厌食症男性与阿片类药物依赖男性是否具有相同的人格特质？一项病例对照研究。
Do anorectic men share personality traits with opiate dependent men? A case-control study.
作者信息
Abbate-Daga Giovanni, Amianto Federico, Rogna Lorenzo, Fassino Secondo
机构信息
Neurosciences Department, Psychiatry Section, Service for Eating Disorders, University of Torino, Via Cherasco 11, 10127 Torino, Italy.
出版信息
Addict Behav. 2007 Jan;32(1):170-4. doi: 10.1016/j.addbeh.2006.03.010. Epub 2006 Apr 19.
BACKGROUND
Eating disorders (ED) and substance use disorders (SUD) display clinical and psychodynamic analogies. The co-diagnosis of a substance use disorder in male ED patients is frequent. Nevertheless, knowledge about the mutual predisposing factors or personality analogies is currently scarce and hypotheses are controversial.
METHODS
The Temperament and Character Inventory (TCI) was used to assess 21 anorectic men, 79 heroin-dependent men, and 75 control men matched for age and education.
RESULTS
Anorectic and opiate-addicted patients displayed higher Harm Avoidance and lower Self-directedness and Cooperativeness. Anorectic men displayed lower Reward Dependence and higher Persistence. Opiate addicts had higher Novelty Seeking and Self-transcendence.
DISCUSSION
Anorectic and heroine-dependent subjects share personality traits related to anxiety, fearfulness and antisocial features. Nevertheless, the personality profile does not completely overlap and this could influence the choice of the "substance" of abuse and the related clinical differences between anorexia and heroin dependence.
背景
饮食失调（ED）和物质使用障碍（SUD）在临床和心理动力学方面存在相似之处。男性饮食失调患者中物质使用障碍的共病情况很常见。然而，目前关于相互的诱发因素或人格相似性的知识匮乏，且假说存在争议。
方法
使用气质与性格问卷（TCI）对21名厌食症男性、79名海洛因依赖男性以及75名年龄和教育程度相匹配的对照男性进行评估。
结果
厌食症患者和阿片类成瘾患者表现出更高的回避伤害性以及更低的自我导向性和合作性。厌食症男性表现出更低的奖赏依赖性和更高的坚持性。阿片类成瘾者具有更高的新奇寻求和自我超越性。
讨论
厌食症患者和海洛因依赖者具有与焦虑、恐惧和反社会特征相关的人格特质。然而，人格特征并不完全重叠，这可能会影响滥用“物质”的选择以及厌食症和海洛因依赖之间的相关临床差异。
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