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Does social isolation predict the emergence of psychotic-like experiences? Results from the experience sampling method study 社会隔离会预测精神病样体验的出现吗?经验取样法研究的结果。
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-30 DOI: 10.1016/j.comppsych.2024.152521
Błażej Misiak , Krzysztof Kowalski , Bogna Bogudzińska , Patryk Piotrowski , Hanna Gelner , Łukasz Gawęda , Tomasz Grąźlewski , Jerzy Samochowiec

Background

Several studies have shown that social isolation and loneliness are associated with the occurrence of psychotic experiences. However, dynamics of these phenomena in people with subclinical experiences, commonly referred to as psychotic-like experiences (PLEs), remains largely unknown. Therefore, in this study we performed a temporal network analysis to model dynamic predictions between social isolation, loneliness, negative affect, social stress, and PLEs.

Methods

A total of 77 drug-naïve individuals with PLEs from a transdiagnostic sample were enrolled. Data were obtained using the experience sampling method (ESM). The ESM questionnaires were delivered during 7 consecutive days (6 assessments per day). Therefore, 3234 data entries were analyzed.

Results

Social isolation predicted next-moment emergence of PLEs through the effects on loneliness and negative affect. Also, PLEs appeared to predict next-moment loneliness, but not social isolation, through the effects on negative affect. Social stress did not predict any variables in the network. However, it was predicted by previous-moment PLEs and social isolation. Negative affect had the highest in-strength and out-strength centrality.

Conclusions

Findings from the present study indicate that social isolation might predict the emergence of PLEs through the effects of momentary loneliness and negative affect. Also, loneliness might be bidirectionally associated with PLEs. Interventions targeting negative affect and social isolation might be beneficial in people with PLEs.

背景:多项研究表明,社会隔离和孤独与精神病性体验的发生有关。然而,这些现象在亚临床经历(通常被称为精神病样经历(PLEs))患者中的动态变化在很大程度上仍不为人所知。因此,在本研究中,我们进行了时间网络分析,以模拟社会隔离、孤独感、负面情绪、社会压力和类精神病体验之间的动态预测:方法:我们从一个跨诊断样本中选取了 77 名患有 PLEs 的未服药者。数据采用经验抽样法(ESM)获得。ESM问卷连续发放7天(每天6次评估)。因此,共分析了 3234 条数据:结果:社会隔离通过对孤独感和负面情绪的影响预测了下一时刻出现的 PLEs。此外,PLEs 似乎可以通过对负面情绪的影响来预测下一时刻的孤独感,但不能预测社会隔离。社会压力不能预测网络中的任何变量。但是,上一时刻的 PLEs 和社会隔离却可以预测它。消极情绪的内强度和外强度中心度最高:本研究的结果表明,社会隔离可能会通过瞬间孤独感和负面情绪的影响来预测 PLE 的出现。同时,孤独感可能与 PLEs 存在双向联系。针对消极情绪和社会隔离的干预措施可能对 PLEs 患者有益。
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引用次数: 0
Mental health of young talented football players in an African context: A cross-sectional observational study 非洲年轻天才足球运动员的心理健康:横断面观察研究
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-25 DOI: 10.1016/j.comppsych.2024.152519
Boris Tachom Waffo , Denis Hauw

Background

Elite sport is a potentially pathogenic environment due to stressors like dual-career, high training demands, and performance pressure. Recent evidence suggests that athletes are at high risk of mental health issues. Even though the FIFA is increasingly paying attention, efforts directed towards young talented footballers are scarce. Few studies have even been conducted on young talented footballers in Africa. The majority of epidemiological studies on athletes also suffer from an analytical approach that does not highlight athletes' mental health profiles. This study aims to describe the mental health profile and their prevalence of young talented footballers in three African representative countries.

Methods

The study applied an observational-based cross-sectional research design with aspiring footballers from three sub-regions of Africa and aged between 10 and 23. The data was collected face-to-face from March to November 2022. Three screening tools were used to measure three mental health outcomes: Satisfaction With Life Scale (subjective well-being), Patient Health Questionnaire 9-item (depression), and Generalized Anxiety Disorder 7-item scale (anxiety). The mental health outcomes were rates and scores of well-being, depression, and anxiety, used in latent profile analysis.

Findings

507 male young talented footballers (263[51∙9%] Cameroonians, 73[14∙4%] Moroccans, and 171[33∙7%] Ivorians) were included in the analysis with a mean age of 15∙1 (SD 2∙37) years. Screening of mental health states revealed that 367(72∙3%) and 412(81∙8%) of these players experienced anxiety and depressive symptoms respectively and 155(30∙7%) experienced low well-being. Differences in mental health outcomes were noted between countries, age groups and competition levels. Three profiles of mental health condition were also identified, namely moderate mental health (Profile 1), languishing (Profile 2) and flourishing (Profile 3).

Interpretation

The youth of football academies in the three African countries studied have a specific mental health profile, revealing a high prevalence of common mental disorders in the African context. These findings underline the need to enhance the awareness of mental health issues in young African players and provide tailored support.

Funding

FIFA.

