ScienceDirect® Home Skip Main Navigation Links
You have guest access to ScienceDirect. Find out more.
 
Home
Browse
My Settings
Alerts
Help
 Quick Search
 Search tips (Opens new window)
    Clear all fields    
Journal of Psychiatric Research
Volume 42, Issue 13, October 2008, Pages 1131-1136
 
Font Size: Decrease Font Size  Increase Font Size
 Abstract - selected
Article
Purchase PDF (122 K)

  E-mail Article   
  Add to my Quick Links   
Bookmark and share in 2collab (opens in new window)
Request permission to reuse this article
  Cited By in Scopus (0)
 
 
 
Related Articles in ScienceDirect
View More Related Articles
 
View Record in Scopus
 
doi:10.1016/j.jpsychires.2007.11.005    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2007 Elsevier Ltd All rights reserved.

Temperament and character dimensions in bipolar I disorder: A comparison to healthy controls

Shay T. LoftusCorresponding Author Contact Information, a, E-mail The Corresponding Author, Jessica L. Garnoa, Judith Jaegera and Anil K. Malhotraa

aThe Zucker Hillside Hospital, Department of Psychiatry Research, North Shore Long Island Jewish Health System, 75-59 263rd Street, Glen Oaks, NY 11004, United States

Received 29 January 2007; 
revised 11 November 2007; 
accepted 15 November 2007. 
Available online 11 January 2008.

Purchase the full-text article



References and further reading may be available for this article. To view references and further reading you must purchase this article.

Abstract

Research on phenotypic markers of vulnerability to bipolar disorder has focused on the identification of personality traits uniquely associated with the illness. To expand knowledge in this area, we compared Cloninger’s seven temperament and character dimensions in 85 euthymic/subsyndromal bipolar I inpatients and outpatients and 85 age and sex matched community controls. We also examined associations between Cloninger’s personality traits and mood state in the patient group. Bipolar subjects were administered the Structured Clinical Interview for DSM-IV (SCID), Hamilton Rating Scale for Depression, and Clinician-Administered Rating Scale for Mania. Controls received the SCID, a family psychiatric history questionnaire, and urine toxicology screen to confirm healthy status. Both groups competed the 240-item Temperament and Character Inventory (TCI). A multivariate analysis of covariance, accounting for demographic factors, was conducted to compare the groups on the TCI. Bipolar I patients scored higher on harm avoidance, lower on self-directedness, and higher on self-transcendence compared to controls. Harm avoidance and self-directedness were correlated with residual depressive symptoms positively and negatively, respectively; persistence was correlated with residual manic symptoms; and selftranscendence was correlated with residual psychotic symptoms in patients. The results indicate that bipolar I subjects do possess personality traits that are significantly different from non-ill individuals. However, only a prospective, longitudinal study may determine whether these traits mark a vulnerability to the disorder, or represent the scarring effect of affective episodes and chronic subsyndromal symptoms.

Keywords: Bipolar disorder; Personality; Temperament; Character; State-trait

Article Outline

1. Objectives of the study
2. Methods and materials
2.1. Participants
2.2. Instruments
2.3. Statistical analyses
3. Results
3.1. Relationship of the TCI to demographic variables
3.2. Comparison of the TCI in bipolar I patients and healthy controls
3.3. The state dependency of the TCI in bipolar I patients
4. Discussion
Role of the funding source
Contributors
Conflicts of interest
Acknowledgements
References

 
Home
Browse
My Settings
Alerts
Help
Elsevier.com (Opens new window)
About ScienceDirect  |  Contact Us  |  Information for Advertisers  |  Terms & Conditions  |  Privacy Policy
Copyright © 2008 Elsevier B.V. All rights reserved. ScienceDirect® is a registered trademark of Elsevier B.V.