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Bipolar sensation seeking is associated with a propensity to abuse rather than to temperamental characteristics

Published online by Cambridge University Press:  16 April 2020

C. Henry ,
F. Bellivier ,
F. Sorbara ,
S. Tangwongchai ,
J. Lacoste ,
M. Faure-Chaigneau  and
M. Leboyer
C. Henry*
Affiliation:
Service Universitaire de Psychiatrie, CHS Charles Perrens, 121 rue de la Béade, F-33076, Bordeauxcedex, France INSERM-U 394 ‘ Neurobiologie intéative’, rue Camillle Saint Saëns, 33077, Bordeauxcedex, France
F. Bellivier
Affiliation:
Service Universitaire de Psychiatrie Adulte, Hôpital Henri Mondor, 51, avenue du Mal de Lattre de Tassigny, F-94010, Créil cedex, France
F. Sorbara
Affiliation:
Service Universitaire de Psychiatrie, CHS Charles Perrens, 121 rue de la Béade, F-33076, Bordeauxcedex, France
S. Tangwongchai
Affiliation:
Service Universitaire de Psychiatrie Adulte, Hôpital Henri Mondor, 51, avenue du Mal de Lattre de Tassigny, F-94010, Créil cedex, France
J. Lacoste
Affiliation:
Service Universitaire de Psychiatrie, CHS Charles Perrens, 121 rue de la Béade, F-33076, Bordeauxcedex, France
M. Faure-Chaigneau
Affiliation:
Service Universitaire de Psychiatrie Adulte, Hôpital Henri Mondor, 51, avenue du Mal de Lattre de Tassigny, F-94010, Créil cedex, France
M. Leboyer
Affiliation:
Service Universitaire de Psychiatrie Adulte, Hôpital Henri Mondor, 51, avenue du Mal de Lattre de Tassigny, F-94010, Créil cedex, France
*
*Correspondence and reprints. E-mail address:chantal.henry@bordeaux.inserm.fr (C. Henry).
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Summary

Objective. As some temperament profiles may be markers of genetic vulnerability traits, we aimed to compare sensation seeking in euthymic bipolar patients and in controls. Methods. One hundred ninety-four patients fulfilling DSM-IV diagnostic criteria for bipolar disorders (BP), 81% of whom presented type I BP, and 95 controls were included in this study. Euthymia was assessed using both the MADRS and Bech mania scales. Subjects were evaluated using the French abbreviated form of Zuckerman’s Sensation Seeking Scale (SSS), which provide a total score (TS) and four subscores: Thrill and Adventure Seeking (TAS), Experience Seeking (ES), Disinhibition (Dis), and Boredom Susceptibility (BS). Results. SSS total score differed significantly between men (17.2 ± 0.5) and women (15.3 ± 0.6) (P = 0.02) and all the subscores were negatively correlated with age. On adjustement for sex and age, we found that bipolar patients had a high Dis score (P = 0.003). However, if the same analysis was performed with a lifetime history of alcohol abuse or dependence as a covariable, no such difference was found (P = 0.436). The SSS demonstrated a high degree of test-retest reliability (ICC = 0.91). Conclusion. These results suggest that sensation seeking assessed with the SSS is not a temperament characteristic associated with bipolar disorders but is instead linked to a tendency towards alcohol abuse.

Keywords

bipolar disordersensation seekingsubstance use disorders
Type
Original article
Information
European Psychiatry , Volume 16 , Issue 5 , August 2001 , pp. 289 - 292
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2001

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