背景:由于双重职业、高训练要求和成绩压力等压力因素,精英体育是一种潜在的致病环境。最近的证据表明,运动员是心理健康问题的高危人群。尽管国际足联越来越重视,但针对年轻天才足球运动员的工作却很少。甚至很少有针对非洲年轻天才足球运动员的研究。大多数关于运动员的流行病学研究也存在分析方法的问题,没有强调运动员的心理健康概况。本研究旨在描述三个非洲代表性国家的年轻天才足球运动员的心理健康状况及其患病率:本研究采用基于观察的横断面研究设计,对象是来自非洲三个次区域、年龄在 10 岁至 23 岁之间的有抱负的足球运动员。数据是在 2022 年 3 月至 11 月期间面对面收集的。使用三种筛查工具来测量三种心理健康结果:生活满意度量表(主观幸福感)、患者健康问卷 9 项(抑郁)和广泛性焦虑症 7 项量表(焦虑)。心理健康结果是幸福感、抑郁和焦虑的比率和得分,用于潜在特征分析:参与分析的 507 名男性青年天才足球运动员(263 名[51∙9%]喀麦隆人、73 名[14∙4%]摩洛哥人和 171 名[33∙7%]科特迪瓦人)的平均年龄为 15∙1 岁(SD 2∙37)。心理健康状况筛查显示,这些球员中分别有 367 人(72.3%)和 412 人(81.8%)有焦虑和抑郁症状,155 人(30.7%)有低幸福感。不同国家、不同年龄组和不同竞技水平的运动员在心理健康方面存在差异。此外,还确定了心理健康状况的三个特征,即中等心理健康(特征 1)、无精打采(特征 2)和欣欣向荣(特征 3):所研究的三个非洲国家的足球学校的青少年具有特定的心理健康状况,揭示了非洲常见心理障碍的高发率。这些发现强调,有必要提高非洲青年球员对心理健康问题的认识,并提供有针对性的支持:国际足联。
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引用次数: 0
Assessing the effectiveness of high-definition transcranial direct current stimulation for treating obsessive-compulsive disorder: Results from a randomized, double-blind, controlled trial 评估高清经颅直流电刺激治疗强迫症的效果:随机、双盲、对照试验的结果
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-23 DOI: 10.1016/j.comppsych.2024.152520
Yang Wang , Jiayue Cheng , Hanyang Ruan , Jiazhe Zhang , Zifeng Zheng , Liangjun Lin , Jian Gao , Chenyu Yuan , Huiqin Han , Qing Fan , Zhen Wang

Objective

Characterized by its disabling nature, obsessive compulsive disorder (OCD) affects individuals profoundly, with nearly 40% of patients showing resistance to initial treatment methods. Despite being safe and easily accessible, transcranial direct current stimulation (tDCS) lacks extensive substantiation supporting its efficacy in treating OCD. The objective of this study was to evaluate how cathodal high-definition transcranial direct current stimulation (HD-tDCS) applied to the right orbitofrontal cortex affected patients with OCD in terms of efficacy.

Method

47 patients with OCD were enrolled. They were randomly allocated to active or sham stimulation groups, and underwent HD-tDCS stimulation treatment for 2 weeks. The central electrode located in the right orbitofrontal cortex region was cathodic. The severity of the patients' obsessive-compulsive symptoms, depression and anxiety were assessed before and after treatment.

Result

Out of the total, 44 patients concluded the treatment, comprising 23 participants from the active stimulation group and 21 from the sham stimulation group. Notably, substantial reductions in symptoms related to OCD, depression, and anxiety were exhibited in both groups. With a response rate of 26.1% in the active stimulation group and 23.8% in the sham stimulation group, there was no significant difference in efficacy observed. Furthermore, the reduction in depression and anxiety symptoms at the conclusion of the treatment was not notably superior in the active stimulation group.

Conclusion

This study provided evidence for the acceptability and safety of HD-tDCS. Nevertheless, the study did not reveal notable clinical effectiveness of tDCS in addressing moderate to severe OCD in comparison to the sham stimulation group.

目的强迫症(OCD)以其致残性为特征,对个人影响深远,近 40% 的患者对最初的治疗方法表现出抵抗力。尽管经颅直流电刺激(tDCS)安全且容易获得,但其治疗强迫症的疗效却缺乏广泛的证据支持。本研究旨在评估应用于右侧眶额皮层的阴极高清经颅直流电刺激(HD-tDCS)对强迫症患者的疗效影响。他们被随机分配到主动刺激组和假刺激组,接受为期两周的 HD-tDCS 刺激治疗。位于右侧眶额皮层区域的中央电极为阴极。结果共有44名患者完成了治疗,其中主动刺激组23人,假刺激组21人。值得注意的是,两组患者的强迫症、抑郁症和焦虑症相关症状均有显著减轻。主动刺激组的反应率为 26.1%,假刺激组为 23.8%,在疗效上没有明显差异。此外,在治疗结束时,主动刺激组抑郁和焦虑症状的减轻程度也没有明显优势。尽管如此,与假刺激组相比,该研究并未显示出 tDCS 在治疗中重度强迫症方面的显著临床疗效。
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引用次数: 0
Clarifying the prevalence of OCD: A response to reader comments 明确强迫症的流行程度:回应读者评论
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-14 DOI: 10.1016/j.comppsych.2024.152492
Ilenia Pampaloni , Lucy Morris , Himanshu Tyagi , Enrico Pessina , Sabina Marriott , Claire Fischer , Heba Mohamed , Anusha Govender , Augusta Chandler , Stefano Pallanti

This response to a reader's comment on our paper “The Global Assessment of OCD” addresses the critique regarding the stated prevalence of OCD as the fourth most common mental disorder. We acknowledge an oversight in our initial reference, discuss the variable prevalence rates from various studies, and highlight the significant disability caused by OCD. We have requested a correction to the original citation to reflect more recent findings, aiming to ensure accuracy in the discourse on OCD's public health impact.

这是对一位读者就我们的论文《强迫症的全球评估》所作评论的回应,旨在回应有关强迫症作为第四大常见精神障碍的患病率的批评。我们承认在最初的引用中存在疏忽,讨论了不同研究中的不同患病率,并强调了强迫症造成的严重残疾。我们要求对原始引用进行更正,以反映最新的研究结果,旨在确保关于强迫症对公共健康影响的讨论的准确性。
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引用次数: 0
A comprehensive measure assessing different types of problematic use of the internet among Chinese adolescents: The Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) 评估中国青少年不同类型的网络使用问题的综合测量方法:特定网络使用障碍评估标准(ACSID-11)。
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-08 DOI: 10.1016/j.comppsych.2024.152517
Mohsen Saffari , Chao-Ying Chen , I-Hua Chen , Kamolthip Ruckwongpatr , Mark D. Griffiths , Marc N. Potenza , Xue Lian Wang , Yu-Ting Huang , Jung-Sheng Chen , Ching-Chung Tsai , Chung-Ying Lin

Background

Problematic use of the internet (PUI) is prevalent, particularly among adolescents and young adults. Given the limited measures to assess specific types of PUI, which encompasses a broad spectrum of activities such as online gaming, social media use, pornography use, shopping, gambling, and web-streaming, Muller et al. (2022) developed the Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) to comprehensively assess different types of PUI (i.e., gaming, shopping, social media use, gambling, and pornography use). The present study aimed to validate the Chinese ACSID-11 among adolescents incorporating cross-cultural adaptations.

