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Relapsing risk factors in polyaddictions: is also about positive emotions

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Detalhes bibliográficos
Resumo:Abstract This paper aims to identify contextual factors that characterize alcohol dependence phenotypes. Participants were alcohol dependent men and women recruited from an out-patient treatment program. The Inventory of Drug-Taking Situations (IDTS) was used to assess the propensity to drink in high-risk situations over the past year. The patients also completed other measures of alcohol consumption, namely frequency and craving. A correlational and comparative study was planned to assess high-risk situations for alcohol use among two types of addiction. We found that there are significant differences in relapse risk factors for alcohol consumption when comparing poly-addicted and “pure” alcohol dependents. Comparative analysis showed that scores in “pleasant emotions”, “pleasant times with others” and “social pressure to use” were significantly higher among the poly-addicted alcohol dependent patients. Our data suggested that because poly-addicted patients are exposed to an alternative positive reinforcement mediated by drugs (in addition to alcohol), this can be particularly relevant to define high-risk situations. Skills training that focus on dealing effectively with high-risk situations should consider different subgroup profiles of pathological drinking decisions.
Autores principais:Santos,Rodrigo
Outros Autores:Silva,Inês; Pombo,Samuel; Ismail,Fátima
Assunto:alcohol dependence high-risk situations relapse emotions
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
Descrição
Resumo:Abstract This paper aims to identify contextual factors that characterize alcohol dependence phenotypes. Participants were alcohol dependent men and women recruited from an out-patient treatment program. The Inventory of Drug-Taking Situations (IDTS) was used to assess the propensity to drink in high-risk situations over the past year. The patients also completed other measures of alcohol consumption, namely frequency and craving. A correlational and comparative study was planned to assess high-risk situations for alcohol use among two types of addiction. We found that there are significant differences in relapse risk factors for alcohol consumption when comparing poly-addicted and “pure” alcohol dependents. Comparative analysis showed that scores in “pleasant emotions”, “pleasant times with others” and “social pressure to use” were significantly higher among the poly-addicted alcohol dependent patients. Our data suggested that because poly-addicted patients are exposed to an alternative positive reinforcement mediated by drugs (in addition to alcohol), this can be particularly relevant to define high-risk situations. Skills training that focus on dealing effectively with high-risk situations should consider different subgroup profiles of pathological drinking decisions.