Impulsivity and alexithymia predict early versus subsequent relapse in patients with alcohol use disorder: A 1‐year longitudinal study

Autor: Maria Pepe, Marco Di Nicola, Isabella Panaccione, Raffaella Franza, Domenico De Berardis, Mauro Cibin, Luigi Janiri, Gabriele Sani
Rok vydání: 2022
Předmět:
Zdroj: Drug and Alcohol Review. 42:367-372
ISSN: 1465-3362
0959-5236
Popis: Longitudinal psychopathological predictors of relapse in alcohol use disorder are unclear.Relapses, sociodemographic and psychopathological risk factors were assessed in 171 alcohol use disorder outpatients within a 1-year follow up. Impulsivity and alexithymia were evaluated using the Barratt Impulsiveness Scale and the Toronto Alexithymia Scale, respectively.At endpoint, 39% of patients maintained abstinence, 30.9% relapsed at ≤1 month from detoxification (early), 30.1% at1 month (subsequent). Baseline Barratt Impulsiveness Scale score was predictive of early versus subsequent relapse (odds ratio 1.12, p = 0.005) and versus abstinence (odds ratio 1.17, p 0.001). Toronto Alexithymia Scale score was a risk factor for subsequent versus early relapse (odds ratio 1.13, p = 0.003) and versus abstinence (odds ratio 1.21, p 0.001).Impulsivity predicted relapse within the first 4-weeks; alexithymia showed delayed effects. Time-varying effects of specific relapse factors emphasise the need for preliminary careful assessment and personalised interventions to promote long-term abstinence.
Databáze: OpenAIRE
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