Metacognitive mastery moderates the relationship of alexithymia with cluster C personality disorder traits in adults with substance use disorders

Lysaker, Paul H.; Olesek, Kyle; Buck, Kelly D.; Leonhardt, Bethany L.; Vohs, Jenifer L.; Ringer, Jamie M.; Dimaggio, Giancarlo; Popolo, Raffaele; Outcalt, Jared

doi:10.1016/j.addbeh.2013.11.007

Cited by 40 publications

(32 citation statements)

References 24 publications

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“…Almost 40% of the patients studied have a PD and nearly 10% have a PD from Cluster C. The findings obtained in seeking treatment patients attended at outpatient clinical units is consistent with other studies with smaller samples (8, 9, 20, 36) and manly carried out in inpatient units (4, 7, 10, 13) or only taking into account one specific substance (12). …”

Section: Discussionsupporting

confidence: 87%

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

et al. 2018

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ObjectiveComorbidity between personality disorders (PD) and substance-use disorders (SUD) is one of the most common findings in the psychiatric field. The patients with Cluster C disorders present maladjustment traits often characterized by high levels of anxiety. The main aim of this study was to find evidences about higher anxiety and depression prevalence on Cluster C than others Clusters, analyzing similarities and differences within, with other Cluster A and B PD patients and patients without PD.MethodA total of 822 substance dependent patients (ages18–78; Mean = 38.35, SD = 10.14) completed the structured clinical interview for DSM-IV Axis I and Axis II disorders, Beck Depression Inventory, and State-Trait Anxiety Inventory.ResultsResults supported poly-consumption in Cluster C patients, being greater alcohol consumption as well as abuse of both stimulants and depressants. Anxiety and depression did not show just one pattern for all patients with SUD-Cluster C PD. There was a relation between anxiety and depression for all the groups except for the Dependent-PD.ConclusionInterventions should focus on aspects like depression and anxiety more than on the substance consumed.

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Section: Discussionsupporting

confidence: 87%

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

et al. 2018

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“…This model seems particularly apt for application to therapy in addictions. In fact, if people abusing alcohol have problems of naming and expressing emotions (alexithymia), as recently noted in substance abuse (Lysaker et al ., ), the role of the therapist in helping clients develop awareness of their own mental states is particularly important. As noted above, sessions which triggered an emotional response were often noted as being particularly helpful by the participants in this study.…”

Section: Discussionmentioning

confidence: 99%

Client experiences of motivational interviewing: An interpersonal process recall study

2015

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Objectives. To explore clients' experience of the therapy process in Motivational Interviewing (MI) for alcohol abuse. Design.A qualitative study using Grounded Theory. Methods.Interviews with nine clients were conducted using Interpersonal Process Recall (IPR), a methodology which utlises a video recording as a cue to aid memory recall. Clients watched a videotape of their MI session and were asked to identify and describe important moments in the therapy session. The transcribed interviews were then analysed using Grounded Theory. Results.A single session of MI is seen by the clients in this study as a complex interpersonal interaction between client and therapist, which impacts on the client's cognitive and affective intrapersonal processes. Conclusions.The themes which emerged partly confirm processes of motivational interviewing previously hypothesised to be important, but also highlight the importance of factors common to all therapeutic approaches. Practitioner points The aspects of therapy which clients in this study felt were important are similar to those hypothesised to underlie the effectiveness of MI, including a nonconfrontational approach, affirmation, and developing discrepancies between beliefs and behaviour.

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“…Finally, it is clear that metacognitions about alcohol use are one amongst numerous factors involved in drinking behaviour and that the understanding of this complex behaviour must be seen in its entirety, and more specifically from a biopsychosocial perspective. For instance, it has been shown that metacognition is a moderator between alexithymia and personality disorders traits among adults with substance use disorder (Lysaker et al, 2014). Therefore, future studies could investigate the relationship between metacognitions about alcohol use and other individual or social variables involved in drinking behaviour.…”

Section: Units Of Alcohol By Weekmentioning

confidence: 97%

Positive and negative metacognitions about alcohol use among university students: Psychometric properties of the PAMS and NAMS French versions

Gierski

Spada

Fois

et al. 2015

Drug and Alcohol Dependence

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Metacognitive mastery moderates the relationship of alexithymia with cluster C personality disorder traits in adults with substance use disorders

Cited by 40 publications

References 24 publications

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

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

Client experiences of motivational interviewing: An interpersonal process recall study

Positive and negative metacognitions about alcohol use among university students: Psychometric properties of the PAMS and NAMS French versions

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