Methods

Using forward-backward translation method, a culturally adapted version of the ACSID-11 was prepared. Then, a cross-sectional online survey was administered between September 8 and September 26, 2023. Adolescents, using a convenience sample (N = 11,492; mean age = 16.42 years [SD ± 0.91]; 59.1% male), were recruited from six schools to complete the translated ACSID-11, Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), and Smartphone Application Based Addiction Scale (SABAS) via an online platform. Pearson correlation coefficients assessed convergent/discriminant validity. Factor structure and measurement invariance were examined through confirmatory factor analysis (CFA) and multi-group CFA. Cronbach's alpha and McDonald's omega tested internal consistency.

Results

Associations between the ACSID-11 components and other scales supported convergent validity (i.e., ACSID-11 gaming scale with IGDS9-SF [0.37 ≤ r ≤ 0.41]; social networks use scale with BSMAS [0.24 ≤ r ≤ 0.31]) and discriminant validity (i.e., online gambling scale with BSMAS [0.16 ≤ r ≤ 0.19] and with SABAS [0.11 ≤ r ≤ 0.13]). A four-factor solution indicated good fit with comparative fit index (CFI) ranging from 0.982 to 0.958. The ACSID-11 was measurement invariant across sexes (∆CFI = -0.001 to 0.000) and different levels of related addictive behaviors (∆CFI = -0.001 to 0.000). Both Cronbach's alpha and McDonald's omega (0.63 to 0.97) were acceptable for both frequency and intensity of responses.

Conclusions

The ACSID-11 is an appropriate scale to assess different kinds of PUI among Chinese adolescents and students. Psychometric assessment of the measure in other cultures and among clinical samples is recommended.

背景:有问题地使用互联网(PUI)的现象非常普遍,尤其是在青少年和年轻成年人中。鉴于评估特定类型 PUI(包括网络游戏、社交媒体使用、色情使用、购物、赌博和网络流媒体等广泛活动)的措施有限,Muller 等人(2022 年)开发了特定网络使用障碍评估标准(ACSID-11),以全面评估不同类型的 PUI(即游戏、购物、社交媒体使用、赌博和色情使用)。本研究旨在结合跨文化适应性在青少年中验证中文 ACSID-11:方法:采用前向-后向翻译法,编制了ACSID-11的文化适应版本。然后,在 2023 年 9 月 8 日至 9 月 26 日期间进行了一次横断面在线调查。研究人员从6所学校招募了青少年,通过在线平台完成了ACSID-11、网络游戏障碍量表-简表(IGDS9-SF)、卑尔根社交媒体成瘾量表(BSMAS)和智能手机应用成瘾量表(SABAS)的翻译。皮尔逊相关系数评估了收敛/判别效度。通过确认性因素分析(CFA)和多组因素分析对因素结构和测量不变性进行了检验。Cronbach's alpha 和 McDonald's omega 检验了内部一致性:结果:ACSID-11各部分与其他量表之间的关联支持收敛效度(即ACSID-11游戏量表与IGDS9-SF[0.37 ≤ r ≤ 0.41];社交网络使用量表与BSMAS[0.24 ≤ r ≤ 0.31])和区分效度(即网络赌博量表与BSMAS[0.16 ≤ r ≤ 0.19],与SABAS[0.11 ≤ r ≤ 0.13])。四因素解表明拟合度良好,比较拟合指数(CFI)在 0.982 至 0.958 之间。ACSID-11 在不同性别(∆CFI = -0.001 至 0.000)和不同程度的相关成瘾行为(∆CFI = -0.001 至 0.000)之间具有测量不变性。Cronbach's阿尔法和McDonald's欧米茄(0.63至0.97)对反应的频率和强度都是可以接受的:结论:ACSID-11 是评估中国青少年和学生不同类型 PUI 的合适量表。建议在其他文化和临床样本中对该量表进行心理计量评估。
{"title":"A comprehensive measure assessing different types of problematic use of the internet among Chinese adolescents: The Assessment of Criteria for Specific Internet-use Disorders (ACSID-11)","authors":"Mohsen Saffari ,&nbsp;Chao-Ying Chen ,&nbsp;I-Hua Chen ,&nbsp;Kamolthip Ruckwongpatr ,&nbsp;Mark D. Griffiths ,&nbsp;Marc N. Potenza ,&nbsp;Xue Lian Wang ,&nbsp;Yu-Ting Huang ,&nbsp;Jung-Sheng Chen ,&nbsp;Ching-Chung Tsai ,&nbsp;Chung-Ying Lin","doi":"10.1016/j.comppsych.2024.152517","DOIUrl":"10.1016/j.comppsych.2024.152517","url":null,"abstract":"<div><h3>Background</h3><p>Problematic use of the internet (PUI) is prevalent, particularly among adolescents and young adults. Given the limited measures to assess specific types of PUI, which encompasses a broad spectrum of activities such as online gaming, social media use, pornography use, shopping, gambling, and web-streaming, Muller et al. (2022) developed the Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) to comprehensively assess different types of PUI (i.e., gaming, shopping, social media use, gambling, and pornography use). The present study aimed to validate the Chinese ACSID-11 among adolescents incorporating cross-cultural adaptations.</p></div><div><h3>Methods</h3><p>Using forward-backward translation method, a culturally adapted version of the ACSID-11 was prepared. Then, a cross-sectional online survey was administered between September 8 and September 26, 2023. Adolescents, using a convenience sample (<em>N</em> = 11,492; mean age = 16.42 years [SD ± 0.91]; 59.1% male), were recruited from six schools to complete the translated ACSID-11, Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), and Smartphone Application Based Addiction Scale (SABAS) via an online platform. Pearson correlation coefficients assessed convergent/discriminant validity. Factor structure and measurement invariance were examined through confirmatory factor analysis (CFA) and multi-group CFA. Cronbach's alpha and McDonald's omega tested internal consistency.</p></div><div><h3>Results</h3><p>Associations between the ACSID-11 components and other scales supported convergent validity (i.e., ACSID-11 gaming scale with IGDS9-SF [0.37 ≤ <em>r</em> ≤ 0.41]; social networks use scale with BSMAS [0.24 ≤ <em>r</em> ≤ 0.31]) and discriminant validity (i.e., online gambling scale with BSMAS [0.16 ≤ <em>r</em> ≤ 0.19] and with SABAS [0.11 ≤ <em>r</em> ≤ 0.13]). A four-factor solution indicated good fit with comparative fit index (CFI) ranging from 0.982 to 0.958. The ACSID-11 was measurement invariant across sexes (∆CFI = -0.001 to 0.000) and different levels of related addictive behaviors (∆CFI = -0.001 to 0.000). Both Cronbach's alpha and McDonald's omega (0.63 to 0.97) were acceptable for both frequency and intensity of responses.</p></div><div><h3>Conclusions</h3><p>The ACSID-11 is an appropriate scale to assess different kinds of PUI among Chinese adolescents and students. Psychometric assessment of the measure in other cultures and among clinical samples is recommended.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152517"},"PeriodicalIF":4.3,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000683/pdfft?md5=8a35dc669d465800ca6ea4a8b39f6bf9&pid=1-s2.0-S0010440X24000683-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141632911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of treatment attendance in patients with posttraumatic stress disorder and comorbid personality disorders 创伤后应激障碍和合并人格障碍患者接受治疗的预测因素。
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-07 DOI: 10.1016/j.comppsych.2024.152516
Arne van den End , Aishah Snoek , Inga Aarts , Aartjan T.F. Beekman , Jack Dekker , Matthijs Blankers , Nick Lommerse , Kathleen Thomaes

