Affective Temperaments in Alcohol and Opiate Addictions
Autor: | Yasser Khazaal, Béatrice Weber, Raphaël Voide, Sophie Favre, Jean-Michel Aubry, Audrey Nallet, Marianne Gex-Fabry, Daniele Fabio Zullino |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder Personality Inventory Bipolar disorder media_common.quotation_subject Comorbidity Anxiety Substance use disorder Severity of Illness Index Young Adult ddc:616.89 Opiate mental disorders medicine Prevalence Humans Irritable Mood Psychiatry Temperament media_common Aged Psychiatric Status Rating Scales Dual substance use disorder Addiction Middle Aged medicine.disease Opioid-Related Disorders Cyclothymic Disorder Substance abuse Psychiatry and Mental health Affect Mood Mood disorders Diagnosis Dual (Psychiatry) Female Self Report Psychology Alcohol Alcohol-Related Disorders Clinical psychology |
Zdroj: | Psychiatric Quarterly, Vol. 84, No 4 (2013) pp. 429-438 |
ISSN: | 0033-2720 |
Popis: | Temperament is considered as a biological disposition reflected by relatively stable features related to mood and reactivity to external and internal stimuli, including variability in emotional reactions. The aim of the present study is to test the hypothesis that affective temperaments might differ according to co-occurring mood disorders among patients with alcohol and/or opiate dependence; to explore the relationship between temperaments and dual substance use disorders (SUDs, alcohol and other drugs). Ninety-two patients attending an alcohol addiction treatment facility and 47 patients in an opiate addiction treatment facility were assessed for SUDs, mood disorders and affective temperaments using the Temperament Evaluation of Memphis, Pisa, Paris and San Diego 39-item auto-questionnaire. Comparison of patients with bipolar disorder, depressive unipolar disorder and no (or substance-induced) mood disorder revealed significant differences for the cyclothymic subscale, with highest scores among patients with bipolar disorder. No difference was observed for the depressive, irritable, hyperthymic and anxious subscales. After adjustment for age, gender and bipolar disorder, irritable temperament was a significant risk factor for past or present history of drug use disorders in patients treated for alcohol addiction (odds ratio [OR] 1.42, 95 % confidence interval [CI] 1.05–1.93). Anxious temperament was a significant risk factor for history of alcohol use disorders in patients treated for opiate addiction (OR 3.30, 95 % CI 1.36–7.99), whereas the hyperthymic subscale appeared as a significant protective factor (OR 0.65, 95 % CI 0.42–0.99). The results highlight the need to consider temperamental aspects in further research to improve the long-term outcome of patient with addictive disorders, who often present complex comorbidity patterns. |
Databáze: | OpenAIRE |
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