Department of Psychiatry, Pomeranian Medical University, 71-210 Szczecin, Poland.
Department of Health Psychology, Pomeranian Medical University, 71-460 Szczecin, Poland.
Int J Environ Res Public Health. 2022 Jul 25;19(15):9023. doi: 10.3390/ijerph19159023.
Given the high global incidence and disabling nature of alcohol use disorders, alongside high relapse rates, we sought to investigate potential predictors of abstinence, considered a prerequisite of full remission. With an aim to examine (i) the effect of personality, alcohol abstinence self-efficacy, and depressive symptomatology on abstinence status as our primary objective, and (ii) interactions between these three factors, as well as (iii) their changes over time as two secondary objectives, we recruited 51 inpatients at an alcohol rehabilitation center to complete the International Personality Item Pool, the Alcohol Abstinence Self-Efficacy Scale and the Beck Depression Inventory, and to provide information on abstinence attainment 2 months post-treatment. Although regression analyses revealed no evidence for the effect of the investigated factors (personality, self-efficacy, or depressive symptoms) on post-therapy abstinence, other findings emerged, demonstrating (i) a significant reduction in the severity of depressive symptoms, (ii) the effect of personality and alcohol abstinence self-efficacy on depressive symptom severity, and (iii) the role of personality in predicting the temptation to use alcohol in recovering drinkers. These preliminary indications of links between personality, self-efficacy, and subjective well-being mark a promising area for future research on powerful and relevant cues of relapse and abstinence efficacy.
鉴于酒精使用障碍在全球的高发病率和致残性，以及高复发率，我们试图研究戒酒的潜在预测因素，因为戒酒被认为是完全缓解的前提条件。我们的主要目的是（i）检验人格、酒精戒断自我效能和抑郁症状对戒酒状态的影响，（ii）检验这三个因素之间的相互作用，以及（iii）检验它们随时间的变化作为两个次要目标，我们招募了 51 名酒精康复中心的住院患者，让他们完成国际人格项目池、酒精戒断自我效能量表和贝克抑郁量表，并在治疗后 2 个月提供关于戒酒的信息。尽管回归分析没有发现所研究因素（人格、自我效能或抑郁症状）对治疗后戒酒的影响，但其他发现表明，（i）抑郁症状的严重程度显著降低，（ii）人格和酒精戒断自我效能对抑郁症状严重程度的影响，以及（iii）人格在预测恢复期饮酒者饮酒诱惑方面的作用。这些人格、自我效能和主观幸福感之间联系的初步迹象标志着未来对复发和戒酒效果的有力和相关线索的研究是一个很有前途的领域。
