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[大五人格模型中的人格与一年随访后的保持戒酒情况]

[Personality in the big five model and maintaining abstinence after one year follow-up].

作者信息

Betkowska-Korpała Barbara

机构信息

Zakład Psychologii Lekarskiej Katedry Psychiatrii UJ CM.

出版信息

Psychiatr Pol. 2012 May-Jun;46(3):387-99.

Abstract

AIM

To compare Five-Factor personality traits in patients maintaining abstinence and relapsed patients (i.e. those who relapsed within a year after treatment), following eight weeks of in-house treatment and three months of out-patient treatment.

METHOD

In longitudinal studies, a sample of 190 patients was analysed (49 females and 141 males; mean age: 43). The patients participated in therapeutic programmes at several addiction treatment centres across Poland. Personality traits were measured using the NEO PI-R inventory proposed by Costa and McCrae (adapted into Polish by Jerzy Siuta) at the initial stage of the treatment. Abstinence was assessed based on the interview.

RESULTS

As far as the main traits are concerned, abstinent patients have higher levels of Agreeableness and Conscientiousness than patients who relapsed within a year following the therapy. Moreover, they are characterised by higher levels of constituent traits: Straightforwardness, Ideas and Altruism, as well as higher levels of Order, Self-Discipline and Dutifulness. However, their levels of Hostility are lower compared to patients not maintaining abstinence.

CONCLUSIONS

After one year follow-up, the group maintaining abstinence is characterised by a higher Agreeableness and Conscientiousness, which is beneficial for cooperation with others as well as undertaking and realising tasks. Moreover, lower constituent values of Neuroticism are linked to higher adaptability and greater therapy participation than in a relapsed group. An early identification of patients bearing traits linked to lower adaptability will decrease the possibility of relapse thanks to making a greater effort at enhancing treatment participation while paying special attention to any co-existing psychopathology.

摘要

目的

比较在接受八周住院治疗和三个月门诊治疗后保持戒酒的患者与复吸患者(即在治疗后一年内复吸的患者)的五因素人格特质。

方法

在纵向研究中,分析了190名患者的样本(49名女性和141名男性;平均年龄:43岁)。这些患者在波兰各地的几个成瘾治疗中心参加了治疗项目。在治疗初期,使用科斯塔和麦克雷提出的NEO PI-R量表(由耶日·休塔改编成波兰语)测量人格特质。通过访谈评估戒酒情况。

结果

就主要特质而言,保持戒酒的患者比治疗后一年内复吸的患者具有更高的宜人性和尽责性。此外,他们的构成特质水平更高:直率、思想和利他主义,以及更高的条理性、自律性和尽责性。然而,与未保持戒酒的患者相比,他们的敌对性水平较低。

结论

经过一年的随访,保持戒酒的群体具有更高的宜人性和尽责性,这有利于与他人合作以及承担和完成任务。此外,神经质的构成值较低与比复吸组更高的适应能力和更大的治疗参与度相关。早期识别具有与较低适应能力相关特质的患者,将通过在提高治疗参与度方面做出更大努力并特别关注任何并存的精神病理学情况来降低复吸的可能性。

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