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Personality traits and smoking in patients with obsessive-compulsive disorder

Published online by Cambridge University Press:  16 April 2020

S Bejerot ,
L von Knorring  and
L Ekselius
S Bejerot
Affiliation:
Department of Neuroscience, Psychiatry, University Hospital, SE 751 85Uppsala, Sweden
L von Knorring
Affiliation:
Department of Neuroscience, Psychiatry, University Hospital, SE 751 85Uppsala, Sweden
L Ekselius*
Affiliation:
Department of Neuroscience, Psychiatry, University Hospital, SE 751 85Uppsala, Sweden
*
*Correspondence and reprints.
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Extract

As opposed to other psychiatric populations, subjects with obsessive-compulsive disorder (OCD) smoke less than the general population. The present study aims at further investigating the relationship between smoking in OCD subjects and personality traits.

Sixty-four subjects with OCD were interviewed concerning their smoking habits. Personality traits were evaluated using the Karolinska Scales of Personality, and specific obsessive-compulsive personality traits were elicited through self-report questionnaires.

Non-smokers were more easily fatigued, more inclined to worry, more remorseful, less self-confident, less impulsive and became uneasy more frequently when urged to speed up, than smokers with OCD.

Additionally, non-smokers fulfilled significantly more obsessive-compulsive personality disorder criteria as compared to the smokers (P < 0.001).

We propose a clinical subtype of OCD related to non-smoking, psychasthenia, anxiety, and pronounced obsessive-compulsive personality disorder traits.

Keywords

obsessive-compulsive disorderobsessive-compulsive personality disorderpersonality traitssmoking
Type
Original article
Information
European Psychiatry , Volume 15 , Issue 7 , November 2000 , pp. 395 - 401
Copyright
Copyright © 2001 Éditions scientifiques et médicales Elsevier SAS. All rights reserved

