Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.

BACKGROUND:Cocaine consumption can induce transient psychotic symptoms, which has been correlated with more severe addiction and aggressive behavior. However, little is known about the nature of the relationship between personality traits and psychotic symptoms in cocaine-dependent patients. This st...

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Main Authors: Carlos Roncero, Constanza Daigre, Carmen Barral, Elena Ros-Cucurull, Lara Grau-López, Laia Rodríguez-Cintas, Nuria Tarifa, Miguel Casas, Sergi Valero
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4177812?pdf=render
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author Carlos Roncero
Constanza Daigre
Carmen Barral
Elena Ros-Cucurull
Lara Grau-López
Laia Rodríguez-Cintas
Nuria Tarifa
Miguel Casas
Sergi Valero
author_facet Carlos Roncero
Constanza Daigre
Carmen Barral
Elena Ros-Cucurull
Lara Grau-López
Laia Rodríguez-Cintas
Nuria Tarifa
Miguel Casas
Sergi Valero
author_sort Carlos Roncero
collection DOAJ
description BACKGROUND:Cocaine consumption can induce transient psychotic symptoms, which has been correlated with more severe addiction and aggressive behavior. However, little is known about the nature of the relationship between personality traits and psychotic symptoms in cocaine-dependent patients. This study examined the relationship between neuroticism and cocaine-induced psychosis. METHODS:A total of 231 cocaine-dependent patients seeking treatment were recruited to the study. Personality was evaluated by the Zuckerman-Kuhlman Personality Questionnaire. Cocaine-induced psychosis questionnaire, SCID-I, and SCID-II were used to evaluate comorbidity and clinical characteristics. Data analysis was performed in three steps: descriptive, bivariate, and multivariate analyses. RESULTS:Cocaine-induced psychosis was reported in 65.4% of the patients and some personality disorder in 46.8%. Two personality dimensions (Neuroticism-Anxiety and Aggression-Hostility) presented a significant effect on the risk of experiencing psychotic symptoms (t(229) = 2.69, p = 0.008; t(229) = 2.06, p = 0.004), and patients with psychotic symptoms showed higher scores in both variables. On the multivariate analysis, only Neuroticism remained as a significant personality factor independently associated with psychotic symptoms (Wald = 7.44, p<0.05, OR = 1.08, CI 95% 1.02-1.16) after controlling for age, gender and number of consumption substances. CONCLUSIONS:An association between high neuroticism scores and presence of psychotic symptoms induced by cocaine has been found, independently of other consumption variables. Personality dimensions should be evaluated in cocaine-dependent patients in order to detect high scores of neuroticism and warn patients about the risk of developing cocaine-induced psychotic symptoms.
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spelling doaj.art-d922324bb9ec4e7da3ca323ce99a35972022-12-22T00:19:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0199e10611110.1371/journal.pone.0106111Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.Carlos RonceroConstanza DaigreCarmen BarralElena Ros-CucurullLara Grau-LópezLaia Rodríguez-CintasNuria TarifaMiguel CasasSergi ValeroBACKGROUND:Cocaine consumption can induce transient psychotic symptoms, which has been correlated with more severe addiction and aggressive behavior. However, little is known about the nature of the relationship between personality traits and psychotic symptoms in cocaine-dependent patients. This study examined the relationship between neuroticism and cocaine-induced psychosis. METHODS:A total of 231 cocaine-dependent patients seeking treatment were recruited to the study. Personality was evaluated by the Zuckerman-Kuhlman Personality Questionnaire. Cocaine-induced psychosis questionnaire, SCID-I, and SCID-II were used to evaluate comorbidity and clinical characteristics. Data analysis was performed in three steps: descriptive, bivariate, and multivariate analyses. RESULTS:Cocaine-induced psychosis was reported in 65.4% of the patients and some personality disorder in 46.8%. Two personality dimensions (Neuroticism-Anxiety and Aggression-Hostility) presented a significant effect on the risk of experiencing psychotic symptoms (t(229) = 2.69, p = 0.008; t(229) = 2.06, p = 0.004), and patients with psychotic symptoms showed higher scores in both variables. On the multivariate analysis, only Neuroticism remained as a significant personality factor independently associated with psychotic symptoms (Wald = 7.44, p<0.05, OR = 1.08, CI 95% 1.02-1.16) after controlling for age, gender and number of consumption substances. CONCLUSIONS:An association between high neuroticism scores and presence of psychotic symptoms induced by cocaine has been found, independently of other consumption variables. Personality dimensions should be evaluated in cocaine-dependent patients in order to detect high scores of neuroticism and warn patients about the risk of developing cocaine-induced psychotic symptoms.http://europepmc.org/articles/PMC4177812?pdf=render
spellingShingle Carlos Roncero
Constanza Daigre
Carmen Barral
Elena Ros-Cucurull
Lara Grau-López
Laia Rodríguez-Cintas
Nuria Tarifa
Miguel Casas
Sergi Valero
Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.
PLoS ONE
title Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.
title_full Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.
title_fullStr Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.
title_full_unstemmed Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.
title_short Neuroticism associated with cocaine-induced psychosis in cocaine-dependent patients: a cross-sectional observational study.
title_sort neuroticism associated with cocaine induced psychosis in cocaine dependent patients a cross sectional observational study
url http://europepmc.org/articles/PMC4177812?pdf=render
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