Department of Psychology.
Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
J Nerv Ment Dis. 2021 Sep 1;209(9):665-673. doi: 10.1097/NMD.0000000000001357.
The importance of personality traits for the outcome of psychiatric treatment, including treatment for alcohol use disorder (AUD), has been widely acknowledged. Also, research on autism spectrum disorders has evolved in recent years, emphasizing that the behavioral traits within these neuropsychiatric disorders exist on a dimension both within and outside the boundaries of psychopathology. In the present study, the relationship between personality traits associated with autistic functioning and level of alcohol use among patients before and after concluded AUD treatment was investigated. The participants (n = 165, diagnosed with AUD) were part of a longitudinal project on AUD treatment. Data from personality questionnaires (Structured Clinical Interview of Personality Disorders II and Temperament and Character Inventory) were used to assess autistic personality traits (APTs) based on behavior within Wing's triad, which were related to background and treatment outcome. The chosen APT items illustrated a personality functioning with an emphasis on social interaction and rigidity. Only certain included questions were indicative of still having a problematic drinking pattern 2.5 years after treatment entry, which adhered to phobic, obsessive-compulsive, and schizoid personality traits, as well as rigidity/stubbornness. Albeit with modest influence, the degree of APTs was associated with heavier drinking at treatment entry, and symptoms relating to social interaction and rigidity were associated with still having a problematic drinking pattern 2.5 years after treatment entry. A higher degree of such traits may result in having problems taking advice from others and establishing treatment alliance, important parts of treatment efficacy, making assessment of such traits relevant to clinicians.
人格特质对精神科治疗结果的重要性，包括酒精使用障碍（AUD）的治疗，已得到广泛认可。此外，近年来对自闭症谱系障碍的研究也有了发展，强调这些神经精神障碍的行为特征存在于精神病理学的界限内和界限之外。在本研究中，研究了与自闭症功能相关的人格特质与接受酒精使用障碍治疗前后患者的饮酒水平之间的关系。参与者（n=165，诊断为 AUD）是酒精使用障碍治疗纵向项目的一部分。使用人格问卷（人格障碍结构化临床访谈 II 和气质与性格量表）的数据来评估基于 Wing 三联征内行为的自闭症人格特质（APTs），这些特质与背景和治疗结果有关。所选的 APT 项目说明了一种以社交互动和僵化为重点的人格功能。只有某些包含的问题表明，在治疗开始 2.5 年后仍然存在有问题的饮酒模式，这与恐惧症、强迫症和分裂样人格特质以及僵化/固执有关。尽管影响程度较小，但 APT 程度与治疗开始时饮酒量较多有关，与社交互动和僵化相关的症状与治疗开始 2.5 年后仍存在有问题的饮酒模式有关。具有这种特质的程度较高可能导致在接受他人建议和建立治疗联盟方面存在问题，而这些是治疗效果的重要组成部分，因此评估这些特质对临床医生来说是相关的。