Introduction

High dropout and low treatment attendance rates among patients with posttraumatic stress disorder (PTSD) and personality disorders (PDs) continue to pose a significant challenge. Despite numerous studies focusing on enhancing treatment attendance, the identification of consistent and reliable predictors in patients with PTSD and comorbid PDs remains limited.

Objectives

This study aims to investigate a wide range of potential predictors of treatment attendance, encompassing demographic, patient-severity, treatment, and therapist-related variables in patients with PTSD and comorbid borderline and/or cluster C PDs.

Methods

Utilizing data from 255 patients participating in two randomized controlled trials comparing trauma-focused treatment with or without concurrent PD treatment, candidate predictors were individually analyzed in univariate regression models. Significant predictors were then combined in a multiple ordinal regression model.

Results

In total, 40% of patients attended fewer trauma-focused treatment sessions than the minimum recommended in treatment guidelines. Out of the 38 candidate predictors examined, five significant, independent predictors of treatment attendance emerged in a multiple ordinal regression model. Higher baseline PTSD severity (OR = 1.04, p = .036), higher education level (OR = 1.22, p = .009) and a stronger patient-rated working alliance (OR = 1.72, p = .047) with the therapist predicted higher treatment attendance. Conversely, inadequate social support from friends (OR = 0.90, p = .042) and concurrent PD treatment and trauma-focused treatment (OR = 0.52, p = .022) were associated with lower treatment attendance.

Conclusions

In conclusion, this constitutes the first study investigating predictors of treatment attendance in patients with PTSD and comorbid PDs. The results highlight the complexity of pinpointing reliable predictors. Nevertheless, the identification of five predictors provides valuable insights, aiding clinicians in customizing treatment strategies for individual patients and enhancing overall treatment attendance.

