当前位置: X-MOL 学术J. Dual Diagn. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Measuring Personality Problems in Patients With Substance Use Disorders: A Cross-Sample Validation
Journal of Dual Diagnosis ( IF 2.324 ) Pub Date : 2019-10-01 , DOI: 10.1080/15504263.2019.1668583
Espen Ajo Arnevik 1 , Geir Pedersen 2, 3 , Espen Walderhaug 1 , Ingebjørg Lien 4 , Theresa Wilberg 5, 6 , Benjamin Hummelen 5
Affiliation  

Abstract Objective: Co-occurrence of substance use disorder and personality disorder (PD) is associated with greater functional impairment and mutual deterioration of the prognosis. More information is needed about the extent of personality problems in substance use disorder patients and when these problems can be assessed in a reliable way. The aim of this study was to compare the levels and scale reliability of (mal)adaptive personality functioning in four different samples and to discuss the possible clinical implications. Methods: Personality problems were assessed using the self-report Severity Indices of Personality Problems (SIPP) questionnaire in four samples: (a) 136 patients in the detoxification phase, (b) 187 patients with substance use disorder in long-term inpatient treatment, (c) 1,399 patients with PD in day and outpatient treatment, and (d) a community population of 935 respondents. Scale reliability of the SIPP facets was computed for each sample and levels of personality problems were compared among samples. Results: The scale reliability was acceptable for most of the SIPP facets in both substance use disorder samples. The substance use disorder samples had scores on SIPP that reflected greater personality dysfunction compared with the general community population and at a level similar to the PD population. Conclusions: SIPP appears to be a promising instrument for assessing personality pathology in substance use disorder treatment. The finding of high levels of maladaptive personality functioning in substance use disorder populations challenges the clinical management of the substance use disorder patient group and supports the development of integrated treatment approaches.

中文翻译:

测量物质使用障碍患者的人格问题:交叉样本验证

摘要 目的:物质使用障碍和人格障碍(PD)的共同发生与更大的功能障碍和预后的相互恶化有关。需要更多关于物质使用障碍患者人格问题的程度以及何时可以以可靠的方式评估这些问题的信息。本研究的目的是比较四个不同样本中(不良)适应性人格功能的水平和量表可靠性,并讨论可能的临床意义。方法:在四个样本中使用自我报告的人格问题严重程度指数(SIPP)问卷评估人格问题:(a)136 名处于戒毒阶段的患者,(b)187 名长期住院治疗的物质使用障碍患者, (c) 1, 399 名接受日间和门诊治疗的 PD 患者,以及 (d) 935 名受访者的社区人口。计算每个样本的 SIPP 方面的量表可靠性,并比较样本之间的人格问题水平。结果:对于两个物质使用障碍样本中的大多数 SIPP 方面,量表的可靠性是可以接受的。与一般社区人群相比,物质使用障碍样本的 SIPP 分数反映了更大的人格障碍,并且与 PD 人群的水平相似。结论:SIPP 似乎是评估物质使用障碍治疗中人格病理的有前途的工具。
更新日期:2019-10-01
down
wechat
bug