Internalizing and externalizing personality subtypes predict differences in functioning and outcomes among veterans in residential substance use disorder treatment

Autor: Christine Timko, Jessica Y. Britt, Daniel M. Blonigen, Katherine M. Thomas, Leena Bui
Rok vydání: 2016
Předmět:
Adult
Male
Typology
Character
050103 clinical psychology
medicine.medical_specialty
Patient Dropouts
Psychometrics
Substance-Related Disorders
media_common.quotation_subject
Population
PsycINFO
Models
Psychological
Personality Assessment
Stress Disorders
Post-Traumatic
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Personality
Interpersonal Relations
0501 psychology and cognitive sciences
Psychiatry
education
Residential Treatment
Veterans Affairs
Internal-External Control
health care economics and organizations
Aged
Defense Mechanisms
Veterans
media_common
Self-efficacy
education.field_of_study
05 social sciences
Middle Aged
medicine.disease
Self Efficacy
030227 psychiatry
Substance abuse
Psychiatry and Mental health
Clinical Psychology
Patient Compliance
Female
Psychology
Follow-Up Studies
Clinical psychology
Zdroj: Psychological Assessment. 28:1186-1197
ISSN: 1939-134X
1040-3590
DOI: 10.1037/pas0000250
Popis: There is a long history of using personality to subtype patients in treatment for substance use disorders (SUD). However, no one has validated a typology of SUD patients using a structural model of normal-range personality, particularly indicating whether subtypes differ on treatment processes and outcomes. We developed a personality-based typology among 196 military veterans enrolled in residential SUD treatment at a Veterans Affairs medical center. Patients were assessed at treatment entry, 1 month into treatment, and at discharge from treatment. Personality was assessed using the Multidimensional Personality Questionnaire-Brief Form at treatment entry. Latent profile analyses identified a 3-group solution consisting of low pathology, internalizing, and externalizing groups. The internalizing group scored lowest on measures of functioning at treatment entry, whereas the externalizing group scored more poorly on treatment processes and outcomes over the course of their residential stay (e.g., more stressful relationships with other residents, lower program alliance). These findings support a clinically meaningful typology of SUD patients based on a 3-factor model of personality and can serve as a guide for future efforts aimed at developing targeted interventions that can address the individual differences of patients in this population. (PsycINFO Database Record
Databáze: OpenAIRE
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