Cancel A, Naudet F, Rousseau P F, Millet B, Drapier D
Institut de neurosciences de la Timone, UMR 7289, CNRS, université Aix-Marseille, faculté de médecine, 27, boulevard Jean-Moulin, 13005 Marseille, France; Secteur adulte 13G20, centre hospitalier Montperrin, 109, avenue du Petit-Barthélémy, 13100 Aix-en-Provence, France.
Service de pharmacologie clinique, CIC Inserm 0203, hôpital Pontchaillou, université de Rennes 1, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.
Encephale. 2016 Aug;42(4):314-9. doi: 10.1016/j.encep.2015.12.009. Epub 2016 Jan 12.
Impulsivity is a transnosographical dimension with major consequences on medical care with which psychiatrists are frequently confronted. Furthermore, compliance is a major variable that can affect the efficiency of therapeutics and hospitalizations in psychiatry. A study was carried out in three drug and alcohol rehabilitation hospitalization units to find out if impulsivity can have consequences on compliance.
The studied population was composed of 85 patients aged from 18 to 70, hospitalized for one or more addiction disorders in a psychometric hospital in Vannes (France). Impulsivity was measured for all patients with the BIS-11 at the beginning of the rehabilitation program. Because no tool to evaluate a total rehab program compliance existed, a scale, used at the end of the hospitalization, was created to measure patient compliance. This score was composed of two simple numeric scales (one used by the nurses and one used by the patient's psychiatrist) and a coefficient of hospitalization duration that was the ratio of completed to planned days of hospitalization. Correlations were made between the different dimensions: impulsivity and compliance, impulsivity and hospitalization conditions, compliance and hospitalization conditions (voluntary or involuntary, planned by a psychiatrist or not, etc.).
The main statistically significant result of the study was a negative correlation existing between the motor dimension of impulsivity and compliance (r=-0.37 and P=0.001). The other dimensions of impulsivity showed no significant correlation with compliance score. The study revealed that the different hospitalization conditions showed no link with compliance or impulsivity.
These original results show that motor impulsive patients need an adaptation of the rehabilitation programs. Shorter programs might be more efficient.
冲动性是一个跨诊断维度，对医疗护理有重大影响，精神科医生经常会遇到与之相关的问题。此外，依从性是一个重要变量，会影响精神病学治疗和住院治疗的效果。在三个药物和酒精康复住院单元进行了一项研究，以探究冲动性是否会对依从性产生影响。
研究对象为85名年龄在18至70岁之间的患者，他们因一种或多种成瘾性疾病在法国瓦讷的一家心理测量医院住院。在康复项目开始时，使用BIS-11对所有患者进行冲动性测量。由于不存在评估整个康复项目依从性的工具，因此在住院结束时创建了一个量表来测量患者的依从性。该评分由两个简单的数字量表（一个由护士使用，一个由患者的精神科医生使用）和一个住院时长系数组成，住院时长系数是实际住院天数与计划住院天数的比值。对不同维度之间进行了相关性分析：冲动性与依从性、冲动性与住院条件、依从性与住院条件（自愿或非自愿、是否由精神科医生计划等）。
该研究的主要统计学显著结果是冲动性的运动维度与依从性之间存在负相关（r = -0.37，P = 0.001）。冲动性的其他维度与依从性评分无显著相关性。研究表明，不同的住院条件与依从性或冲动性没有关联。
这些原始结果表明，运动冲动型患者需要调整康复项目。较短的项目可能更有效。
