Ayakdaş Dağli Dilek, Baysan Arabaci Leyla, Cengisiz Cengiz, Arslan Zelal
Department of Mental Health and Psychiatry Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey.
Manisa Mental Health and Diseases Hospital, Manisa, Turkey.
Medicine (Baltimore). 2025 Mar 28;104(13):e41916. doi: 10.1097/MD.0000000000041916.
The aim of this study was to examine the relationship between psychological flexibility levels, sociotropy-autonomy personality traits and decision-making styles of individuals with substance use disorder. The study was cross-sectional and correlational. The Data were obtained by face-to-face interviews with 106 patients who were hospitalized in a regional psychiatric hospital Alcohol and Substance Addiction Treatment Center between the dates of June and August 2023 and who agreed to participate in the study after obtaining ethics committee approval. Descriptive information form, sociotropy-autonomy personality traits scale, psychological flexibility scale and Melbourne decision making scale I-II (MDMQ) were used to collect the data. Descriptive statistics and correlation analysis were used to examine the relationship between variables. The patients who participated in the study consisted of 97.2% male and the mean age was 35.30 ± 10.53 years. 31.1% of the individuals stated that they started to use substances in the environment of friends and 65.1% of them stated that they had attempted to quit before. It was observed that the patients had a moderate level of psychological flexibility (116.36 ± 16.49), showed autonomy personality traits (79.77 ± 23.0) and used a Vigilance decision-making style (8.54 + 3.08). A statistically significant negative correlation was found between the mean scores of the psychological flexibility scale and the mean scores of the "buck-passing" subscale of the MDMQ (r=-.303 P = .002). In addition, a statistically significant positive correlation was found between the mean score of the "Sociotropy" subscale of the PES and the mean scores of the Vigilance Decision Making subscale and Hypervigilance Decision Making subscale of the MDMQ (r=.233 P = .016; r=.223 P = .022). There is a relationship between personality traits, psychological flexibility levels and decision-making styles of patients with substance use disorders. While those with low psychological flexibility levels show "buck-passing" decision-making tendencies, those with sociotropy personality traits show "vigilance" and "hypervigilance" decision-making tendencies.
本研究旨在探讨物质使用障碍患者的心理灵活性水平、社会依赖-自主人格特质与决策风格之间的关系。该研究为横断面相关性研究。数据通过对106名患者进行面对面访谈获得，这些患者于2023年6月至8月期间在某地区精神病医院酒精与物质成瘾治疗中心住院，并在获得伦理委员会批准后同意参与研究。使用描述性信息表、社会依赖-自主人格特质量表、心理灵活性量表和墨尔本决策量表I-II（MDMQ）来收集数据。采用描述性统计和相关性分析来检验变量之间的关系。参与研究的患者中男性占97.2%，平均年龄为35.30±10.53岁。31.1%的个体表示他们在朋友环境中开始使用物质，65.1%的个体表示他们之前曾尝试戒烟。观察到患者的心理灵活性处于中等水平（116.36±16.49），表现出自主人格特质（79.77±23.0），并采用警惕型决策风格（8.54 + 3.08）。心理灵活性量表的平均得分与MDMQ“推诿”子量表的平均得分之间存在统计学上显著的负相关（r = -.303，P = .002）。此外，PES“社会依赖”子量表的平均得分与MDMQ警惕型决策子量表和过度警惕型决策子量表的平均得分之间存在统计学上显著的正相关（r = .233，P = .016；r = .223，P = .022）。物质使用障碍患者的人格特质、心理灵活性水平与决策风格之间存在关联。心理灵活性水平低的患者表现出“推诿”决策倾向，而具有社会依赖人格特质的患者表现出 “警惕” 和 “过度警惕” 决策倾向。
