赌博障碍患者自我叙述的语言分析

IF 1.1 Q3 Medicine

Addictive Disorders & Their Treatment Pub Date : 2020-10-09 DOI:10.1097/ADT.0000000000000229

Daniela Altavilla, Alessandro Acciai, Valentina Deriu, A. Chiera, I. Adornetti, F. Ferretti, Alessia Bassi, Zaida Colonna, V. De Luca, S. Canali

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引用次数: 3

摘要

本研究的目的是通过语言分析探讨赌博障碍患者自我叙述的情感和认知过程。采用半结构化访谈法对30例赌博障碍患者(男性24例，女性6例;平均年龄:46.63±9.08)，涉及成瘾的定义、成瘾的发生和维持、复发、欲望、失去控制、控制策略和治疗等各主题领域。使用James Pennebaker的语言调查和单词计数(LIWC)文本分析软件对自我叙述中的单词使用进行分类。具体来说，分析的变量是情绪相关词汇、代词相关词汇的使用和时态相关词汇。研究结果显示，与其他领域相比，在成瘾定义、维持和失去控制的主题领域中，负面情绪相关词汇的比例更高，这可能表明情绪失调;第一人称单数相关词汇的比例高于其他与人相关的词汇，而在欲望、复发和失去控制的主题领域中，第一人称单数相关词汇的比例下降，这可能表明存在分离现象;最后，与现在时态相关的词汇比例很高，这表明焦虑患者对依赖状况的描述是静态和僵化的，难以自我预测未来。总体而言，语言分析揭示了GD患者成瘾特定阶段的情感和认知过程中的关键问题，可以帮助指导治疗。

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Linguistic Analysis of Self-Narratives of Patients With Gambling Disorder

Aim of the present study was to investigate affective and cognitive processes underlying self-narratives of patients with gambling disorder through a verbal language analysis. A semistructured interview was administered to 30 patients with gambling disorder (GD) (24 males and 6 females; mean age: 46.63±9.08) concerning the various thematic areas of their condition: definition of addiction, onset and maintenance of the addiction, relapses, desire, loss of control, control strategies, and treatment. Word usage in the self-narratives was categorized using James Pennebaker’s Linguistic Inquiry and Word Count (LIWC) text-analysis software. Specifically, variables analyzed were emotion-related words, the use of pronoun-related words, and tense-related words. The findings showed a higher percentage of negative emotion-related words in the thematic areas of the definition of addiction, maintenance, and loss of control compared with other areas, which may suggest an emotional dysregulation; a higher percentage of first person singular-related words than other person-related words which decreases in the thematic areas of the desire, relapse, and loss of control, which may suggest dissociative phenomena; lastly, a high percentage of present tense-related words, which suggested a static and rigid representation of one’s dependency condition in GD patients and a difficulty to self-project into the future. Overall, the linguistic analysis revealed critical issues in affective and cognitive processes in specific phases of addiction in GD patients which could help guide treatment.

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来源期刊

Addictive Disorders & Their Treatment SUBSTANCE ABUSE-

自引率

0.00%

发文量

期刊介绍： Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.