导言:创伤后应激障碍(PTSD)和人格障碍(PDs)患者的高辍学率和低治疗出勤率仍然是一项重大挑战。尽管有许多研究关注提高治疗出勤率,但在创伤后应激障碍和合并人格障碍患者中确定一致且可靠的预测因素仍然有限:本研究旨在调查创伤后应激障碍和合并边缘型和/或C群创伤后应激障碍患者治疗出勤率的各种潜在预测因素,包括人口统计学、患者严重程度、治疗和治疗师相关变量:利用参与两项随机对照试验的255名患者的数据,比较创伤焦点治疗与或不同时进行创伤后应激障碍治疗,在单变量回归模型中对候选预测因素进行了单独分析。然后在多元序数回归模型中对重要的预测因素进行综合分析:共有 40% 的患者参加的创伤焦点治疗疗程少于治疗指南建议的最低疗程。在38个候选预测因子中,有5个重要的独立预测因子出现在多元序数回归模型中。较高的创伤后应激障碍基线严重程度(OR = 1.04,p = .036)、较高的教育水平(OR = 1.22,p = .009)和患者评价较高的与治疗师的工作联盟(OR = 1.72,p = .047)预示着较高的治疗出席率。相反,来自朋友的社会支持不足(OR = 0.90,p = .042)以及同时接受帕金森病治疗和以创伤为重点的治疗(OR = 0.52,p = .022)与较低的治疗出勤率有关:总之,这是第一项调查创伤后应激障碍和并发创伤后应激障碍患者治疗出勤率预测因素的研究。研究结果凸显了确定可靠预测因素的复杂性。然而,五个预测因子的确定提供了有价值的见解,有助于临床医生为个别患者定制治疗策略并提高整体治疗出勤率。
{"title":"Predictors of treatment attendance in patients with posttraumatic stress disorder and comorbid personality disorders","authors":"Arne van den End ,&nbsp;Aishah Snoek ,&nbsp;Inga Aarts ,&nbsp;Aartjan T.F. Beekman ,&nbsp;Jack Dekker ,&nbsp;Matthijs Blankers ,&nbsp;Nick Lommerse ,&nbsp;Kathleen Thomaes","doi":"10.1016/j.comppsych.2024.152516","DOIUrl":"10.1016/j.comppsych.2024.152516","url":null,"abstract":"<div><h3>Introduction</h3><p>High dropout and low treatment attendance rates among patients with posttraumatic stress disorder (PTSD) and personality disorders (PDs) continue to pose a significant challenge. Despite numerous studies focusing on enhancing treatment attendance, the identification of consistent and reliable predictors in patients with PTSD and comorbid PDs remains limited.</p></div><div><h3>Objectives</h3><p>This study aims to investigate a wide range of potential predictors of treatment attendance, encompassing demographic, patient-severity, treatment, and therapist-related variables in patients with PTSD and comorbid borderline and/or cluster C PDs.</p></div><div><h3>Methods</h3><p>Utilizing data from 255 patients participating in two randomized controlled trials comparing trauma-focused treatment with or without concurrent PD treatment, candidate predictors were individually analyzed in univariate regression models. Significant predictors were then combined in a multiple ordinal regression model.</p></div><div><h3>Results</h3><p>In total, 40% of patients attended fewer trauma-focused treatment sessions than the minimum recommended in treatment guidelines. Out of the 38 candidate predictors examined, five significant, independent predictors of treatment attendance emerged in a multiple ordinal regression model. Higher baseline PTSD severity (<em>OR</em> = 1.04, <em>p</em> = .036), higher education level (<em>OR</em> = 1.22, <em>p</em> = .009) and a stronger patient-rated working alliance (<em>OR</em> = 1.72, <em>p</em> = .047) with the therapist predicted higher treatment attendance. Conversely, inadequate social support from friends (<em>OR</em> = 0.90, <em>p</em> = .042) and concurrent PD treatment and trauma-focused treatment (<em>OR</em> = 0.52, <em>p</em> = .022) were associated with lower treatment attendance.</p></div><div><h3>Conclusions</h3><p>In conclusion, this constitutes the first study investigating predictors of treatment attendance in patients with PTSD and comorbid PDs. The results highlight the complexity of pinpointing reliable predictors. Nevertheless, the identification of five predictors provides valuable insights, aiding clinicians in customizing treatment strategies for individual patients and enhancing overall treatment attendance.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152516"},"PeriodicalIF":4.3,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000671/pdfft?md5=9c1b24933c2d76b5fc402e50c786cc5e&pid=1-s2.0-S0010440X24000671-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of emotional abuse on eating disorder psychopathology: A multiple mediation analysis 情感虐待对饮食失调精神病理学的影响:多重中介分析。
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-07-02 DOI: 10.1016/j.comppsych.2024.152515
Barone Eugenia , Carfagno Marco , Marafioti Niccolò , Bello Rosaria , Arsenio Eleonora , Marone Luigi , Volpicelli Antonio , Cascino Giammarco , Monteleone Alessio Maria

Introduction

Childhood maltreatment, particularly emotional abuse (EA), has been identified as a significant risk factor for the development of eating disorders (EDs). This study investigated the association between EA and ED symptoms while considering multiple potential mediators.

Methods

Participants included 151 individuals with Anorexia Nervosa (AN), 115 with Bulimia Nervosa (BN), and 108 healthy controls. The Childhood trauma questionnaire, the Toronto Alexithymia scale, the Behavioral inhibition System, and the Eating Disorder Inventory 2 scale were completed before treatment. A mediator path model was conducted in each group: EA was set as independent variable, eating symptoms as dependent variables and ineffectiveness, sensitivity to punishment, alexithymia, and impulsivity as mediators.

Results

In individuals with AN, impulsivity emerged as a significant mediator between EA and desire for thinness and bulimic behaviors. Conversely, in individuals with BN, sensitivity to punishment was found to mediate the association between EA and dissatisfaction with one's body.

Ineffectiveness and difficulty identifying emotions were identified as transdiagnostic mediators in both clinical groups. No mediation effect was found in healthy individuals.

Discussion

The simultaneous assessment of multiple mediators in a unique model outlines the complex interplay between childhood EA and ED psychopathology. Improving ineffectiveness, emotion identification, sensitivity to punishment and impulsivity and exploring their relations with early emotional abuse may represent treatment targets in individuals with EDs and childhood trauma.

