Personality profile in alcoholic inpatients by TCI questionnaire. Differences between abusers and non abusers of benzodiazepines and between patients with personality disorders and patients without
DOI:
https://doi.org/10.20882/adicciones.278Keywords:
alcoholism, benzodiazepines, personality disorders, temperament, characterAbstract
Objective: To find differential personality traits, through the TCI questionnaire, between alcoholic patients who abuse benzodiazepines (BZD) and those who do not, and between patients affected by personality disorders (PD) and those not affected. These traits can then be used as criteria of good prognosis and as psychotherapeutic targets. Methods: Crosssectional study of 218 alcoholic inpatients, comparing TCI scores between BZD abusers and non-abusers, and between PD-affected patients and non-PD-affected patients. Results: BZD-abusing patients score higher in Harm Avoidance and lower in Self-Directedness than non-abusers. Patients with PD score higher in Novelty-Seeking and lower in Cooperativeness than patients without PD. Conclusions: BZD-abusing patients are less mature and self-sufficient, more impressionable, insecure, and have a high tendency to avoid risk. Patients with PD are more impulsive and less cooperative. The characteristics found with TCI are coherent with the difficulties of these patients during treatment and with clinical impressions. These problematic areas should become therapeutic targets to be modified through treatment. For all of these reasons the TCI emerges as a useful instrument for understanding, assessing and identifying alcoholic patients and their treatment needs.References
Merikangas K, Stevens DE. Substance abuse among women: Familial factors and comorbidity. In: Wetherington CL, Roman AB, editors. Drug Addiction Research and the Health of Women. Bethesda, MD:National Institute on Drug Abuse, 1998: 245–269.
. Wittchen HU, Nelson CB, Lachner G. Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychol Med 1998; 28:109–126.
Haro G, Mateu C, Martínez-Raga J, Valderrama JC, Castellano M, Cervera G. The role of personality disorders on drug dependence treatment outcomes following inpatient detoxification. European Psychiatry 2004; 19: 187–192.
Margolese HC, Malchy L, Negrete JC, Tempier R, Gill K. Drug and alcohol use among patients with schizophrenia and related psychoses: Levels and consequences. Schizophr Res 2004; 67: 157–166.
Mateos J, Mateos M. Rasgos diferenciales del temperamento y el carácter en un grupo de alcohólicos vs población general. Adicciones 2005; 17: 325-335.
Barron E, Mateos M, Martínez I. Temperamento y carácter en adictos a cocaína y a opiáceos. Adicciones 2004; 16: 287-294.
Vaillant G. The natural history of alcoholism. Cambridge:
Harvard University Press; 1983.
Vaillant GE. What can long-term follow-up teach us about relapse and prevention of relapse in addiction? Br J Addict 1988; 83: 1147-57.
Vaillant GE. Natural history of male psychological health: VIII. Antecedents of alcoholism and “orality”. Am J Psychiatry 1980; 137: 181-6.
Grekin ER, Sher KJ, Wood PK. Personality and substance dependence symptoms: modeling substance-specific traits. Psychol Addict Behav 2006; 20: 415-24.
Kessler RC. Impact of substance abuse on the diagnosis, course, and treatment of mood disorders. The epidemiology of dual diagnosis. Biol Psychiatry 2004; 56: 730-7.
Rhee SH, Hewitt JK, Young SE, Corley RP, Crowley TJ,
Stallings MC. Genetic and environmental influences on substance initiation, use, and problem use in adolescents. Arch Gen Psychiatry 2003; 60: 1256-64.
McGue M. The behavioral genetics of alcoholism. Curr Dir Psychol Sci 1999; 8: 109-115.
Kendler KS, Jacobson KC, Prescott CA, Neale MC. Specificity of genetic and environmental risk factors for use and abuse/dependence of cannabis, cocaine, hallucinogens, sedatives, stimulants, and opiates in male twins. Am J Psychiatry 2003; 160: 687-95
Anton RF, O’Malley SS, Ciraulo DA, Cisler RA, Couper D, Donovan DM, et al. Combined pharmacotherapies and behavioral interventions for alcohol dependence: the COMBINE study: a randomized controlled trial. JAMA 2006; 295: 2003-17.
Karno MP, Longabaugh R. What do we know? Process
analysis and the search for a better understanding of Project MATCH’s anger-by-treatment matching effect. J Stud Alcohol 2004; 65: 501-12.
Cloninger CR, Svrakic DM, Pr zybeck TR. A psychobiological model of temperament and character. Arch Gen Psychiatry 1993; 50: 975-90.
Gutierrez F, Torrens M, Boget T, Martin-Santos R, Sangorrin J, Perez G, et al. Psychometric properties of the Temperament and Character Inventory (TCI) questionnaire in a Spanish psychiatric population. Acta Psychiatr Scand 2001; 103: 143-7.
Basiaux P, Le Bon O, Dramaix M, Massat I, Souery D, Mendlewicz J, et al. Temperament and Character Inventory (TCI) personality profile an sub-typing in alcoholic patients: a controlled study. Alcohol Alcohol 2001; 36: 584-7.
Nomura K, Nakao M, Sato M, Yano E. Regular prescriptions for benzodiazepines: a cross-sectional study of outpatients at a university hospital. Intern Med 2006; 45: 1279-83.
Petrovic M, Vandierendonck A, Mariman A, van Maele G, Afschrift M, Pevernagie D. Personality traits and socio-epidemiological status of hospitalised elderly benzodiazepine users. Int J Geriatr Psychiatry 2002; 17:733-8.
Hellerstein DJ, Flansaas DM, Zweben-Howland LD,
Samstag LW. A clinical profile of patients affected by state regulation of benzodiazepine prescriptions. Hosp Community Psychiatry 1994; 45: 362-5.
Monras M, Freixa N, Ortega L, Lligoña A, Mondon S, Gual A. Eficacia de la terapia de grupo para alcohólicos. Resultados de un ensayo clínico controlado. Medicina Clínica (Barc) 2000; 115: 126-131.
Monras M, Garcia S, Torres M, Gual A, Ortega L. El ingreso hospitalario en el tratamiento de los alcohólicos cronificados. Adicciones 1998; 10: 151-160.
Monras M. Seguimiento a 5 años de alcohólicos con antecedentes de tentativas suicidas. Adicciones 1995; 7: 479-494.


