Affects, dissociative symptoms and addictive behaviours: Insights from clinical and non-clinical samples.

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2024-11-12 DOI:10.1016/j.jad.2024.11.031

Elisa Renner, Raphael Wimmer, Zoe Zipper, Hannah Brössler, Jasmin Brouschek, Jürgen Fuchshuber, Wolfgang Beiglböck, Human-Friedrich Unterrainer

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引用次数: 0

Abstract

Objectives: Current literature links substance abuse with primary emotions and dissociative symptoms, but little research combines these relationships. This study investigates the clinical significance of these concepts and the mediating role of dissociative symptoms in the relationship between primary emotions and substance abuse.

Methods: Study 1 included 517 adults (77.6 % female, Age: M = 27.84) from the community. Path analysis examined the relationships between primary emotions (BANPS-GL), dissociative symptoms (FDS), psychopathology (BSI-18), and substance abuse (WHO-ASSIST). Study 2 involved 73 inpatients with substance use disorders (SUD) compared to 73 matched individuals from the general population, totalling 146 participants (21.9 % female, Age: M = 34.90). MANOVA and Discriminant analysis assessed the differences and contributions of the variables to group separation.

Results: Significant correlations were found between the FDS and the WHO-ASSIST, all BSI-scales, and all primary emotions except SEEKING. The FDS was a key mediator between primary emotions and substance abuse (WHO-ASSIST) and effectively differentiated between the clinical and general population groups.

Conclusions: These findings highlight the role of dissociative symptoms in the relationship between emotional experiences and addictive behaviour. Future research should consider dissociative symptoms in the prevention and treatment of addictive disorders.

查看原文本刊更多论文

情感、分离症状和成瘾行为：从临床和非临床样本中获得的启示。

研究目的：目前的文献将药物滥用与原发性情绪和分离症状联系起来，但很少有研究将这些关系结合起来。本研究探讨了这些概念的临床意义，以及解离症状在原发性情绪与药物滥用关系中的中介作用：研究 1 包括来自社区的 517 名成年人（77.6% 为女性，年龄：M = 27.84）。路径分析检验了原发性情绪（BANPS-GL）、分离症状（FDS）、精神病理学（BSI-18）和药物滥用（WHO-ASSIST）之间的关系。研究 2 涉及 73 名患有药物滥用障碍（SUD）的住院患者和 73 名与之匹配的普通人群，共计 146 名参与者（21.9% 为女性，年龄：M = 34.90）。MANOVA 和判别分析评估了各变量的差异和对群体分离的贡献：结果发现，FDS 与 WHO-ASSIST、所有 BSI 量表以及除 "寻求 "之外的所有主要情绪之间存在显著相关性。FDS是初级情绪和药物滥用（WHO-ASSIST）之间的关键中介变量，能有效区分临床组和普通人群组：这些研究结果凸显了分离症状在情绪体验与成瘾行为之间关系中的作用。今后的研究应考虑在预防和治疗成瘾性疾病时采用分离症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.