巴雷特冲动量表
述情障碍
冲动性
禁欲
优势比
多伦多述情障碍量表
精神病理学
医学
心理学
精神科
预防复发
酒精依赖
内科学
临床心理学
酒
生物化学
化学
作者
Maria Pepe,Marco Di Nicola,Isabella Panaccione,Raffaella Franza,Domenico De Berardis,Mauro Cibin,Luigi Janiri,Gabriele Sani
摘要
Longitudinal psychopathological predictors of relapse in alcohol use disorder are unclear.Relapses, sociodemographic and psychopathological risk factors were assessed in 171 alcohol use disorder outpatients within a 1-year follow up. Impulsivity and alexithymia were evaluated using the Barratt Impulsiveness Scale and the Toronto Alexithymia Scale, respectively.At endpoint, 39% of patients maintained abstinence, 30.9% relapsed at ≤1 month from detoxification (early), 30.1% at >1 month (subsequent). Baseline Barratt Impulsiveness Scale score was predictive of early versus subsequent relapse (odds ratio 1.12, p = 0.005) and versus abstinence (odds ratio 1.17, p < 0.001). Toronto Alexithymia Scale score was a risk factor for subsequent versus early relapse (odds ratio 1.13, p = 0.003) and versus abstinence (odds ratio 1.21, p < 0.001).Impulsivity predicted relapse within the first 4-weeks; alexithymia showed delayed effects. Time-varying effects of specific relapse factors emphasise the need for preliminary careful assessment and personalised interventions to promote long-term abstinence.
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