During COVID-19 Pandemic: The Role of
Children’s and Parents’ Alexithymia. Healthcare, 10(11), 2171. https://doi.org/10.3390/healthcare10112171
Rettew, D. C., & McKee, L. (2005). Temperament and Its Role in Developmental Psychopathology. Harvard Review of Psychiatry, 13(1), 14-27.
https://doi.org/10.1080/10673220590923146
Rettew, D. C., & McKee, L. G. (2005). Temperament and Its Role in Developmental Psychopathology. Harvard Review of Psychiatry, 13(1), 14-27.
https://doi.org/10.1080/10673220590923146
Rettew, D. C., Stanger, C., McKee, L., Doyle, A., & Hudziak, J. J. (2006). Interactions between child and parent temperament and child behavior problems.
Comprehensive Psychiatry, 47(5), 412-420. https://doi.org/10.1016/j.comppsych.2005.12.008
Rezaei, M., Gholamrezayi, s., Sepahvandi, M. A., Ghazanfari, F., & Darikvand, F. (2013). The potency of early maladaptive schemas and personality
dimensions in prediction of depression. Thoughts and Behavior in Clinical Psychology, 8(29), 77-86. https://jtbcp.roudehen.iau.ir/article_25.html
https://jtbcp.roudehen.iau.ir/article_25_0fc6dee9e7378134bf9b82ed600f075c.pdf
Rizzo, A. (2013). Temperament and generativity during the life span. Mediterranean Journal of Clinical Psychology, 1(1).
http://cab.unime.it/journals/index.php/MJCP/article/view/892
Rizzo, A., & Marra, P. (2023). Temperament, Character and Organisational well-being among Obstetrics and Gynaecology Personnel: a pilot study. Quaderns
de Psicologia, 25(3), 9. https://doi.org/10.5565/rev/qpsicologia.1992
Rothbart, M. K., Ahadi, S. A., & Evans, D. (2000). Temperament and Personality: Origins and Outcomes. Journal of personality and social psychology, 78(1),
122-135. https://doi.org/10.1037/0022-3514.78.1.122
Ryff, C. D. (2013). Psychological Well-Being Revisited: Advances in the Science and Practice of Eudaimonia. Psychotherapy and psychosomatics, 83(1), 10
28. https://doi.org/10.1159/000353263
Seidl, H., Nilsson, T., Hofvander, B., Billstedt, E., & Wallinius, M. (2020). Personality and Cognitive Functions in Violent Offenders – Implications of
Character Maturity? Frontiers in psychology, 11. https://doi.org/10.3389/fpsyg.2020.00058
Švrakić, N. M., Švrakić, D. M., & Cloninger, C. R. (1996). A General Quantitative Theory of Personality Development: Fundamentals of a Self-Organizing
Psychobiological Complex. Development and Psychopathology, 8(1), 247-272. https://doi.org/10.1017/s0954579400007070
Szczygieł, D., & Mikolajczak, M. (2017). Why are people high in emotional intelligence happier? They make the most of their positive emotions. Personality
and individual differences, 117, 177-181. https://doi.org/10.1016/j.paid.2017.05.051
Tanaka, M., Mizuno, K., Fukuda, S., & Watanabe, Y. (2010). Personality and Fatigue in Medical Students. Psychological Reports, 106(2), 567-575.
https://doi.org/10.2466/pr0.106.2.567-575
Tao, S., Geng, Y., Li, M., Ye, J., & Liu, Z. (2022). Effectiveness of mindfulness-based stress reduction and mindfulness-based cognitive therapy on depression
in poststroke patients-A systematic review and meta-analysis of randomized controlled trials. Journal of psychosomatic research, 163, 111071.
https://doi.org/10.1016/j.jpsychores.2022.111071
Tao, Y., Liu, X., Hou, W., Niu, H., Wang, S., Ma, Z., Bi, D., & Zhang, L. (2022). The Mediating Role of Emotion Regulation Strategies in the Relationship
Between Big Five Personality Traits and Anxiety and Depression Among Chinese Firefighters. Frontiers in Public Health, 10.
https://doi.org/10.3389/fpubh.2022.901686
Tasca, G. A., Szadkowski, L., Illing, V., Trinneer, A., Grenon, R., Demidenko, N., Krysanski, V., Balfour, L., & Bissada, H. (2009). Adult attachment,
depression, and eating disorder symptoms: The mediating role of affect regulation strategies. Personality and individual differences, 47(6), 662-667.
https://www.sciencedirect.com/science/article/pii/S0191886909002566
Taylor, G. J., Parker, J. D. A., Michael Bagby, R., & Acklin, M. W. (1992). Alexithymia and somatic complaints in psychiatric out-patients. Journal of
psychosomatic research, 36(5), 417-424. https://doi.org/10.1016/0022-3999(92)90002-J
Williams, Z. J., & Gotham, K. (2022). Current and Lifetime Somatic Symptom Burden Among Transition‐aged Autistic Young Adults. Autism Research.
https://doi.org/10.1002/aur.2671
Xiang, Y.-T., Chi, X., Jiang, Y., Wang, R., & Mo, L. (2016). Psychosomatic Status, Personality Traits, and Coping Styles of Bereaved and Non-Bereaved
Survivors of the 2008 Wenchuan Earthquake, China. Frontiers in Psychiatry, 7. https://doi.org/10.3389/fpsyt.2016.00017
Yang, Y., Zhang, H., Li, Y., Liu, Z., Liu, S., Li, X., Fan, G., Xu, Y., & Wang, B.-q. (2022). The effectiveness of computer-assisted Cognitive Behavioral
Therapy (cCBT) for psychological outcomes in patients with laryngectomy: Randomized controlled trial. Journal of affective disorders, 300, 59-65.
https://www.sciencedirect.com/science/article/pii/S0165032721014002
Yeo, A. J., Germán, M., Wheeler, L. A., Camacho, K., Hirsch, E., & Miller, A. (2020). Self-harm and self-regulation in urban ethnic minority youth: a pilot
application of dialectical behavior therapy for adolescents. Child and Adolescent Mental Health, 25(3), 127-134. https://doi.org/10.1111/camh.12374
Zhou, Q., Main, A., & Wang, Y. (2010). The relations of temperamental effortful control and anger/frustration to Chinese children's academic achievement
and social adjustment: A longitudinal study. Journal of Educational Psychology, 102(1), 180-196. https://doi.org/10.1037/a0015908
Zysberg, L., & Raz, S. (2019). Emotional intelligence and emotion regulation in self-induced emotional states: Physiological evidence. Personality and
individual differences, 139, 202-207. https://doi.org/10.1016/j.paid.2018.11.027
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