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集群-B 人格障碍特征和冲动性:通过积极的酒精期望对酒精使用严重程度的间接影响。

Cluster-b personality disorder traits and impulsivity: Indirect associations with alcohol use severity through positive alcohol expectancies.

机构信息

Department of Psychology.

Department of Psychology and Philosophy.

出版信息

Exp Clin Psychopharmacol. 2023 Apr;31(2):423-432. doi: 10.1037/pha0000598. Epub 2022 Sep 1.

Abstract

Prior theory and research suggest that both Cluster-B personality pathology and trait impulsivity are indirectly associated with alcohol use through positive alcohol expectancies. Yet, no prior study has investigated whether features of each of the Cluster-B personality disorders (PDs) (i.e., antisocial, borderline, histrionic, and narcissistic) and rash impulsiveness are indirectly associated with alcohol use severity through positive alcohol expectancies. In a cross-sectional design, social drinkers ( = 200; 51% female; = 26 years) completed self-report measures of trait (rash) impulsivity, Cluster-B personality disorder (PD) traits, positive alcohol expectancies, and alcohol use severity. Simple and serial mediation analyses were used to test positive alcohol expectancies and the association between trait impulsivity and alcohol expectancies as potential mediators of personality disorder trait relations with alcohol use severity. Simple mediation analyses evidenced that trait impulsivity and traits specific to each of the Cluster-B (PDs) were indirectly associated with alcohol use severity through positive alcohol expectancies. Serial mediation analyses further evidenced that the Cluster-B (PD) traits were indirectly associated with alcohol use severity via positive alcohol expectancies both uniquely from and together with trait impulsivity. Current findings are novel and suggest that positive alcohol expectancies may be important to connecting the rashly impulsive aspects of Cluster-B (PDs) with greater alcohol use severity. However, current findings also suggest that features of the Cluster-B (PDs) probably increase risk for alcohol use disorder due to other reasons (e.g., other aspects of personality or forms of impulsivity). (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

先前的理论和研究表明,集群-B 型人格病理学和特质冲动性都通过积极的酒精期望与酒精使用间接相关。然而,先前没有研究调查过每个集群-B 型人格障碍(PD)的特征(即反社会、边缘型、表演型和自恋型)和冲动性是否通过积极的酒精期望与酒精使用严重程度间接相关。在一项横断面设计中,社交饮酒者(n=200;51%为女性;年龄=26 岁)完成了特质(冲动)、集群-B 型人格障碍(PD)特质、积极的酒精期望和酒精使用严重程度的自我报告测量。简单和串联中介分析用于测试积极的酒精期望以及特质冲动性和酒精期望之间的关系,作为人格障碍特质与酒精使用严重程度之间关系的潜在中介。简单中介分析表明,特质冲动性和集群-B 型人格障碍(PD)的特质通过积极的酒精期望与酒精使用严重程度间接相关。串联中介分析进一步表明,集群-B 型人格障碍(PD)特质通过积极的酒精期望与酒精使用严重程度间接相关,既可以独立于特质冲动性,也可以与特质冲动性一起。目前的研究结果是新颖的,表明积极的酒精期望可能是将集群-B 型人格障碍(PD)的冲动性方面与更高的酒精使用严重程度联系起来的重要因素。然而,目前的研究结果还表明,集群-B 型人格障碍(PD)的特征可能由于其他原因(例如,人格的其他方面或冲动的其他形式)而增加酒精使用障碍的风险。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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