The Interplay Between Emotional Intelligence, Tramadol Dependence, and Comorbid Personality Disorder

Nahla E. Nagy Abdelhamid, Nesreen M. Ibrahim, R. Hashem, S. Marzouk, Mohamed H. Abd El Moneam
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Abstract

Objectives: Various studies have proven the presence of disturbances in emotional processing among patients with substance abuse. In the current study, we aimed to examine the relationship between emotional intelligence (EI), tramadol dependence, and comorbid personality disorders. Methods: Thirty adult male patients with tramadol dependence and 30 healthy controls were enrolled in the current study. Participants were assessed by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I diagnosis (SCID-I) and the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis-II Personality Disorders (SCID-II). EI was assessed using the Schutte SelfReport Emotional Intelligence Test. Results: With respect to the Schutte Self-Report Emotional Intelligence Test score, there was a statistically significant difference between patients with tramadol dependence and the control group in all domains of EI (P<0.001). With respect to the SCID-II, the most common personality disorders reported among patients with tramadol dependence were borderline personality disorder (13, 43.3%), followed by depressive personality disorder (12, 40%) and narcissistic personality disorder (10, 33.3%). There was no statistically significant difference between common personality disorders and all domains of EI. Conclusion: The susceptibility to tramadol dependence is most likely to underlie disturbances in EI, suggesting that treatment strategies targeting the management of emotions would reduce this risk.
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情绪智力、曲马多依赖与共病型人格障碍之间的相互作用
目的:各种研究已经证明药物滥用患者在情绪处理方面存在障碍。在目前的研究中,我们旨在检验情绪智力(EI)、曲马多依赖和共病人格障碍之间的关系。方法:30名曲马多依赖性成年男性患者和30名健康对照者参加本研究。参与者通过《精神障碍诊断与统计手册》第四版轴I诊断结构化临床访谈(SCID-I)和《精神疾病诊断与统计指南》第四版本轴II人格障碍结构化临床访谈》(SCID-II)进行评估。EI采用Schutte SelfReport情绪智力测试进行评估。结果:就Schutte自我报告情绪智力测试得分而言,曲马多依赖患者与对照组在EI的所有领域均存在统计学显著差异(P<0.001),其次是抑郁型人格障碍(12.40%)和自恋型性格障碍(10.333%)。常见人格障碍与EI各领域之间无统计学显著差异。结论:曲马多依赖的易感性最有可能是EI障碍的基础,这表明针对情绪管理的治疗策略可以降低这种风险。
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期刊介绍: Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.
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