The Impact of Stressful Life Events on Alcohol Relapse: Findings from the Collaborative Longitudinal Personality Disorders Study.

The Impact of Stressful Life Events on Alcohol Relapse: Findings from the Collaborative Longitudinal Personality Disorders Study.
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DOI:
10.1080/15504260902886505
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发表时间:
2009-04-01
影响因子:
2.2
通讯作者:
Ronis RJ
Ronis RJ
中科院分区:
医学4区
文献类型:
--
作者:
Reyes CD;Pagano ME;Ronis RJ

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酒精复吸受各种环境,人际关系和个人因素的影响。我们研究了参与纵向人格障碍协作研究(CLPS)的个体中压力性生活事件、人格障碍亚型和酒精复发之间的相互作用。负性生活事件预测所有受试者的复发。在进入研究之前有酒精使用障碍史的个体中,积极的生活事件也预测酒精复发。研究发现,与强迫性人格障碍(OCPD)患者相比,反社会人格障碍(ASPD)患者在应对生活压力时复发的可能性是强迫性人格障碍(OCPD)患者的两倍,后者在应对生活压力时复发的可能性是前者的一半。进一步的分析显示,患有OCPD且没有酒精使用障碍史的人在面对压力的浪漫问题时复发的可能性几乎是10倍,而那些患有ASPD且有酒精使用障碍史的人在应对压力的财务事件时复发的可能性是6倍。这些研究结果对患有共病人格和酒精使用障碍的个体的评估和治疗都有影响。
Alcohol relapse is impacted by a variety of environmental, interpersonal, and intrapersonal factors. We examined the interaction between stressful life events, personality disorder subtype, and alcohol relapse among individuals enrolled in the Collaborative Longitudinal Personality Disorders Study (CLPS). Negative life events predicted relapse in all subjects. In individuals with a history of an alcohol use disorder prior to study entry, positive life events also predicted alcohol relapse. Individuals with Antisocial Personality Disorder (ASPD) were found to be twice as likely to relapse in response to life stressors compared to individuals with Obsessive-Compulsive Personality Disorder (OCPD), who were half as likely to relapse in response to life stressors. Further analysis revealed that individuals with OCPD and no history of an alcohol use disorder were almost 10 times more likely to relapse in the face of a stressful romantic problem, while those with ASPD and a history of an alcohol use disorder were six times more likely to relapse in response to a stressful financial event. These findings have implications for both the assessment and the treatment of individuals who present with co-morbid personality and alcohol use disorders.
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