Koļesņikova Jeļena, Perepjolkina Viktorija, Sudraba Velga, Mārtinsone Kristīne, Stepens Ainārs
Department of Health Psychology and Paedagogy, Psychology Laboratory, Faculty of Public Health and Social Welfare, Riga Stradiņš University, Riga, Latvia.
Department of Sociology and Psychology, Faculty of Communications, Riga Stradiņš University, Riga, Latvia.
Front Psychiatry. 2020 Jun 5;11:498. doi: 10.3389/fpsyt.2020.00498. eCollection 2020.
Studies reveal a functional impairment in patients with personality disorders (PDs), but there is not enough information to form conclusions about this relation in patients with alcohol use disorder (AUD). The aim of this study was to investigate to what extent a personality disorders scales including pathological personality traits (PPTs) predict six domains of functioning in patients with AUD.
In total, 48 patients with AUD diagnosis, who were treated in the psychiatric clinics, aged 20 to 65 years [M = 37.5; SD = 12.08; 12 (25%) females and 36 (75%) males], filled out the demographic questionnaire, WHO Disability Assessment Schedule 2.0 (WHODAS 2.0, Latvian version) and Latvian Clinical Personality Inventory (LCPI v2.1.). All respondents signed the informed consent form.
Stepwise regression analysis showed that PD Avoidant scale positively predicts impairment in Cognition and Getting along domains of functioning in AUD patients, but, on the PPTs level, it was found that Social withdrawal along with Irresponsibility and Guilt/Shame positively predict impairment in Cognition domain of functioning, and Social withdrawal along with Depressivity and Irresponsibility positively predict impairment in Getting along domain of functioning. The results of the study showed that PPT Orderliness negatively predicts impairment in Live activities domain of functioning. The PD Dependent scale and PPT Separation insecurity positively predict impairment in Participation domain of functioning.
Obtained results add deeper insight into understanding of the relationship between personality disorders scales including pathological personality traits and six domains of functioning in patients with AUD.
研究揭示了人格障碍(PDs)患者存在功能损害,但关于酒精使用障碍(AUD)患者的这种关系,尚无足够信息得出结论。本研究的目的是调查包括病理性人格特质(PPTs)在内的人格障碍量表在多大程度上可预测AUD患者的六个功能领域。
共有48例在精神科诊所接受治疗的AUD诊断患者,年龄在20至65岁之间[平均年龄 = 37.5岁;标准差 = 12.08;12名(25%)女性和36名(75%)男性],填写了人口统计学调查问卷、世界卫生组织残疾评估量表2.0(WHODAS 2.0,拉脱维亚语版本)和拉脱维亚临床人格量表(LCPI v2.1)。所有受访者均签署了知情同意书。
逐步回归分析表明,PD回避量表正向预测AUD患者认知和相处功能领域的损害,但在PPTs水平上发现,社交退缩与不负责任及内疚/羞耻感正向预测认知功能领域的损害,社交退缩与抑郁及不负责任正向预测相处功能领域的损害。研究结果表明,PPT有序性负向预测生活活动功能领域的损害。PD依赖量表和PPT分离不安全感正向预测参与功能领域的损害。
所得结果为深入理解包括病理性人格特质在内的人格障碍量表与AUD患者六个功能领域之间的关系提供了新的见解。