导言:童年时期的虐待,尤其是情感虐待(EA),已被确认为进食障碍(ED)发病的重要风险因素。本研究调查了情感虐待与进食障碍症状之间的关系,同时考虑了多种潜在的中介因素:参与者包括 151 名神经性厌食症(AN)患者、115 名神经性贪食症(BN)患者和 108 名健康对照者。治疗前完成童年创伤问卷、多伦多亚历山大量表、行为抑制系统和饮食失调量表 2。每组都建立了一个中介路径模型:将进食障碍作为自变量,进食症状作为因变量,无效性、对惩罚的敏感性、亚历山大症和冲动性作为中介变量:结果:在 AN 患者中,冲动是 EA 与瘦身欲望和暴食行为之间的重要中介因素。相反,在 BN 患者中,对惩罚的敏感性被认为是 EA 与对自己身体不满意之间的中介因素。在这两个临床群体中,无效性和难以识别情绪被认为是跨诊断的中介因素。在健康人中未发现中介效应:讨论:在一个独特的模型中同时评估多个中介因素,勾勒出了童年情绪情感障碍与 ED 精神病理学之间复杂的相互作用。改善无效性、情绪识别、对惩罚的敏感性和冲动性,并探索它们与早期情绪虐待的关系,可能是患有 ED 和童年创伤的个体的治疗目标。
{"title":"Impact of emotional abuse on eating disorder psychopathology: A multiple mediation analysis","authors":"Barone Eugenia ,&nbsp;Carfagno Marco ,&nbsp;Marafioti Niccolò ,&nbsp;Bello Rosaria ,&nbsp;Arsenio Eleonora ,&nbsp;Marone Luigi ,&nbsp;Volpicelli Antonio ,&nbsp;Cascino Giammarco ,&nbsp;Monteleone Alessio Maria","doi":"10.1016/j.comppsych.2024.152515","DOIUrl":"10.1016/j.comppsych.2024.152515","url":null,"abstract":"<div><h3>Introduction</h3><p>Childhood maltreatment, particularly emotional abuse (EA), has been identified as a significant risk factor for the development of eating disorders (EDs). This study investigated the association between EA and ED symptoms while considering multiple potential mediators.</p></div><div><h3>Methods</h3><p>Participants included 151 individuals with Anorexia Nervosa (AN), 115 with Bulimia Nervosa (BN), and 108 healthy controls. The Childhood trauma questionnaire, the Toronto Alexithymia scale, the Behavioral inhibition System, and the Eating Disorder Inventory 2 scale were completed before treatment. A mediator path model was conducted in each group: EA was set as independent variable, eating symptoms as dependent variables and ineffectiveness, sensitivity to punishment, alexithymia, and impulsivity as mediators.</p></div><div><h3>Results</h3><p>In individuals with AN, impulsivity emerged as a significant mediator between EA and desire for thinness and bulimic behaviors. Conversely, in individuals with BN, sensitivity to punishment was found to mediate the association between EA and dissatisfaction with one's body.</p><p>Ineffectiveness and difficulty identifying emotions were identified as transdiagnostic mediators in both clinical groups. No mediation effect was found in healthy individuals.</p></div><div><h3>Discussion</h3><p>The simultaneous assessment of multiple mediators in a unique model outlines the complex interplay between childhood EA and ED psychopathology. Improving ineffectiveness, emotion identification, sensitivity to punishment and impulsivity and exploring their relations with early emotional abuse may represent treatment targets in individuals with EDs and childhood trauma.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152515"},"PeriodicalIF":4.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X2400066X/pdfft?md5=38dd5c371ea2a94b49b49e46ee00bdc1&pid=1-s2.0-S0010440X2400066X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of an abbreviated Big Five personality inventory at large population scale: Psychometric structure and associations with common psychiatric and neurological disorders 在大规模人群中验证缩写的大五人格量表:心理计量结构以及与常见精神和神经疾病的关联。
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-06-29 DOI: 10.1016/j.comppsych.2024.152514
Weixi Kang , Jeggan Tiego , Peter J. Hellyer , William Trender , Jon E. Grant , Samuel R. Chamberlain , Adam Hampshire

Background

The five-factor model of personality, as quantified using instruments such as the Big Five Inventory, consists of broad personality domains including Extraversion, Agreeableness, Conscientiousness, Neuroticism (emotional instability), and Openness. Such instruments typically include >40 items. However, instruments with many items can be unwieldly and a cause of measurement error in clinical and cohort studies where multiple scales are sequenced. Conversely, established 5- and 10-item versions of the Big Five Inventory have poor reliability. Here, we developed and validated an abbreviated 18-item Big Five Inventory that balances efficiency, reliability and sensitivity.

Method

We analysed three datasets (N = 59,797, N = 21,177, and N = 87,983) from individuals who participated in the online Great British Intelligence Test (GBIT) study, a collaborative citizen science project with BBC2 Horizon. We applied factor analyses (FA), predictive normative modelling, and one-sample t-tests to validate the 18-item version of the Big Five and to investigate its associations with psychiatric and neurological conditions.

Results

The 18-item version of the Big Five Inventory had higher validity and retest reliability compared to the other previously shortened versions in the literature, with comparable demographic associations to the full Big Five Inventory. It exhibited strong (i.e. large effect size) associations with psychiatric conditions, and moderate (small-medium) associations with neurological conditions. Neuroticism (emotional instability) was substantially higher in all psychiatric conditions, whereas Conscientiousness, Openness and Extraversion showed differential associations across conditions.

Conclusion

The newly validated 18-item version of the Big Five provides a convenient means of measuring personality traits that is suitable for deployment in a range of studies. It retains psychometric structure, retest reliability and clinical-group sensitivity, as compared to the full original scale.

