Bouman Mental Health Care, Rotterdam, The
Institute of Psychology, Erasmus University Rotterdam, Rotterdam, The
Eur Addict Res. 2018;24(5):226-233. doi: 10.1159/000493644. Epub 2018 Oct 2.
Substance use disorders (SUD) and personality disorders co-occur frequently. This relationship might be understood by studying schema modes (a key concept in Schema therapy), which explain the dysfunctions characterizing personality disorder patients. In the present study, we compared the schema modes and personality disorder symptoms between alcohol-dependent patients, cocaine-dependent patients and healthy controls. We found indications that specific schema modes are specific for SUD patients. However, no differences between specific subtypes of SUD patients (alcohol- vs. cocaine-dependent patients) could be found regarding schema modes. Further, it is suggested that borderline personality disorder symptoms are highly relevant for SUD patients. A first step is made in understanding the relationship between schema modes and SUD, which may contribute to the understanding of the problematic behaviour seen in patients with personality disorders and SUD (and may possibly contribute to the improvement of the treatment of this group of patients).
物质使用障碍(SUD)和人格障碍经常同时发生。通过研究模式(在模式治疗中是一个关键概念),可以理解这种关系,该模式解释了人格障碍患者的功能障碍。在本研究中,我们比较了酒精依赖患者、可卡因依赖患者和健康对照组的模式和人格障碍症状。我们发现有迹象表明,特定的模式是 SUD 患者特有的。然而,在 SUD 患者(酒精依赖与可卡因依赖患者)的特定亚型之间,模式没有差异。此外,边缘型人格障碍症状与 SUD 患者高度相关。这是理解模式与 SUD 之间关系的第一步,这有助于理解人格障碍和 SUD 患者的问题行为(并可能有助于改善这组患者的治疗)。