Literature DB >> 25805246

The role of childhood maltreatment in the altered trait and global expression of personality in cocaine addiction.

Lisa K Brents1, Shanti Prakash Tripathi1, Jonathan Young1, G Andrew James1, Clinton D Kilts2.   

Abstract

BACKGROUND AND AIMS: Drug addictions are debilitating disorders that are highly associated with personality abnormalities. Early life stress (ELS) is a common risk factor for addiction and personality disturbances, but the relationships between ELS, addiction, and personality are poorly understood.
METHODS: Ninety-five research participants were assessed for and grouped by ELS history and cocaine dependence. NEO-FFI personality measures were compared between the groups to define ELS- and addiction-related differences in personality traits. ELS and cocaine dependence were then examined as predictors of personality trait scores. Finally, k-means clustering was used to uncover clusters of personality trait configurations within the sample. Odds of cluster membership across subject groups was then determined.
RESULTS: Trait expression differed significantly across subject groups. Cocaine-dependent subjects with a history of ELS (cocaine+/ELS+) displayed the greatest deviations in normative personality. Cocaine dependence significantly predicted four traits, while ELS predicted neuroticism and agreeableness; there was no interaction effect between ELS and cocaine dependence. The cluster analysis identified four distinct personality profiles: Open, Gregarious, Dysphoric, and Closed. Distribution of these profiles across subject groups differed significantly. Inclusion in cocaine+/ELS+, cocaine-/ELS+, and cocaine-/ELS- groups significantly increased the odds of expressing the Dysphoric, Open and Gregarious profiles, respectively.
CONCLUSIONS: Cocaine dependence and early life stress were significantly and differentially associated with altered expression of individual personality traits and their aggregation as personality profiles, suggesting that individuals who are at-risk for developing addictions due to ELS exposure may benefit from personality centered approaches as an early intervention and prevention.
Copyright © 2015 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Addiction; Childhood maltreatment; Five-factor model; Person-centered; Personality; Resilience

Mesh:

Year:  2015        PMID: 25805246      PMCID: PMC4404225          DOI: 10.1016/j.jpsychires.2015.02.015

Source DB:  PubMed          Journal:  J Psychiatr Res        ISSN: 0022-3956            Impact factor:   4.791


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