Anxiety and Depression in Drug-Dependent Patients with Cluster C Personality Disorders

Roncero, Carlos; Miguel, Adelia de; Fumero, Ascensión; Abad, Alfonso Carlos; Martín, Rita; Bethencourt, Juan Manuel; Grau-López, Lara; Rodríguez-Cintas, Laia; Daigre, Constanza

doi:10.3389/fpsyt.2018.00019

Cited by 7 publications

(3 citation statements)

References 46 publications

(50 reference statements)

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“…Finally, Cluster C PD individuals suffer from excessive fear and anxiety. Along with the self-medication theory, it is hypothesized that consumption of alcohol and other substances is aimed at counteracting feelings of isolation and a lack of social relations among those individuals [29].…”

Section: Introductionmentioning

confidence: 99%

Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area

et al. 2021

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Introduction Alcohol Use Disorders are frequently comorbid with personality disorders. However, the heterogeneity of the prevalence estimates is high, and most data come from high income countries. Our aim is to estimate the prevalence and association between alcohol use outcomes and the three DSM-5 clusters of personality disorders in a representative sample of the São Paulo Metropolitan Area. Materials and methods A representative household sample of 2,942 adults was interviewed using the WHO Composite International Diagnostic Interview and the International Personality Disorder Examination Screening Questionnaire. Lifetime PD diagnoses were multiply imputed, and AUD diagnoses were obtained using DSM-5 criteria. We conducted cross-tabulations and logistic regression to estimate the associations between AUDs and PDs. Results and discussion Our study did not find significant associations of PDs with heavy drinking patterns or mild AUD. Cluster B PD respondents tended to show the highest conditional prevalence estimates of most alcohol use patterns and AUD, including its severity subtypes. When alcohol outcomes were regressed on all PD Clusters simultaneously, with adjustment for sex and age, only cluster B was significantly associated with past-year alcohol use (OR 3.0), regular drinking (OR 3.2), and AUDs (OR 8.5), especially moderate and severe cases of alcohol use disorders (OR 9.7 and 16.6, respectively). These associations between Cluster B PDs and these alcohol outcomes were shown to be independent of other PD Clusters and individuals´ sex and age. Conclusion The main finding of our study is that AUDs are highly comorbid with PDs. The presence of Cluster B PDs significantly increases the odds of alcohol consumption and disorders and of more severe forms of AUDs. Considering the local context of poor treatment provision, more specific prevention and intervention strategies should be directed to this population.

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Section: Introductionmentioning

confidence: 99%

Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area

et al. 2021

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“…It should be kept in mind that the most frequently detected personological traits and features in patients with substance use disorders belong to of Cluster B of personality disorders and, secondarily, of Cluster C [ 172 , 173 , 174 , 175 , 176 ]. There are, however, discrepancies, and not all studies endorse this ranking.…”

Section: Neuropsychiatry and Endometriosis: The State Of The Artmentioning

confidence: 99%

“…According to the psychological profile previously described, these women, after being in contact with these substances, could be more prone to develop an addiction [ 174 ]. It follows that the impact of the onset of a substance use disorder in an already precarious and vulnerable clinical setting could be devastating.…”

Section: Neuropsychiatry and Endometriosis: The State Of The Artmentioning

confidence: 99%

The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability

Carbone

Campo

Papaleo

et al. 2021

JCM

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Endometriosis is a chronic inflammatory condition, which is distinguished by the presence of the endometrial-like glands and stroma outside the uterine cavity. Pain and infertility are the most commonly expressed symptoms, occurring in 60% and 40% of cases, respectively. Women with endometriosis, especially those with pelvic pain, also have a greater vulnerability to several psychiatric disorders. There is, in particular, a tendency to contract affective or anxiety disorders as well as panic-agoraphobic and substance use disorders. Endometriosis with pelvic pain, infertility and psychic vulnerability usually leads to disability and a markedly lower quality of life for women of reproductive age. Thus, the burden of endometriosis is not limited to the symptoms and dysfunctions of the disease; it extends to the social, working and emotional spheres, leading to a severe impairment of global functioning. An analysis of scientific literature revealed a close relationship between specific temperamental traits, the expression of several psychiatric symptoms, chronicity of pain, risk of substance use and lower probability of a positive outcome. Endometriosis symptoms and the impact of related psychological consequences, increased vulnerability and the possible onset of psychiatric symptoms may influence coping strategies and weaken resilience, so triggering a vicious cycle leading to a marked deterioration in the quality of life. A multidisciplinary approach consisting of a medical team composed of gynecologists, psychologists, psychiatrists, experts in Dual Disorder, algologists and sexologists, would guarantee the setting of a target and taking the best decision on a personalized treatment plan. That approach would allow the prompt detection of any psychopathological symptoms and improve the endometriosis-related physical symptoms, bringing a healthier quality of life and a greater likelihood of a positive outcome.

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Personality Disorders and Addiction Disorders

Fraser

Isaif

Teles

et al. 2020

Textbook of Addiction Treatment

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Anxiety and Depression in Drug-Dependent Patients with Cluster C Personality Disorders

Cited by 7 publications

References 46 publications

Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area

Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area

The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability

Personality Disorders and Addiction Disorders

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