背景:人格的五因素模型通过大五量表等工具进行量化,包括外向性(Extraversion)、宜人性(Agreeableness)、自觉性(Consientiousness)、神经质(Neuroticism)(情绪不稳定性)和开放性(Openness)等广泛的人格领域。此类工具通常包含 40 个以上的项目。然而,在临床和队列研究中,如果对多个量表进行排序,那么包含许多项目的量表可能会很笨重,而且会造成测量误差。相反,已有的大五量表 5 项和 10 项版本的可靠性较差。在此,我们开发并验证了兼顾效率、可靠性和灵敏度的缩略版 18 项大五量表:我们分析了三个数据集(N = 59,797、N = 21,177、N = 87,983),这些数据来自参与在线大英智力测验(GBIT)研究的个人,该研究是与 BBC2 Horizon 合作开展的公民科学项目。我们采用因子分析(FA)、预测性常模和单样本 t 检验来验证 18 个项目版本的 "大五项",并研究其与精神和神经状况的关联:与之前文献中的其他缩短版本相比,18 项大五量表具有更高的效度和重测信度,与完整的大五量表具有相似的人口统计学关联。它与精神疾病的关联性较强(即效应大小较大),与神经系统疾病的关联性中等(小-中等)。神经质(情绪不稳定性)在所有精神疾病中都明显较高,而自觉性、开放性和外向性则在不同疾病中表现出不同的相关性:新近验证的 18 项大五人格特征版本提供了一种方便的人格特质测量方法,适合用于各种研究。与完整的原始量表相比,它保留了心理测量结构、重测可靠性和临床群体敏感性。
{"title":"Validation of an abbreviated Big Five personality inventory at large population scale: Psychometric structure and associations with common psychiatric and neurological disorders","authors":"Weixi Kang ,&nbsp;Jeggan Tiego ,&nbsp;Peter J. Hellyer ,&nbsp;William Trender ,&nbsp;Jon E. Grant ,&nbsp;Samuel R. Chamberlain ,&nbsp;Adam Hampshire","doi":"10.1016/j.comppsych.2024.152514","DOIUrl":"10.1016/j.comppsych.2024.152514","url":null,"abstract":"<div><h3>Background</h3><p>The five-factor model of personality, as quantified using instruments such as the Big Five Inventory, consists of broad personality domains including Extraversion, Agreeableness, Conscientiousness, Neuroticism (emotional instability), and Openness. Such instruments typically include &gt;40 items. However, instruments with many items can be unwieldly and a cause of measurement error in clinical and cohort studies where multiple scales are sequenced. Conversely, established 5- and 10-item versions of the Big Five Inventory have poor reliability. Here, we developed and validated an abbreviated 18-item Big Five Inventory that balances efficiency, reliability and sensitivity.</p></div><div><h3>Method</h3><p>We analysed three datasets (<em>N</em> = 59,797, <em>N</em> = 21,177, and <em>N</em> = 87,983) from individuals who participated in the online Great British Intelligence Test (GBIT) study, a collaborative citizen science project with BBC2 Horizon. We applied factor analyses (FA), predictive normative modelling, and one-sample <em>t</em>-tests to validate the 18-item version of the Big Five and to investigate its associations with psychiatric and neurological conditions.</p></div><div><h3>Results</h3><p>The 18-item version of the Big Five Inventory had higher validity and retest reliability compared to the other previously shortened versions in the literature, with comparable demographic associations to the full Big Five Inventory. It exhibited strong (i.e. large effect size) associations with psychiatric conditions, and moderate (small-medium) associations with neurological conditions. Neuroticism (emotional instability) was substantially higher in all psychiatric conditions, whereas Conscientiousness, Openness and Extraversion showed differential associations across conditions.</p></div><div><h3>Conclusion</h3><p>The newly validated 18-item version of the Big Five provides a convenient means of measuring personality traits that is suitable for deployment in a range of studies. It retains psychometric structure, retest reliability and clinical-group sensitivity, as compared to the full original scale.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152514"},"PeriodicalIF":4.3,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000658/pdfft?md5=9d6d24ff6cb3a99f7b494aa0f171aec2&pid=1-s2.0-S0010440X24000658-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Similarities and differences in the psychological factors associated with generalised problematic internet use, problematic social media use, and problematic online gaming 与普遍问题性网络使用、问题性社交媒体使用和问题性网络游戏相关的心理因素的异同
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-06-26 DOI: 10.1016/j.comppsych.2024.152512
Magdalena Sánchez-Fernández , Mercedes Borda-Mas , Zsolt Horvath , Zsolt Demetrovics

Problematic online behaviours are a concern among university students. Although previous research has identified that psychological distress, cognitive distortions, conscientiousness and neuroticism traits, motor impulsivity, and emotion regulation strategies have a significant direct effect on generalised problematic Internet use (GPIU), problematic social media use (PSMU), and problematic online gaming (POG), it is still necessary to determine the extent to which these psychological factors, taken together, are associated with each of the problematic online behaviours. In a sample of 690 Spanish university students, the present study examined the relationship of these psychological factors with GPIU, PSMU, and POG. Correlation and regression analyses were performed. Results reported that (1) high psychological distress, low conscientiousness trait and high motor impulsivity were common associated factors of GPIU and PSMU, but not of POG; (2) high levels of cognitive distortions and cognitive reappraisal were common associated factors of GPIU, PSMU and POG; and (3) expressive suppression and neuroticism trait had no effect on any of the three problematic online behaviours. The findings will help to develop effective prevention and intervention strategies for each problematic online behaviour in the university context.

有问题的网络行为是大学生关注的一个问题。尽管以往的研究发现,心理困扰、认知扭曲、自觉性和神经质特质、运动冲动和情绪调节策略对普遍问题性网络使用(GPIU)、问题性社交媒体使用(PSMU)和问题性网络游戏(POG)有显著的直接影响,但仍有必要确定这些心理因素在多大程度上与每种问题性网络行为相关联。本研究以 690 名西班牙大学生为样本,研究了这些心理因素与 GPIU、PSMU 和 POG 的关系。研究进行了相关分析和回归分析。结果表明:(1) 高心理压力、低自觉性特质和高运动冲动性是 GPIU 和 PSMU 的常见相关因素,但不是 POG 的常见相关因素;(2) 高认知扭曲水平和认知再评价是 GPIU、PSMU 和 POG 的常见相关因素;(3) 表达压抑和神经质特质对这三种问题网络行为均无影响。研究结果将有助于针对大学环境中的每种问题网络行为制定有效的预防和干预策略。
{"title":"Similarities and differences in the psychological factors associated with generalised problematic internet use, problematic social media use, and problematic online gaming","authors":"Magdalena Sánchez-Fernández ,&nbsp;Mercedes Borda-Mas ,&nbsp;Zsolt Horvath ,&nbsp;Zsolt Demetrovics","doi":"10.1016/j.comppsych.2024.152512","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152512","url":null,"abstract":"<div><p>Problematic online behaviours are a concern among university students. Although previous research has identified that psychological distress, cognitive distortions, conscientiousness and neuroticism traits, motor impulsivity, and emotion regulation strategies have a significant direct effect on generalised problematic Internet use (GPIU), problematic social media use (PSMU), and problematic online gaming (POG), it is still necessary to determine the extent to which these psychological factors, taken together, are associated with each of the problematic online behaviours. In a sample of 690 Spanish university students, the present study examined the relationship of these psychological factors with GPIU, PSMU, and POG. Correlation and regression analyses were performed. Results reported that (1) high psychological distress, low conscientiousness trait and high motor impulsivity were common associated factors of GPIU and PSMU, but not of POG; (2) high levels of cognitive distortions and cognitive reappraisal were common associated factors of GPIU, PSMU and POG; and (3) expressive suppression and neuroticism trait had no effect on any of the three problematic online behaviours. The findings will help to develop effective prevention and intervention strategies for each problematic online behaviour in the university context.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152512"},"PeriodicalIF":4.3,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000634/pdfft?md5=d7c426c82625e370c374017ce1c06162&pid=1-s2.0-S0010440X24000634-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Work addiction and personality organization: Results from a representative, three-wave longitudinal study 工作成瘾与人格组织:一项具有代表性的三波纵向研究的结果。
IF 4.3 2区 医学 Q1 PSYCHIATRY Pub Date : 2024-06-25 DOI: 10.1016/j.comppsych.2024.152513
Viktória Bodó , Zsolt Horváth , Borbála Paksi , Andrea Eisinger , Katalin Felvinczi , Zsolt Demetrovics , Bernadette Kun

