冲动性调解了自恋和与物质有关的问题之间的关联,超出了物质使用的程度:一项纵向观察性研究
Malin K Hildebrandt1, Josepha Noack2, Raoul Wuellhorst2
1Institute of Clinical Psychology and Psychotherapy, Chair of Addiction Research, Faculty of Psychology, Technische Universität Dresden, Chemnitzer Str. 46a, 01187, Dresden, Germany. malin.hildebrandt@googlemail.com.
BMC psychiatry
|April 15, 2024
概括
巨大的自恋,特别是对抗性特征,预测了超出使用水平的与物质有关的问题. 冲动,而不是物质使用动机,调解了这种风险,这表明自恋个体中物质使用障碍 (SUD) 的关键机制.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 自恋是一种可疑的物质使用障碍 (SUD) 的风险因素.
- 以前的研究没有区分物质使用水平和与物质有关的问题.
- 这项研究调查了与宏伟和脆弱的自恋特征相关的特定SUD风险.
研究的目的:
- 为了确定宏伟和脆弱的自恋特征是否预测与物质有关的问题,而不依赖于物质使用量.
- 检查冲动性或物质使用动机是否调解自恋和SUD风险之间的关系.
主要方法:
- 在139名多种物质使用者中评估了自恋,冲动,物质使用动机,过去一年的物质使用和与物质有关的问题.
- 一年后,对121名参与者进行了随访.
- 测试的冲动性和物质使用动机作为自恋因素和与物质有关的问题之间的纵向关联的调解者,控制物质使用程度.
主要成果:
- 大型自恋及其对抗性和代理性特征预测了超出使用水平的与物质有关的问题 (p < .050).
- 易受伤害的自恋没有显示这种关联.
- 冲动性完全介绍了宏伟/对抗性自恋和与物质有关的问题之间的联系,解释了约三分之一的关联.
结论:
- 巨大的自恋,特别是对抗性特征,与与物质有关的问题增加密切相关,独立于使用水平.
- 在这种关系中,冲动似乎是一个比使用物质动机更重要的调解者.
- 自恋个体可能有更高的SUD风险,不一定是由于更高的物质消费,告知预防和治疗策略.
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