预测青少年使用药物和抑郁症状的冲动性和强迫性维度

IF 3.2 3区 医学 Q2 PSYCHIATRY
Alvaro Vergés, Tomás Arriaza, Marcela Soto, María Elena Alvarado
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引用次数: 0

摘要

几十年来,人们一直在研究冲动及其不同方面,将其视为与精神病理学有关的一些主要人格特征。然而,近年来的研究强调,强迫性是某些精神障碍的更近端风险因素,从而对冲动性面相与强迫性之间的关系产生了不同的理论。本研究以Nigg(2017)提出的模型为基础,确定了强迫性和冲动性面(即时奖励偏好、线索触发的冲动反应和有计划的冒险行为)的因子结构,并探讨了它们与抑郁症状、酒精和大麻相关问题的前瞻性关联。在两轮数据收集中,共对 729 名新成人进行了测量,使用了冲动-冲动行为核对表、UPPS-P 冲动行为量表、惩罚敏感性和奖励敏感性问卷、延迟折现任务以及旨在测量药物相关问题和抑郁症状的问卷。确认性因子分析显示了一个四因子正交结构,反映了尼格模型中较低层次的方面。强迫性预示着抑郁症状的加重,而 CTIR 则预示着与大麻有关的问题。稳健性分析表明,研究结果具有很强的一致性,但并不完全一致,这表明关联的变化取决于用于评估每个构念的具体测量方法。这项研究有助于了解冲动性和强迫性之间复杂的相互作用,以及它们作为不同精神健康状况易感因素的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impulsivity and Compulsivity Dimensions in the Prediction of Substance Use and Depressive Symptoms Among Emerging Adults

Impulsivity and Compulsivity Dimensions in the Prediction of Substance Use and Depressive Symptoms Among Emerging Adults

Impulsivity and its different facets have been studied for decades as some of the main personality traits linked to psychopathology. However, in recent years, research has emphasized compulsivity as a more proximal risk factor for certain disorders, leading to different theorizations on the relation between impulsivity facets and compulsivity. Building on a model proposed by Nigg (2017), this study identified the factor structure of Compulsivity and Impulsivity facets (Immediate Reward Preference, Cue-Triggered Impulsive Response, and Planful Risk-Taking) and explored their prospective associations with depressive symptoms, alcohol, and cannabis-related problems. A total of 729 emerging adults were measured at two waves of data collection, using the Impulsive-Compulsive Behaviours Checklist, UPPS-P Impulsive Behavior Scale, Sensitivity to Punishment and Sensitivity to Reward Questionnaire, Delay Discounting Task, and questionnaires designed to measure substance-related problems and depressive symptomatology. Confirmatory factor analysis revealed a four-factor orthogonal structure reflecting the lower-level facets in Nigg’s model. Compulsivity predicted increased depressive symptoms, whereas CTIR predicted cannabis-related problems. Robustness analyses showed substantial but not complete consistency in findings, pointing to variations in associations depending on specific measures used to assess each construct. This study contributes to understanding the complex interplay of impulsivity and compulsivity and their relevance as vulnerability factors for different mental health conditions.

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来源期刊
CiteScore
15.90
自引率
2.50%
发文量
245
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.
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