Journal of Affective Disorders
Volume 85, Issue 1 , Pages 191-200 , March 2005

Temperament and risky behaviors: a pathway to HIV?

  • David J. Moore

      Affiliations

    • San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
    • HIV Neurobehavioral Research Center, University of California, San Diego, San Diego, CA, USA
  • ,
  • J.Hampton Atkinson

      Affiliations

    • San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
    • HIV Neurobehavioral Research Center, University of California, San Diego, San Diego, CA, USA
    • Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
    • V.A. San Diego Healthcare System, San Diego, CA, USA
  • ,
  • Hagop Akiskal

      Affiliations

    • Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
    • V.A. San Diego Healthcare System, San Diego, CA, USA
  • ,
  • Raul Gonzalez

      Affiliations

    • San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
    • HIV Neurobehavioral Research Center, University of California, San Diego, San Diego, CA, USA
  • ,
  • Tanya Wolfson

      Affiliations

    • HIV Neurobehavioral Research Center, University of California, San Diego, San Diego, CA, USA
  • ,
  • Igor Grant

      Affiliations

    • Corresponding Author InformationCorresponding author. HIV Neurobehavioral Research Center (HNRC), University of California, San Diego, 150 West Washington Street, 2nd Floor, San Diego, CA 92103, USA. Tel.: +1-619-543-5000; fax: +1-619-543-1235.
    • San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
    • HIV Neurobehavioral Research Center, University of California, San Diego, San Diego, CA, USA
    • Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
    • V.A. San Diego Healthcare System, San Diego, CA, USA
  • ,
  • the HNRC Group

      Affiliations

    • The San Diego HIV Neurobehavioral Research Center (HNRC) group is affiliated with the University of California, San Diego, the Naval Hospital, San Diego, and the San Diego Veterans Affairs Healthcare System, and includes: Director: Igor Grant, MD; Co-Directors: J. Hampton Atkinson, MD and J. Allen McCutchan, MD; Center Manager: Thomas D. Marcotte, PhD; Naval Hospital San Diego: Mark R. Wallace, MD (P.I.); Neuromedical Component: J. Allen McCutchan, MD (P.I.), Ronald J. Ellis, MD, PhD, Scott Letendre, MD, Rachel Schrier, PhD; Neurobehavioral Component: Robert K. Heaton, PhD (P.I.), Mariana Cherner, PhD, Julie Rippeth, PhD; Imaging Component: Terry Jernigan, PhD (P.I.), John Hesselink, MD; Neuropathology Component: Eliezer Masliah, MD (P.I.); Clinical Trials Component: J. Allen McCutchan, MD, Ronald J. Ellis, MD, PhD, Scott Letendre, MD, J. Hampton Atkinson, MD; Data Management Unit: Daniel R. Masys, MD (P.I.), Michelle Frybarger, B.A. (Data Systems Manager); Statistics Unit: Ian Abramson, PhD (P.I.), Reena Deutsch, PhD, Tanya Wolfson, MA.The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, nor the United States Government.

,Accepted 24 April 2003.