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References

Baer, LFactor analysis of symptom subtypes of obsessive compulsive disorder and their relation to personality and tic disorders J Clin Psychiatry 1994; 55: 18–23Google ScholarPubMed
Baer, LJenike, MPersonality disorders in obsessive-compulsive disorderJenike, MBaer, LMinichiello, WObsessive-compulsive disorders. Practical management 1998 St Louis: Mosby 65–83Google Scholar
Bejerot, SHumble, MLow prevalence of smoking among patients with obsessive-compulsive disorder Compr Psychiatry 1999; 40: 268–272CrossRefGoogle ScholarPubMed
Bejerot, SSchlette, PEkselius, LAdolfsson, Rvon Knorring, LPersonality disorders and relationship to personality dimensions measured by the temperament and character inventory in patients with obsessive compulsive disorder Acta Psychiatr Scand 1998; 98: 243–249CrossRefGoogle ScholarPubMed
Bejerot, SEkselius, Lvon Knorring, LComorbidity between obsessive-compulsive disorder (OCD) and personality disorders Acta Psychiatr Scand 1998; 97: 398–402CrossRefGoogle ScholarPubMed
Billett, E.A.Richter, M.A.Sam, FSwinson, R.P.Dai, X.Y.King, N et al. Investigation of dopamine system genes in obsessive-compulsive disorder Psychiatr Genet 1998; 8: 163–169CrossRefGoogle ScholarPubMed
Black, DZimmerman, MCoryell, WCigarette smoking and psychiatric disorder in a community sample Ann Clin Psychiatry 1999; 11: 129–136CrossRefGoogle Scholar
Cavedini, PErzegovesi, SRonchi, PBellodi, LPredictive value of obsessive-compulsive personality disorder in antiobsessional pharmacological treatment Eur Neuropsychopharmacol 1997; 7: 45–49CrossRefGoogle ScholarPubMed
Clark, L.A.Watson, DReynolds, SDiagnosis and classification of psychopathology: challenges to the current system and future directions Ann Rev Psychol 1995; 46: 121–153CrossRefGoogle ScholarPubMed
Comings, D.E.Tourette syndrome: a hereditary neuropsychiatric spectrum disorder Ann Clin Psychiatry 1994; 6: 235–247CrossRefGoogle ScholarPubMed
Ekselius, LLindström, Evon Knorring, LBodlund, OKullgren, GPersonality disorders in DSM-III-R as categorical or dimensional Acta Psychiatr Scand 1993; 88: 183–187CrossRefGoogle ScholarPubMed
Ekselius, LLindström, Evon Knorring, LBodlund, OKullgren, GSCID II interviews and the SCID screen questionnaire as diagnostic tools for personality disorders in DSM-III-R Acta Psychiatr Scand 1994; 90: 120–123CrossRefGoogle ScholarPubMed
Gillberg, CAsperger syndrome and high-functioning autism Br J Psychiatry 1998; 172: 200–209CrossRefGoogle ScholarPubMed
Glass, R.M.Blue mood, blackened lungs: depression and smoking JAMA 1990; 264: 1583–1584CrossRefGoogle ScholarPubMed
Goff, D.C.Henderson, D.C.Amico, ECigarette smoking in schizophrenia: relationship to psychopathology and medication side effects Am J Pscyhiatry 1992; 149: 1189–1194Google ScholarPubMed
Goodman, WPrice, LRasmussen, SMazure, CDelgado, PHenninger, G et al. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Part II : validity Arch Gen Psychiatry 1989; 46: 1012–1016CrossRefGoogle Scholar
Goodman, WPrice, LRasmussen, SMazure, CFleischmann, RHill, C et al. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS). Part I: development, use, and reliability Arch Gen Psychiatry 1989; 46: 1006–1011CrossRefGoogle Scholar
Gustavsson, J.P.Stability and validity of self-reported personality traitsContributions to the evaluation of the Karolinska Scales of Personality [dissertation] 1997 Karolinska Institute StockholmGoogle Scholar
Hughes, J.R.Hatsukami, D.K.Mitchell, J.E.Dahlgren, L.A.Prevalence of smoking among psychiatric outpatients Am J Psychiatry 1986; 143: 993–997Google ScholarPubMed
Insel, TMurphy, DCohen, RAlterman, MKilts, CLinnola, MObsessive-compulsive disorder: a double-blind trial of clomipramine and clorgyline Arch Gen Psychiatry 1983; 40: 605–612CrossRefGoogle ScholarPubMed
Jenike, MBaer, LMinichiello, WSchwartz, CCarey, RConcomitant obsessive-compulsive disorder and schizotypal personality disorder Am J Psychiatry 1986; 143: 530–532Google ScholarPubMed
Karayiorgou, MSobin, CBlundell, MGalke, BMalinova, LGoldberg, P et al. Family-based association studies support a sexually dimorphic effect of COMT and MAOA on genetic susceptibility to obsessive-compulsive disorder Biol Psychiatry 1999; 45: 1178–1189CrossRefGoogle ScholarPubMed
Leckman, J.F.Peterson, BAnderson, G.M.Arnsten, APauls, D.L.Cohen, D.J.Pathogenesis of Tourette’s Syndrome J Child Psychol Psychiatry 1997; 38: 119–142CrossRefGoogle ScholarPubMed
Lipkus, IBarefoot, JWilliams, RSiegler, IPersonality measures as predictors of smoking initiation and cessation in the UNC Alumni Heart Study Health Psychol 1994; 13: 149–155CrossRefGoogle ScholarPubMed
Lipkus, IBarefoot, JFeaganes, JWilliams, RSiegler, IA short MMPI scale to identify people likely to begin smoking J Pers Assess 1994; 62: 213–222CrossRefGoogle Scholar
