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情感气质作为酒精依赖复发的预测因子的作用。

The role of affective temperament as a predictor of relapse in alcohol dependence.

机构信息

Department of Psychiatry and Mental Health, Santa Maria University Hospital, Lisbon, Portugal.

Department for Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.

出版信息

Personal Ment Health. 2017 Nov;11(4):278-289. doi: 10.1002/pmh.1373. Epub 2017 Jun 29.

DOI:10.1002/pmh.1373
PMID:28660681
Abstract

BACKGROUND

Personality traits have been proposed as relapse risk factors in alcohol use disorders. So far, no study has assessed the association between affective temperamental traits and the prospective relapse risk.

METHODS

This was a 3-month prospective naturalistic study, designed to assess the impact of affective temperaments in relapse. A sample of 61 alcohol-dependent patients was collected from an ambulatory clinical setting. Socio-demographic information, drinking and substance use habits, drinking status, craving and affective temperament traits were assessed.

RESULTS

Age, age of onset of alcohol abuse and dependence and drug consumption correlate with drinking status. Male alcohol-dependent patients who relapsed presented higher scores on cyclothymic temperament than patients with an alcohol dependence diagnosis who remain sober. Hierarchical logistic regression indicates that cyclothymic temperament predicted relapse in a 3-month follow-up. However, the coefficient was marginally significant after controlling for all potential confounding predictors.

CONCLUSIONS

Our results provide new insights about the role of affective temperaments in alcohol use disorders, specifically in predicting short-term relapse in detoxified male alcohol-dependent patients. Copyright © 2017 John Wiley & Sons, Ltd.

摘要

背景

人格特质被认为是酒精使用障碍复发的风险因素。到目前为止,还没有研究评估情感气质特征与前瞻性复发风险之间的关系。

方法

这是一项为期 3 个月的前瞻性自然主义研究,旨在评估情感气质对复发的影响。从一个门诊临床环境中收集了 61 名酒精依赖患者的样本。评估了社会人口统计学信息、饮酒和物质使用习惯、饮酒状况、渴望和情感气质特征。

结果

年龄、酒精滥用和依赖的发病年龄以及药物使用与饮酒状况相关。复发的男性酒精依赖患者的环性气质评分高于保持清醒的酒精依赖诊断患者。分层逻辑回归表明,环性气质在 3 个月的随访中预测了复发。然而,在控制所有潜在混杂因素后,该系数仅略有显著。

结论

我们的结果提供了关于情感气质在酒精使用障碍中的作用的新见解,特别是在预测男性酒精依赖患者脱毒后短期复发方面。

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