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Five traits of personality in benzodiazepine-dependent patients with bipolar disorder

Published online by Cambridge University Press:  13 August 2021

N. Charfi ,
M. Ben Abdallah ,
S. Omri ,
R. Feki ,
N. Smaoui ,
L. Zouari ,
J. Ben Thabet ,
M. Maalej Bouali  and
M. Maalej
N. Charfi
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
M. Ben Abdallah*
Affiliation:
Department Of Psychiatry (c), CHU Hedi CHaker hospital Sfax Tunisia, Sfax, Tunisia
S. Omri
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
R. Feki
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
N. Smaoui
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
L. Zouari
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
J. Ben Thabet
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
M. Maalej Bouali
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
M. Maalej
Affiliation:
Psychiatry C Department, Hedi chaker university hospital, sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Benzodiazepines (BZD) are frequently prescribed to patients with bipolar disorder. The use of this medication can become problematic in some cases or even lead to dependence mainly in patients with personality disorders.

Objectives

To assess different personality traits in BZD-dependent patients with bipolar disorder

Methods

A cross-sectional descriptive and analytical study was conducted on euthymic bipolar patients (DSM-5) attending the psychiatric outpatient in Hedi Chaker university hospital of Sfax. We used the Benzodiazepine Cognitive Attachment Scale (ECAB) to determine dependent patients and the Ten Item Personality Measure (TIPI) scale to assess the five personality traits.

Results

Among the 61 included patients, 34 were BZD-dependents (55.7%). Their mean age was 52.12 ± 12.87 years. The sex ratio (M/F) was 0.54. A comorbid personality disorder was found in 18% of patients and the most frequent was histrionic personality (45.45%). According to TIPI, the highest scores of personality traits were conscientiousness, agreeableness and extraversion, with mean scores of 9.8 ± 2.78, 8.21 ± 3.15 and 7.98 ± 1.77 respectively. Having a comorbid personality disorder was not associated with BZD dependence. Regarding the dimensional approach using TIPI, the dimensions of extraversion, agreeableness and emotional stability were significantly negatively correlated with BZD-dependence (p 0.024; 0.006 and 0.01 respectively).

Conclusions

This study demonstrates that personality characterized by less extraversion, agreeableness, and emotional stability may increase the risk of BZD-dependence among bipolar patients. Such psychological factors should be taken into account in the risk-benefit assessment made in the planning of BZD treatment.

Keywords

traits of personalitybenzodiazepinedependencebipolar disorder
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S204
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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