References 

  1. Akiskal HS. Delineating irritable and hyperthymic variants of the cyclothymic temperament. J. Pers. Disord. 1992;6:326–342
  2. Akiskal HS. The temperamental borders of affective disorders. Acta Psychiatr. Scand. 1994;89(Suppl. 379):32–37
  3. Akiskal HS. Toward a temperament-based approach to depression: implications for neurobiologic research. Adv. Biochem. Psychopharmacol. 1995;49:99–112
  4. Akiskal HS. The temperamental foundations of affective disorders. In:  Mundt C,  Goldstein MJ,  Hahlweg K,  Fiedler P editor. Interpersonal Factors in the Origin and Course of Affective Disorders. London: Gaskell, Royal College of Psychiatrists; 1996;p. 3–30
  5. Akiskal HS. Toward a definition of generalized anxiety disorder as an anxious temperament type. Acta Psychiatr. Scand. 1998;98(Suppl. 393):66–73
  6. Akiskal HS. Dysthymia, cyclothymia, and related chronic subthreshold mood disorders. In:  Gelder MG,  Lopez-Ibor JJ,  Andreasen N editor. New Oxford Textbook of Psychiatry. vol. 1:Oxford: Oxford Univ. Press; 2000;p. 736–749
  7. Akiskal HS, Mallya G. Criteria for the “soft” bipolar spectrum: treatment implications. Psychopharmacol. Bull. 1987;23:68–73
  8. Akiskal HS, Khani MK, Scott-Strauss A. Cyclothymic temperamental disorders. Psychiatr. Clin. North Am. 1979;2:527–554
  9. Akiskal HS, Placidi GF, Maremmani I, Signoretta S, Liguori A, Gervasi R, et al. TEMPS-I: delineating the most discriminant traits of the cyclothymic, depressive, hyperthymic and irritable temperaments in a nonpatient population. J. Affect. Disord. 1998;51:7–19
  10. Akiskal HS, Akiskal K, Allilaire J-F, Azorin J-M, Bourgeois ML, Sechter D, et al. Validating affective temperaments in their subaffective and socially positive attributes: psychometric, clinical and familial data from a French national study. J. Affect. Disord. 2005;85:29–36 (this issue)
  11. Atkinson JH, Grant I, Kennedy CJ, Richman DD, Spector SA, McCutchan JA. Prevalence of psychiatric disorders among men infected with human immunodeficiency virus. A controlled study. Arch. Gen. Psychiatry. 1988;45:859–864
  12. Blackson TC. Temperament: a salient correlate of risk factors for alcohol and drug abuse. Drug Alcohol Depend. 1994;36:205–214
  13. Caspi A, Begg D, Dickson N, Harrington H, Langley J, Moffitt TE, et al. Personality differences predict health-risk behaviors in young adulthood: evidence from a longitudinal study. J. Pers. Soc. Psychol. 1997;3:1052–1063
  14. CDC, 2000. HIV/AIDS Surveillance Report. Department of Health and Human Services, pp. 1–41.
  15. Cloninger CR, Svrakic DM. Personality disorders. In:  Sadock BJS,  Sadock VA editor. Comprehensive Textbook of Psychiatry. Philadelphia: Williams and Wilkins; 2000;p. 1723–1764
  16. Cloninger CR, Svrakic DM, Przybeck TR. A psychobiological model of temperament and character. Arch. Gen. Psychiatry. 1993;50:975–990
  17. Dembo R, Schmeidler J, Borden P, Turner G, et al.  Examination of the reliability of the Problem Oriented Screening Instrument for Teenagers (POSIT) among arrested youths entering a juvenile assessment center. Subst. Use Misuse. 1996;31:785–824
  18. Hantouche EG, Akiskal HS, Lancrenon S, Allilaire JF, Sechter D, Azorin JM, et al. Systematic clinical methodology for validating bipolar-II disorder: data in mid-stream from a French national multisite study (EPIDEP). J. Affect. Disord. 1998;50:163–173
  19. Henderson MJ, Galen LW, DeLuca JW. Temperament style and substance abuse characteristics. Subst. Abuse. 1998;19:61–70
  20. Liraud F, Verdoux H. Which temperamental characteristics are associated with substance use in subjects with psychotic and mood disorders?. Psychiatry Res. 2000;93:63–72
  21. Ohannessian CM, Stabenau JR, Hesselbrock VM. Childhood and adulthood temperament and problem behaviors and adulthood substance use. Addict. Behav. 1995;20:77–86
  22. Perretta P, Akiskal HS, Nisita C, Lorenzetti C, Zaccagnini E, Della Santa M, et al. The high prevalence of bipolar II and associated cyclothymic and hyperthymic temperaments in HIV-patients. J. Affect. Disord. 1998;50:215–224
  23. Pinto OC, Akiskal HS. Lamotrigine as a promising approach to borderline personality: an open case series without concurrent DSM-IV major mood disorder. J. Affect. Disord. 1998;51:333–343
  24. Placidi GF, Maremmani I, Signoretta S, Liguori A, Akiskal HS. Stability and change over 2 years of affective temperaments: a prospective study in 14–18 year old Italian high school students. J. Affect. Disord. 1998;51:199–208
  25. Placidi GF, Signoretta S, Liguori A, Gervasi R, Maremmani I, Akiskal HS. The semi-structured affective temperament interview (TEMPS-I): reliability and psychometric properties in 1010 14–26-year-old students. J. Affect. Disord. 1998;47:1–10
  26. Stone MH. Toward a psychobiological theory of borderline personality disorder: is irritability the red thread that runs through borderline conditions?. Dissociation: Progress Dissociative Disord. 1988;1:2–15
  27. Stough C, Brebner J, Cooper C. The Rusalov Structure of Temperament Questionnaire (STQ): results from an Australian sample. Pers. Individ. Differ. 1991;12:1355–1357
  28. Tabachnick BG, Fidell LS. Using Multivariate Statistics. New York: Harper Collins; 1989;
  29. Williams JB, Rabkin JG, Remien RH, Gorman JM, Ehrhardt AA. Multidisciplinary baseline assessment of homosexual men with and without human immunodeficiency virus infection: II. Standardized clinical assessment of current and lifetime psychopathology. Arch. Gen. Psychiatry. 1991;48:124–130
  30. Wulfert E, Safren SA, Brown I, Wan CK. Cognitive, behavioral, and personality correlates of HIV-positive persons' unsafe sexual behavior. J. Appl. Soc. Psychol. 1999;29:223–244

PII: S0165-0327(03)00193-9

doi: 10.1016/S0165-0327(03)00193-9

Journal of Affective Disorders
Volume 85, Issue 1 , Pages 191-200 , March 2005