The 5-HTTLPR polymorphism, impulsivity and suicide behavior in euthymic bipolar patients
Abstract
Background Suicide behavior is very frequent in Bipolar Disorder (BD) and they are both closely associated with impulsivity. Furthermore they are, impulsivity, BD and suicide behavior, associated with serotonergic function, at least partially, under genetic determinism and somewhat associated with the serotonin transporter gene polymorphism, the 5-HTTLPR. We aimed to assess different impulsivity components in BD sub-grouped by suicidal attempt and healthy controls. We hypothesized that the non-planning/cognitive impulsivity, could be more closely associated with suicidal behavior. We further associated 5-HTTLPR genotypes with neuropsychological results to test the hypothesis that this polymorphism is associated with cognitive impulsivity. Method We assessed 95 euthymic bipolar patients sub-grouped by suicidal attempt history in comparison with 94 healthy controls. All subjects underwent a laboratory assessment of impulsivity (Continuous Performance Test and Iowa Gambling Test). Furthermore the genotyping of 5-HTTLPR was performed in all subjects. Results We found that bipolar patients are more impulsive than healthy controls in all impulsivity dimensions we studied. Furthermore bipolar patients with a suicide attempt history have a greater cognitive impulsivity when compared to both bipolar patients without such a history as well when compared to healthy controls. No association was found between 5-HTTLPR genotypes and neuropsychological measures of impulsive behavior. Limita…
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The quality-stress theory model holds that self-injury behavior is caused by the interaction between adverse environment and individual susceptibility.
“Many studies are related to the quality–stress theory model, which holds that self‐injury behavior is caused by the interaction between adverse environment and individual susceptibility.”
From Relationship among self-injury, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self-injury (2021) · cites this paper as Malloy‐Diniz et al., 2011
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- Authors
- Malloy-Diniz, L. F., Neves, F. S., de Moraes, P. H. P., De Marco, L. A., Romano-Silva, M. A., Krebs, M.-O., & Corrêa, H.
- Affiliations
- Universidade Federal de Minas Gerais (BR)
- Inserm (FR)
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 133
- Issue
- 1-2
- Pages
- 221-226
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2000585395
- Cited by
- 48
- References
- 6
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 3 · 2021: 4 · 2020: 4 · 2018: 1 · 2017: 7 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 7 · 2012: 2
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- CNPq
- MCT
- FAPEMIG (SHA-APQ-00741-09)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- bipolar disorder, suicide attempts, impulsivity, cognitive impulsivity, 5-HTTLPR polymorphism, serotonin transporter gene, euthymic bipolar patients, Iowa Gambling Task, continuous performance test, neuropsychological assessment, genetic association
- MeSH terms
- Adult, Bipolar Disorder, Cyclothymic Disorder, Female, Genotype, Humans, Impulsive Behavior, Iowa, Male, Middle Aged, Polymorphism, Genetic, Promoter Regions, Genetic, Suicide, Suicide, Attempted, Serotonin Plasma Membrane Transport Proteins, Suicidal Ideation
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