Hypomanic personality trait in cocaine addiction.
An analysis of 292 private patients treated for cocaine addiction showed the following. Comorbid Axis I psychiatric disorders were found in 19% and preaddiction Axis I disorders in 9% of these patients. Psychopathology at the time of treatment appeared to be more the result of than the cause of the addiction. Of these patients 63% had become addicted pursuing euphoria. A definitive nonpathologic unipolar hypomanic subtype of cocaine addict was observed in 13% of these 292 patients. This was manifested more as a trait than a disorder. This subgroup had been reasonably well adjusted, fun-loving and action oriented extroverts before their addiction. The rush and lifestyle of cocaine fit the imperatives of their personality. In a significant subtype of cocaine addict, an underlying hypomanic personality trait is ego-syntonic with the abuse of cocaine.
Lemere
F
F
Schick Shadel Hospital, Seattle, WA 98146.
Smith
J W
JW
D001714:Bipolar Disorder / Q000523:psychology*; D003042:Cocaine; D006801:Humans; D010556:Personality Tests; D011379:Prognosis; D011594:Psychometrics; D019966:Substance-Related Disorders / Q000523:psychology*
D003042:Cocaine