Affective Factors in the Co-Occurrence of Personality Disorders and Substance Use Disorders.

IF 4.6 2区医学 Q1 SUBSTANCE ABUSE

Current Addiction Reports Pub Date : 2026-01-01 Epub Date: 2026-02-28 DOI:10.1007/s40429-026-00719-1

Andrea M Wycoff, Timothy J Trull

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引用次数: 0

Abstract

Purpose of review: Personality disorders (PDs) and substance use disorders (SUDs) co-occur at high rates. Transdiagnostic mechanisms such as affective processes could improve our understanding of etiology, maintenance, and treatment of co-occurring disorders. We review the role that affective factors play in the overlap between PDs and SUDs and focus on current directions in assessment and evaluation of affective processes.

Recent findings: Recent affect-related work informing PD and SUD co-occurrence has focused on conceptualizing PDs dimensionally, testing affective processes as transdiagnostic constructs, issues in affect measurement, using ecological momentary assessment to identify proximal risk pathways, and debate on the role of affect in SUD.

Summary: Affective changes can be reliably measured in daily life, and evidence supports using dimensional models of PDs compared to categorical diagnoses. Future work should build on these strengths and focus on careful translations of SUD theories to research.

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人格障碍与物质使用障碍共现的情感因素。

回顾目的：人格障碍（pd）和物质使用障碍（sud）的发生率很高。跨诊断机制，如情感过程可以提高我们对病因、维持和治疗共发疾病的理解。我们回顾了情感因素在pd和sud重叠中的作用，并重点介绍了情感过程的评估和评价的当前方向。最近的研究发现：最近关于PD和SUD共发生的情感相关工作主要集中在PD的维度概念化，情感过程作为跨诊断结构的测试，情感测量中的问题，使用生态瞬时评估来识别近端风险通路，以及情感在SUD中的作用的讨论。总结：情感变化可以在日常生活中可靠地测量，并且有证据支持使用pd的维度模型与分类诊断相比。未来的工作应以这些优势为基础，并将重点放在仔细翻译SUD理论以进行研究上。

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

Current Addiction Reports Psychology-Clinical Psychology

CiteScore

6.60

自引率

4.70%

发文量

期刊介绍： This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.