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Behavioral addictions in euthymic patients with bipolar I disorder: a comparison to controls.

Sapir R, Zohar AH, Bersudsky Y, Belmaker R, Osher Y - Int J Bipolar Disord (2013)

Bottom Line: Bipolar disorder may be associated with a hypersensitive behavioral approach system and therefore to increased reward sensitivity.The patient group scored significantly higher than comparison subjects for two benign behavioral addictions (music, shopping) as well as for smoking.This may be because the patients in this study are stable, have received considerable psychoeducation, and are relatively adherent to their medication recommendations.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, Ruppin Academic Center, Emek Hefer, Israel.

ABSTRACT

Background: Bipolar disorder may be associated with a hypersensitive behavioral approach system and therefore to increased reward sensitivity. The objective of this study is to explore the interrelationships between bipolar disorder, behavioral addictions, and personality/temperament traits in a group of euthymic outpatients with bipolar I disorder and in a group of comparison subjects.

Methods: Fifty clinically stable patients and 50 comparison subjects matched for age, sex, and educational level were administered the Temperament and Character Inventory-140 and the Behavioral Addiction Scale.

Results: The patient group scored significantly higher than comparison subjects for two benign behavioral addictions (music, shopping) as well as for smoking. Comparison subjects scored higher on two harmful behavioral addictions (drugs, alcohol). Novelty Seeking was positively correlated with harmful addictions, and Cooperativeness was negatively correlated with harmful addictions, in both groups.

Discussion: The hypersensitive behavioral approach system model of bipolar disorder would predict higher levels of various addictions in bipolar patients as compared to controls. In this study, this was true for three behavioral addictions, whereas controls showed higher levels of behavioral addiction to drugs and alcohol. This may be because the patients in this study are stable, have received considerable psychoeducation, and are relatively adherent to their medication recommendations. Temperament and character traits may play roles both as risk and protective factors regarding behavioral addictions.

No MeSH data available.


Related in: MedlinePlus

Comparison of behavioral addiction scores between groups.
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Fig1: Comparison of behavioral addiction scores between groups.

Mentions: Repeated measures ANOVA with BA domains as within-subject factors showed a significant group X domain interaction [F (11,1078) = 6.0, p < 0.0001]. Post-hoc (LSD test) comparisons revealed significant differences (p < 0.05) on several individual BAs, with BP patients showing higher scores on two benign BAs (music and shopping) and higher scores on smoking. Control group participants showed higher scores on two harmful BAs (drugs (p = 0.06) and alcohol (p < 0.05)). Results are presented in Figure 1.Figure 1


Behavioral addictions in euthymic patients with bipolar I disorder: a comparison to controls.

Sapir R, Zohar AH, Bersudsky Y, Belmaker R, Osher Y - Int J Bipolar Disord (2013)

Comparison of behavioral addiction scores between groups.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4215809&req=5

Fig1: Comparison of behavioral addiction scores between groups.
Mentions: Repeated measures ANOVA with BA domains as within-subject factors showed a significant group X domain interaction [F (11,1078) = 6.0, p < 0.0001]. Post-hoc (LSD test) comparisons revealed significant differences (p < 0.05) on several individual BAs, with BP patients showing higher scores on two benign BAs (music and shopping) and higher scores on smoking. Control group participants showed higher scores on two harmful BAs (drugs (p = 0.06) and alcohol (p < 0.05)). Results are presented in Figure 1.Figure 1

Bottom Line: Bipolar disorder may be associated with a hypersensitive behavioral approach system and therefore to increased reward sensitivity.The patient group scored significantly higher than comparison subjects for two benign behavioral addictions (music, shopping) as well as for smoking.This may be because the patients in this study are stable, have received considerable psychoeducation, and are relatively adherent to their medication recommendations.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychology, Ruppin Academic Center, Emek Hefer, Israel.

ABSTRACT

Background: Bipolar disorder may be associated with a hypersensitive behavioral approach system and therefore to increased reward sensitivity. The objective of this study is to explore the interrelationships between bipolar disorder, behavioral addictions, and personality/temperament traits in a group of euthymic outpatients with bipolar I disorder and in a group of comparison subjects.

Methods: Fifty clinically stable patients and 50 comparison subjects matched for age, sex, and educational level were administered the Temperament and Character Inventory-140 and the Behavioral Addiction Scale.

Results: The patient group scored significantly higher than comparison subjects for two benign behavioral addictions (music, shopping) as well as for smoking. Comparison subjects scored higher on two harmful behavioral addictions (drugs, alcohol). Novelty Seeking was positively correlated with harmful addictions, and Cooperativeness was negatively correlated with harmful addictions, in both groups.

Discussion: The hypersensitive behavioral approach system model of bipolar disorder would predict higher levels of various addictions in bipolar patients as compared to controls. In this study, this was true for three behavioral addictions, whereas controls showed higher levels of behavioral addiction to drugs and alcohol. This may be because the patients in this study are stable, have received considerable psychoeducation, and are relatively adherent to their medication recommendations. Temperament and character traits may play roles both as risk and protective factors regarding behavioral addictions.

No MeSH data available.


Related in: MedlinePlus