Lucey, J.V.Butcher, GClare, ADinan, T.G.Elevated growth hormone responses to pyridostigmine in obsessive-compulsive disorder: evidence of cholinergic supersensitivity Am J Psychiatry 1993; 150: 961–962Google ScholarPubMed
Lyon, EA review of the effects of nicotine on schizophrenia and antipsychotic medications Psychiatr Serv 1999; 50: 1346–1350CrossRefGoogle ScholarPubMed
Matsunaga, HKiriike, NMiyata, APersonality disorders in patients with obsessive-compulsive disorder in Japan Acta Psychiatr Scand 1998; 98: 128–134CrossRefGoogle ScholarPubMed
McDougle, C.J.Kresch, L.E.Goodman, W.K.Naylor, SVolkmar, FCohen, D et al. A case-controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder Am J Psychiatry 1995; 152: 772–777Google ScholarPubMed
Michell, LAmos, AGirls, pecking order and smoking Soc Sci M 1997; 44: 1861–1869CrossRefGoogle ScholarPubMed
Mitchell, SMeasures of impulsivity in cigarette smokers and non-smokers Psychopharmacology (Berl) 1999; 146: 455–464CrossRefGoogle ScholarPubMed
Okasha, AOmar, ALotaief, FGhanem, MSeif-el-Dawla, AOkasha, TComorbidity of axis I and axis II diagnosis of Egyptian patients with neurotic disorders Compr Psychiatry 1996; 37: 95–101CrossRefGoogle ScholarPubMed
Ottosson, HBodlund, OEkselius, Lvon Knorring, LKullgren, GLindström, E et al. The DSM-IV and ICD-10 personality questionnaire (DIP-Q): Construction and preliminary validation Nord J Psychiatry 1995; 49: 285–292CrossRefGoogle Scholar
Pich, EPagliusi, STessari, MTalabot-Ayer, DHooft van Huijsduijnen, RChiamulera, CCommon neural substrates for the addictive properties of nicotine and cocaine Science 1997; 275: 83–86CrossRefGoogle ScholarPubMed
Pohl, RYeragani, V.K.Balon, RLycaki, HMcBride, RSmoking in patients with panic disorder Psychiatr Res 1992; 43: 253–262CrossRefGoogle ScholarPubMed
Poyurovsky, MFuchs, CWeizman, AObsessive-compulsive disorder in patients with first-episode schizophrenia Am J Psychiatry 1999; 156: 1998–2000Google ScholarPubMed
Rasmussen, SEisen, JThe epidemiolgy and clinical features of obsessive-compulsive disorderJenike, MThe psychiatric clinics of North America 1992 W.B. Saunders Philadelphia743–758Google Scholar
Rauch, S.L.Whalen, P.J.Dougherty, DJenike, M.A.Neurobiologic models of obsessive-compulsive disorderJenike, MBaer, LMinichiello, WObsessive-compulsive disorders. Practical management 3rd 1998 Mosby, Inc St Louis222–253Google Scholar
Ravizza, LBarzega, GBellino, SBogetto, FMaina, GPredictors of drug response in obsessive-compulsive disorder J Clin Psychiatry 1995; 56: 368–373Google ScholarPubMed
Sabol, S.Z.Nelson, M.L.Fisher, CGunzerath, LBrody, CHu, S et al. A genetic association for cigarette smoking behavior Health Psychol 1999; 18: 7–13CrossRefGoogle ScholarPubMed
Schalling, DÅsberg, MEdman, GOreland, LMarkers for vulnerability to psychopathology: temperament traits associated with platelet MAO activity Acta Psychiatr Scand 1987; 76: 172–182CrossRefGoogle ScholarPubMed
Schalling, DEdman, GThe Karolinska scale of Personality (KSP)An inventory for assessing temperament dimensions associated with vulnerability for psychosocial deviance. Manual 1993 The Department of Psychiatry, The Karolinska Institute StockholmGoogle Scholar
Takahashi, HTakada, YNagai, NUrano, TTakada, ANicotine increases stress-induced serotonin release by stimulating nicotinic acetylcholine receptor in rat striatum Synapse 1998; 28: 212–2193.0.CO;2-D>CrossRefGoogle ScholarPubMed
Tanskanen, AViinamäki, HKoivumaa-Honkanen, H.-T.Hintikka, JJääskeläinen, JLehtonen, JSmoking and depression among psychiatric patients Nord J Psychiatry 1999; 53: 45–48Google Scholar
Thomsen, PMikkelsen, HDevelopment of personality disorders in children and adolescents with obsessive-compulsive disorder. A 6- to 22-year follow-up study Acta Psychiatr Scand 1993; 87: 456–462CrossRefGoogle ScholarPubMed
Weinberger, D.R.Berman, K.F.Prefrontal function in schizophrenia: confounds and controversies Philos Trans R Soc Lond B Biol Sci 1996; 351: 1495–1503Google ScholarPubMed
Wicklin, BConsumption of tobacco in Sweden 1970-1992 1993 Statistics Sweden StockholmGoogle Scholar
Williams, A.F.Personality and other characteristics associated with cigarette smoking among young teenagers J Health Soc Behav 1973; 14: 374–380CrossRefGoogle ScholarPubMed
Wing, LAsperger’s syndrome: a clinical account Psychol M 1981; 11: 115–129CrossRefGoogle ScholarPubMed
Wise, RThe role of reward pathways in the development of drug dependence Pharmacol Ther 1987; 35: 227–263CrossRefGoogle ScholarPubMed
Wolkin, ASanfilipo, MWolf, A.P.Angrist, BBrodie, JRotrosen, JNegative symptoms and hypofrontality in chronic schizophrenia Arch Gen Psychiatry 1992; 49: 959–965CrossRefGoogle ScholarPubMed
Wonnacott, SThe relevance of receptor binding studies to tobacco research Br J Addict 1991; 86: 537–541CrossRefGoogle ScholarPubMed
Zohar, JJudge, RParoxetine versus clomipramine in the treatment of obsessive-compulsive disorder Br J Psychiatry 1996; 169: 468–474CrossRefGoogle ScholarPubMed
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