Background: Several studies have explored the relationship between personality and work addiction, suggesting that individuals with certain mental disorders, including personality disorders such as obsessive-compulsive personality disorder (OCPD), may be more prone to work addiction. However, the characterization of personality organization (PO) among workaholics and its contribution to the persistence of work addiction remains unclear. Methods: In this longitudinal study of a representative sample of young adults (N = 1748), we applied the Bergen Work Addiction Scale and the Inventory of Personality Organization. Results: We found significant correlations between work addiction and identity diffusion, primitive psychological defenses, reality testing, and overall personality disorganization across three waves. A latent class growth analysis revealed three profiles: no work addiction, increasing work addiction, and constant moderate work addiction. Multinomial logistic regression analysis indicated that higher levels of personality disorganization in wave 1 and increases in personality disorganization between waves 1 and 3 were associated with higher odds of belonging to the increasing work addiction group. Similarly, higher overall personality disorganization in wave 1 was associated with higher odds of belonging to the constant moderate work addiction group. Conclusion: These findings suggest that individuals with chronic work addiction have lower levels of PO, and PO declines as work addiction persists. Screenings for work addiction are recommended to prevent potential mental health issues. Future research should explore the influence of workplace characteristics and work motivations on the association between work addiction and personality disorders.

背景:一些研究探讨了人格与工作成瘾之间的关系,认为患有某些精神障碍(包括强迫性人格障碍等人格障碍)的人可能更容易工作成瘾。然而,工作狂的人格组织(PO)特征及其对工作成瘾持续性的贡献仍不清楚:在这项对具有代表性的年轻成人样本(N = 1748)进行的纵向研究中,我们采用了卑尔根工作成瘾量表和人格组织量表:结果:我们发现,工作成瘾与身份扩散、原始心理防御、现实测试和整体人格混乱之间在三个波次中存在明显的相关性。通过潜类增长分析,我们发现了三种情况:无工作成瘾、工作成瘾加剧和持续中度工作成瘾。多项式逻辑回归分析表明,第一波中人格混乱程度较高以及第一波和第三波之间人格混乱程度的增加与属于工作成瘾增加组的几率较高有关。同样,第1波中总体人格混乱程度较高与属于恒定中度工作成瘾组的几率较高有关:这些研究结果表明,长期工作成瘾者的 PO 水平较低,随着工作成瘾的持续,PO 水平也会下降。建议进行工作成瘾筛查,以预防潜在的心理健康问题。未来的研究应探讨工作场所特征和工作动机对工作成瘾与人格障碍之间关系的影响。
{"title":"Work addiction and personality organization: Results from a representative, three-wave longitudinal study","authors":"Viktória Bodó ,&nbsp;Zsolt Horváth ,&nbsp;Borbála Paksi ,&nbsp;Andrea Eisinger ,&nbsp;Katalin Felvinczi ,&nbsp;Zsolt Demetrovics ,&nbsp;Bernadette Kun","doi":"10.1016/j.comppsych.2024.152513","DOIUrl":"10.1016/j.comppsych.2024.152513","url":null,"abstract":"<div><p>Background: Several studies have explored the relationship between personality and work addiction, suggesting that individuals with certain mental disorders, including personality disorders such as obsessive-compulsive personality disorder (OCPD), may be more prone to work addiction. However, the characterization of personality organization (PO) among workaholics and its contribution to the persistence of work addiction remains unclear. Methods: In this longitudinal study of a representative sample of young adults (<em>N</em> = 1748), we applied the Bergen Work Addiction Scale and the Inventory of Personality Organization. Results: We found significant correlations between work addiction and identity diffusion, primitive psychological defenses, reality testing, and overall personality disorganization across three waves. A latent class growth analysis revealed three profiles: no work addiction, increasing work addiction, and constant moderate work addiction. Multinomial logistic regression analysis indicated that higher levels of personality disorganization in wave 1 and increases in personality disorganization between waves 1 and 3 were associated with higher odds of belonging to the increasing work addiction group. Similarly, higher overall personality disorganization in wave 1 was associated with higher odds of belonging to the constant moderate work addiction group. Conclusion: These findings suggest that individuals with chronic work addiction have lower levels of PO, and PO declines as work addiction persists. Screenings for work addiction are recommended to prevent potential mental health issues. Future research should explore the influence of workplace characteristics and work motivations on the association between work addiction and personality disorders.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152513"},"PeriodicalIF":4.3,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000646/pdfft?md5=07c1413693de1faa5eb96d55964894e5&pid=1-s2.0-S0010440X24000646-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Comprehensive psychiatry
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