Relationship between impulsivity and aggressiveness with mental disorders and suicide risk in cocaine/crack users
DOI:
https://doi.org/10.48017/dj.v7i2.2116Keywords:
cocaine, crack, impulsivity, aggressiveness, mental health, addictionAbstract
the purpose of this study was to determine the correlation between impulsivity/aggressivity traits and mental disorders in cocaine/crack users. A non-probabilistic sample of the 106 subjects from an out-patient center for homeless people and three therapeutics communities in Northeast Brazil was investigated. The version of the Mini International Neuropsychiatric Interview 5.0 was used to assess lifetime psychiatric disorder. Impulsivity and aggressiveness were used in the Barratt Impulsivity Scale (BIS-11) and Buss–Perry Aggression Questionnaire (BPAQ), respectively. Individuals in cocaine/crack use report heightened levels impulsive and aggressive behavior. Linear regression results showed a positive correlation between total impulsivity and abuse of alcohol in our population. Considering impulsivity subscores, low levels of motor impulsivity, suicide risk, generalized anxiety disorder and antisocial personality disorder were negatively correlated. Past hypomanic episode was correlated positively with high non-planning impulsivity scores. These findings highlight the need for a continual investigation of mental disorder and its link with aggressive and impulsive personality traits in the cocaine/crack patients and these data can contribute to stratification for continuity treatment for these patients. Aggressiveness was correlated inversely with suicide risk, psychotic, mood and anxiety disorders. These findings highlight the need for a continual investigation of mental disorder and its link with aggressive and impulsive personality traits in the cocaine/crack patients and these data can contribute to stratification for continuity treatment for these patients.
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References
ALCORN, J. L. et al. Aggression, impulsivity, and psychopathic traits in combined antisocial personality disorder and substance use disorder. The Journal of neuropsychiatry and clinical neurosciences, v. 25, n. 3, p. 229–32, 2013.
AMMERMAN, B. A. et al. Suicidal and violent behavior: The role of anger, emotion dysregulation, and impulsivity. Personality and Individual Differences, v. 79, p. 57–62, 1 jun. 2015.
AMORIM, P. Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Revista Brasileira de Psiquiatria, v. 22, n. 3, p. 106–115, 2000.
BALLESTER, J. et al. Prospective longitudinal course of aggression among adults with bipolar disorder. Bipolar disorders, v. 16, n. 3, p. 262, 2014.
BENAZZI, F. Impulsivity in bipolar-II disorder: Trait, state, or both? European Psychiatry, v. 22, n. 7, p. 472–478, out. 2007.
BEREY, B. L. et al. Relationships of Impulsivity and Subjective Response to Alcohol Use and Related Problems. Journal of studies on alcohol and drugs, v. 78, n. 6, p. 835–843, 2017.
BUSS, A. H.; PERRY, M. The aggression questionnaire. Journal of personality and social psychology, v. 63, n. 3, p. 452–9, set. 1992.
CARLI, V. et al. Trait-aggressiveness and impulsivity: role of psychological resilience and childhood trauma in a sample of male prisoners. Nordic journal of psychiatry, v. 68, n. 1, p. 8–17, 2014.
CHAMBERLAIN, S. R.; SAHAKIAN, B. J. The neuropsychiatry of impulsivity. Current opinion in psychiatry, v. 20, n. 3, p. 255–261, maio 2007.
CHAMORRO, J. et al. Impulsivity in the general population: A national study. Journal of Psychiatric Research, v. 46, n. 8, p. 994–1001, 2012.
CLINGAN, S. E. et al. Impulsiveness, and trait displaced aggression among drug using female sex traders. Addictive Behaviors, v. 60, p. 24–31, set. 2016.
COLBORN, V. A. et al. Motor impulsivity differentiates between psychiatric inpatients with multiple versus single lifetime suicide attempts. Psychiatry Research, v. 253, p. 18–21, jul. 2017.
COMÍN, M. et al. Clinical differences between cocaine-dependent patients with and without antisocial personality disorder. Psychiatry Research, v. 246, p. 587–592, dez. 2016.
DA SILVA, D. C. et al. Psychiatric symptoms and sociodemographic characteristics associated with the attempted suicide of cocaine and crack users under treatment. Jornal Brasileiro de Psiquiatria, v. 66, n. 2, p. 89–95, 1 abr. 2017.
DERVIC, K. et al. Bipolar I and II versus unipolar depression: clinical differences and impulsivity/aggression traits. European psychiatry : the journal of the Association of European Psychiatrists, v. 30, n. 1, p. 106–113, 1 jan. 2015.
DUMAIS, A. et al. Risk factors for suicide completion in major depression: a case-control study of impulsive and aggressive behaviors in men. The American journal of psychiatry, v. 162, n. 11, p. 2116–2124, nov. 2005.
ELAM, K. K. et al. Predicting substance use in emerging adulthood: A genetically informed study of developmental transactions between impulsivity and family conflict. Development and psychopathology, v. 28, n. 3, p. 673–688, 1 ago. 2016.
FELTON, J. W. et al. Impulsivity Moderates the Relation between Depressive Symptoms and Substance Use across Adolescence. Journal of Clinical Child and Adolescent Psychology, v. 49, n. 3, p. 365–377, 3 maio 2020.
HEARON, B. A. et al. Predictors of Suicidality among Patients with Psychotic Disorders in a Partial Hospital Treatment Program. Suicide and Life-Threatening Behavior, v. 45, n. 6, p. 710–719, 2015.
