成瘾者述情障碍、抑郁与人际依赖的关系

Annales de medecine interne Pub Date : 2003-06-01
Mario Speranza, Philippe Stéphan, Maurice Corcos, Gwenolé Loas, Olivier Taieb, Olivier Guilbaud, Fernando Perez-Diaz, Jean-Luc Venisse, Paul Bizouard, Olivier Halfon, Philippe Jeammet
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引用次数: 0

摘要

在科学文献中,成瘾一词目前被用来描述一系列现象,其特征是一种无法抗拒的冲动,以重复和持续的方式进行一系列行为,尽管会对个人产生不利的身体、心理和社会后果。有人认为,表现出这种行为的受试者可能具有支持外表的特定人格特征,或者与这些成瘾行为有关。对述情障碍和抑郁等方面的研究尤其深入。本研究的目的是探讨一种特定的精神病理模型的假设,与述情障碍和抑郁在不同的成瘾性障碍,如酗酒,吸毒或饮食失调。通过通径分析的统计工具对成瘾患者和对照组的大量临床样本进行述情和抑郁维度的探索和分析。这种统计方法检验了一定数量的观察变量之间的单向因果关系,结果显示观察数据与理想模型之间有很好的调整,并支持抑郁维度可以促进弱势述情障碍受试者依赖发展的假设。这些结果对成瘾性疾病的治疗具有临床意义。
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[Relationships between alexithymia, depression and interpersonal dependency in addictive subjects].

In the scientific literature, the term of addiction is currently used to describe a whole range of phenomena characterized by an irresistible urge to engage in a series of behaviors carried out in a repetitive and persistent manner despite accruing adverse somatic, psychological and social consequences for the individual. It has been suggested that subjects presenting such behaviors would share specific features of personality which support the appearance or are associated with these addictive behaviors. Dimensions such as alexithymia and depression have been particularly well investigated. The aim of this study was to explore the hypothesis of a specific psychopathological model relating alexithymia and depression in different addictive disorders such as alcoholism, drug addiction or eating disorders. Alexithymic and depressive dimensions were explored and analyzed through the statistical tool of path analysis in a large clinical sample of addicted patients and controls. The results of this statistical method, which tests unidirectional causal relationships between a certain number of observed variables, showed a good adjustment between the observed data and the ideal model, and support the hypothesis that a depressive dimension can facilitate the development of dependence in vulnerable alexithymic subjects. These results can have clinical implications in the treatment of addictive disorders.

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