Abstract
BackgroundStudies reveal a functional impairment in patients with personality disorders (PDs), but there is not enough information to form conclusions about this relation in patients with alcohol use disorder (AUD). The aim of this study was to investigate to what extent a personality disorders scales including pathological personality traits (PPTs) predict six domains of functioning in patients with AUD.MethodsIn total, 48 patients with AUD diagnosis, who were treated in the psychiatric clinics, aged 20 to 65 years [M = 37.5; SD = 12.08; 12 (25%) females and 36 (75%) males], filled out the demographic questionnaire, WHO Disability Assessment Schedule 2.0 (WHODAS 2.0, Latvian version) and Latvian Clinical Personality Inventory (LCPI v2.1.). All respondents signed the informed consent form.ResultsStepwise regression analysis showed that PD Avoidant scale positively predicts impairment in Cognition and Getting along domains of functioning in AUD patients, but, on the PPTs level, it was found that Social withdrawal along with Irresponsibility and Guilt/Shame positively predict impairment in Cognition domain of functioning, and Social withdrawal along with Depressivity and Irresponsibility positively predict impairment in Getting along domain of functioning. The results of the study showed that PPT Orderliness negatively predicts impairment in Live activities domain of functioning. The PD Dependent scale and PPT Separation insecurity positively predict impairment in Participation domain of functioning.ConclusionsObtained results add deeper insight into understanding of the relationship between personality disorders scales including pathological personality traits and six domains of functioning in patients with AUD.
Highlights
According to the World Health Organization, more than three million people worldwide die as a result of alcohol use
The results of recent studies indicate that those with alcohol use disorder (AUD) have an impairment in the domains of Participation in the society, household, and work-related activities as well as cognitive functioning, and some functional impairment is recorded in the domains of Mobility and Self-care [9, 10]
ObsessiveCompulsive personality disorders (PDs) is statistically significantly negatively associated only with WHODAS domain Life activities; Schizotypal, Borderline, Avoidant, and Dependent PDs are all statistically significantly positively associated with three domains of WHODAS: Cognition, Getting along and Participation, but Schizoid PD is positively associated with two of six WHODAS domains: Cognition and Getting along
Summary
According to the World Health Organization (further—WHO), more than three million people worldwide die as a result of alcohol use. The use of alcohol in Europe's regions is the highest in the world and remains a serious public health problem, causing Alcohol Use Disorder (further—AUD) and the consequences that hinder a person's ability in key areas of life [2, 3]. Functional consequences of AUD create high probability of impairing functioning in the major areas of life, such as interpersonal relationships, and contributes to disinhibition and feelings of sadness and irritability [5], lack of selfcognition and social competences [6, 7], and difficulty in dealing with everyday problems [8]. Studies reveal a functional impairment in patients with personality disorders (PDs), but there is not enough information to form conclusions about this relation in patients with alcohol use disorder (AUD). The aim of this study was to investigate to what extent a personality disorders scales including pathological personality traits (PPTs) predict six domains of functioning in patients with AUD
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