Etude transversale visant à approcher par le TCI de Cloninger la prévalence théorique des tempéraments et des personnalités dans un échantillon de 174 médecins en formation à Nancy 1 - Université de Lorraine Access content directly
Master Thesis Year : 2005

Temperament and character assessed with Cloninger Inventory of 174 Undergraduated Medical Students, studying medicine at University of Nancy 1 in France

Etude transversale visant à approcher par le TCI de Cloninger la prévalence théorique des tempéraments et des personnalités dans un échantillon de 174 médecins en formation à Nancy 1

Abstract

This medium-scale prevalence study was designed to assess for the first time in France Temperament and Character of under graduated medical students by Cloninger Inventory (in a French version). Personality disorders (PD) are estimated by recent studies to a theoretic 13% of general population. They are identified risk factors of main psychiatric disorders, especially addictive and mood disorders. Othenwise, recent reports on medical doctors' (MD) health in France are pointing out the fact doctors are frequently interrupting activities for psychiatric motives. They are also asking consequently for allowance of impairment. Psychiatric motives have become the very first of MD impairment in France. This study had to be done for medical and social reasons. 174 students had successfully completed the inventory upon 454 candidates; filling rate was 38%, sex ratio 2.1 women for 1 man, mean age 22.2 years. 146 normal and 28 immature personalities have been reported. Theoretical morbidity was 16.1 %, theoretical because TC1 shows dimensions but no diagnosis. Raw Novelty seeking of students (NS) has been 19.5, H a m Avoidance (HA) 16.5, Reward dependency (RD) 16.8, global maturity (SD+C) 66.5. Both under-groups of students, PCEM2 (second year students) and TCMG (thesis level students), obtained similar results. To the contrary, there was a significant difference between results of students and those of general French population (Pélissolo, 2000)' except for HA (p=0.42). Temperament type of a standardized French MD was passive aggressive ; men being rather histrionic or antisocial, women being passive aggressive or passive dependent. General French population temperament was already known as explosive (borderline). Among immature personalities reported, obsessive- compulsive type was the most prevalent (10 cases). Though theoretical, prevalence of PD in MD population seemed high and clinical evaluation is surely indicated on reported cases. However, these primary findings may help authorities to start thinking about situation of MD health in France, as reported by Carrnf in 2003 and 2004. Including the future of the profession if nothing happens to improve the system. From another point of view, those results may bring clues about modal communication activated in patient-to-doctor relationships when party suffers of PD. Let us assume the risk to Say that study's results may introduce the idea of an early (auto)evaluation of medical students' psychological balance in order to prevent these who suffer from choosing a risky career, and to treat those who are already in a specific field. That strategy should have a significant impact on MD quality of life as well as patients' treatment, and cost of healthcare.
Cette étude concerne le repérage par le TCI de Cloninger de la typologie et de la distribution des tempéraments et personnalités des médecins en formation à Nancy. Il ne s'agit pas d'une démarche diagnostique. Les troubles de la personnalité inscrits à l'axe II du DSM IV ont une prévalence théorique de 13% en population générale et sont des facteurs de risque identifiés des troubles de l'axe 1. Les affections psychiatriques sont en France au premier plan de la morbidité des médecins. Il s'agit de la première étude française de ce genre. Ce travail s'appuie sur une base statistique de 174 étudiants sur 454 candidats, soit un taux de réponse de 38%, un sex-ratio de 2,1 femmes pour 1 homme, un âge moyen de 22,2 ans. 146 personnalités normales et 28 personnalités immatures ont été recensées dans cet échantillon, soit une morbidité théorique de 16,1%. Les scores obtenus au TCI ont été les suivants : recherche de nouveauté (NS) 19,5 ; évitement du danger (HA) 16,5 ; recherche de récompense (RD) 16,8 ; maturité globale (SD+C) 66,5.
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Dates and versions

hal-01734321 , version 1 (14-03-2018)

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  • HAL Id : hal-01734321 , version 1

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Frédéric Jumelle. Etude transversale visant à approcher par le TCI de Cloninger la prévalence théorique des tempéraments et des personnalités dans un échantillon de 174 médecins en formation à Nancy 1. Sciences du Vivant [q-bio]. 2005. ⟨hal-01734321⟩
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