Soundararajan Soundarya, Narayanan Gitanjali, Agrawal Arpana, Murthy Pratima
Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Psychiatry, Centre for Addiction Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2017 Mar-Apr;39(2):169-175. doi: 10.4103/0253-7176.203127.
Studying personality profiles allows researchers to generate important hypotheses in risk factors and correlates of alcohol use/misuse. Studies examining the association between personality traits and treatment outcome are limited in India. We studied the correlation between personality and treatment outcome in patients with alcohol dependence.
Adult participants with alcohol dependence were recruited from the inpatient and outpatient wards of de-addiction unit of a tertiary care facility in India using a prospective design and followed up after 3 months. Questionnaires administered were revised NEO personality inventory (NEO-PI-R), alcohol use disorders identification test, and advanced warning of alcohol relapse (AWARE).
Out of 99 recruited participants (92% males) with mean age of 37 (±8.36) years, 82 (82.8%) patients were followed up to 3 months. E4 (activity) facet of the extraversion domain in the NEO-PI-R significantly correlated with the baseline drinking scores ( = 0.204, = 0.042, = 99) and AWARE scores ( = 0.276, = 0.043, = 54). There was a significant negative correlation between the E2 (gregariousness) facet and satisfaction with life scores ( = -0.211, = 0.036, = 99). Age at first drink was significantly lower among relapsers ( = 0.021).
Our study suggests that factors related to extraversion, specifically, high activity might be associated with higher drinking as well as higher risk of alcohol relapse. Predicting alcohol relapse by studying the personality traits would help clinicians in improving treatment outcomes.
研究人格特征有助于研究人员就酒精使用/滥用的风险因素及相关因素提出重要假设。在印度,研究人格特质与治疗结果之间关联的研究有限。我们研究了酒精依赖患者的人格与治疗结果之间的相关性。
采用前瞻性设计,从印度一家三级护理机构戒毒科的住院和门诊病房招募成年酒精依赖参与者,并在3个月后进行随访。所使用的问卷包括修订版的大五人格量表(NEO-PI-R)、酒精使用障碍识别测试以及酒精复发预警(AWARE)。
在招募的99名参与者(92%为男性)中,平均年龄为37(±8.36)岁,82名(82.8%)患者随访至3个月。NEO-PI-R外向性领域的E4(活力)方面与基线饮酒得分(=0.204,=0.042,=99)和AWARE得分(=0.276,=0.043,=54)显著相关。E2(社交性)方面与生活满意度得分之间存在显著负相关(=-0.211,=0.036,=99)。复饮者首次饮酒的年龄显著更低(=0.021)。
我们的研究表明,与外向性相关的因素,特别是高活力,可能与更高的饮酒量以及更高的酒精复发风险相关。通过研究人格特质来预测酒精复发将有助于临床医生改善治疗效果。