Speranza Mario, Stéphan Philippe, Corcos Maurice, Loas Gwenolé, Taieb Olivier, Guilbaud Olivier, Perez-Diaz Fernando, Venisse Jean-Luc, Bizouard Paul, Halfon Olivier, Jeammet Philippe
Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU Bicêtre, Fondation Vallée, 7, rue Bensérade, 94257 Gentilly.
Ann Med Interne (Paris). 2003 Jun;154 Spec No 1:S65-75.
In the scientific literature, the term of addiction is currently used to describe a whole range of phenomena characterized by an irresistible urge to engage in a series of behaviors carried out in a repetitive and persistent manner despite accruing adverse somatic, psychological and social consequences for the individual. It has been suggested that subjects presenting such behaviors would share specific features of personality which support the appearance or are associated with these addictive behaviors. Dimensions such as alexithymia and depression have been particularly well investigated. The aim of this study was to explore the hypothesis of a specific psychopathological model relating alexithymia and depression in different addictive disorders such as alcoholism, drug addiction or eating disorders. Alexithymic and depressive dimensions were explored and analyzed through the statistical tool of path analysis in a large clinical sample of addicted patients and controls. The results of this statistical method, which tests unidirectional causal relationships between a certain number of observed variables, showed a good adjustment between the observed data and the ideal model, and support the hypothesis that a depressive dimension can facilitate the development of dependence in vulnerable alexithymic subjects. These results can have clinical implications in the treatment of addictive disorders.
在科学文献中，成瘾这一术语目前用于描述一系列现象，其特征是尽管会给个体带来不良的躯体、心理和社会后果，但个体仍难以抗拒地想要重复且持续地进行一系列行为。有人提出，表现出此类行为的个体具有某些特定的人格特征，这些特征会促使成瘾行为出现或与之相关。例如，述情障碍和抑郁等维度就得到了特别深入的研究。本研究的目的是探讨一个特定的精神病理模型假说，该假说涉及酒精成瘾、药物成瘾或饮食失调等不同成瘾性障碍中的述情障碍和抑郁。通过路径分析这一统计工具，对大量成瘾患者和对照组的临床样本进行了述情障碍和抑郁维度的探索与分析。这种统计方法用于检验一定数量观察变量之间的单向因果关系，其结果显示观察数据与理想模型之间拟合良好，并支持以下假说：在易患述情障碍的个体中，抑郁维度会促进成瘾的发展。这些结果对成瘾性障碍的治疗具有临床意义。