HUANG, Y. et al. Association between personality traits and risk of suicidal ideation in Chinese university students: Analysis of the correlation among five personalities. Psychiatry Research, v. 272, p. 93–99, fev. 2019.
KHAIRALLAH, C. et al. Disgust, impulsivity and depressive dimensions in subjects at risk for bulimia nervosa and/or binge eating disorder. Asian journal of psychiatry, v. 39, p. 32–34, 1 jan. 2019.
KHEMAKHEM, K. et al. Impulsivity in adolescents with major depressive disorder: A comparative tunisian study. Asian Journal of Psychiatry, v. 28, p. 183–185, ago. 2017.
LANG, F. et al. Impulsiveness Among Short-Term Prisoners with Antisocial Personality Disorder. Psychiatrische Praxis, v. 42, n. 05, p. 274–277, dez. 2014.
LÁTALOVÁ, K. Bipolar disorder and aggression. International journal of clinical practice, v. 63, n. 6, p. 889–899, 2009.
LI, Q. et al. Delusion, excitement, violence, and suicide history are risk factors for aggressive behavior in general inpatients with serious mental illnesses: A multicenter study in China. Psychiatry research, v. 272, p. 130–134, 1 fev. 2019.
LOVIC, V.; PALOMBO, D. J.; FLEMING, A. S. Impulsive rats are less maternal. Developmental psychobiology, v. 53, n. 1, p. 13–22, jan. 2011.
MALLOY-DINIZ, L. F. et al. Tradução e adaptação cultural da Barratt Impulsiveness Scale (BIS-11) para aplicação em adultos brasileiros. Jornal Brasileiro de Psiquiatria, v. 59, n. 2, p. 99–105, 2010.
MIGUEL, A. Q. C. et al. Sociodemographic Characteristics, Patterns of Crack Use, Concomitant Substance Use Disorders, and Psychiatric Symptomatology in Treatment-Seeking Crack-Dependent Individuals in Brazil. Journal of Psychoactive Drugs, v. 50, n. 4, p. 367–372, 2018.
MUKERJI, S. et al. Longitudinal Modeling of Depressive Trajectories Among HIV-Infected Men Using Cocaine. AIDS and Behavior, v. 21, n. 7, p. 1985–1995, 2017.
NARVAEZ, J. C. M. et al. Psychiatric and substance-use comorbidities associated with lifetime crack cocaine use in young adults in the general population. Comprehensive Psychiatry, v. 55, n. 6, p. 1369–1376, 2014.
NUIJTEN, M. et al. Impulsivity and attentional bias as predictors of modafinil treatment outcome for retention and drug use in crack-cocaine dependent patients: Results of a randomised controlled trial. Journal of Psychopharmacology, v. 30, n. 7, p. 616–626, jul. 2016.
ODELL, A. P. et al. Attention Deficit Hyperactivity Disorder, Aggression, and Illicit Stimulant Use. The Journal of Nervous and Mental Disease, v. 205, n. 5, p. 372–379, maio 2017.
PALAGINI, L. et al. The key role of insomnia and sleep loss in the dysregulation of multiple systems involved in mood disorders: A proposed model. Journal of sleep research, v. 28, n. 6, 1 dez. 2019.
PIERÒ, A. Personality correlates of impulsivity in subjects with generalized anxiety disorders. Comprehensive Psychiatry, v. 51, n. 5, p. 538–545, set. 2010.
PIKÓ, B.; PINCZÉS, T. Impulsivity - aggression - depression: study of adolescents’ problem behavior in light of their personality traits. Psychiatria Hungarica, v. 29, n. 1, p. 48–55, 2014.
REISE, S. P. et al. The Barratt Impulsiveness Scale-11: reassessment of its structure in a community sample. Psychological assessment, v. 25, n. 2, p. 631–42, jun. 2013.
SCAVONE, A. et al. Dimensional and Categorical Correlates of Substance Use Disorders among Canadian Adolescents with Bipolar Disorder. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l’Academie canadienne de psychiatrie de l’enfant et de l’adolescent, v. 27, n. 3, p. 159–166, ago. 2018.
SCHNITTKER, J.; BACAK, V. The increasing predictive validity of self-rated health. PLoS ONE, v. 9, n. 1, 22 jan. 2014.
SHEEHAN, D. V. et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, v. 59, n. suppl 20, p. 0–0, 1 maio 1998.
SIMON, N. W.; MENDEZ, I. A.; SETLOW, B. Cocaine exposure causes long-term increases in impulsive choice. Behavioral neuroscience, v. 121, n. 3, p. 543–9, jun. 2007.
TOMÁS, C. C. et al. Proceedings of the 3rd IPLeiria’s International Health Congress : Leiria, Portugal. 6-7 May 2016. BMC health services research, v. 16 Suppl 3, n. Suppl 3, p. 200, jul. 2016.
UNITED NATIONS OFFICE ON DRUGS AND CRIME. World Drug Report 2016. 16. ed. Vienna: United Nations, 2016.
VOLAVKA, J. Comorbid personality disorders and violent behavior in psychotic patients. The Psychiatric quarterly, v. 85, n. 1, p. 65–78, 2014.
WINSTANLEY, C. A. et al. Insight into the relationship between impulsivity and substance abuse from studies using animal models. Alcoholism, clinical and experimental research, v. 34, n. 8, p. 1306–18, ago. 2010.
YANG, P. et al. The Risk Factors of the Alcohol Use Disorders-Through Review of Its Comorbidities. Frontiers in neuroscience, v. 12, p. 303, 2018.
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