Using the Temperament and Character Inventory (TCI) to Predict Outcome after Inpatient Detoxification during 100 Days of Outpatient Treatment

Abstract

Higher scores on the TCI personality scales of Persistence, Self-directedness and Cooperativeness predict a better therapeutic evolution, especially with regard to adherence during outpatient treatment after detoxification.

Relapse (Number of Detoxifications) in Abstinent Male Alcohol-Dependent Patients as Related to Personality Traits and Types of Tolerance to Frustration

“…Number of detoxifications was associated with aggression (still observed after Bonferroni adjustment of the significance level) and as a trend with depression, but not significantly with impulsivity. For aggression, this supports findings from studies reporting personality disorders [39], particularly antisocial personality disorders [5,6], juvenile conduct disorders [40,41], high scores on the Eysenck psychoticism scale which measures non-conformity [36] or low scores on cooperativeness [20] as good predictors of relapse. In a study by Zikos et al [39], DSM IV cluster B personality disorders, including histrionic, narcistic, borderline and antisocial personality disorders did not seem to be related to amount of alcohol consumption but rather to dropout from treatment, indicating independence between the amount consumed and treatment outcome, which corresponds to the findings in our sample that correlations between aggression and glasses of alcoholic drinks before detoxification computed for comparison were also not significant (all correlations r < 0.10, p > 0.10, not presented in Results).…”

“…While most studies rely on subjective information based on interviews with patients and relatives or questionnaires asking when and how often patients started drinking alcohol again after abstinence [20,36,37], the present evaluation is based on a stricter but more objective criterion, i.e. the number of previous detoxifications asked in questionnaire 1, but confirmed by inspection of hospital records.…”

“…Since treatment outcome in alcohol dependence has also been found to be related to mood and anxiety disorders [5,6] as well as to the personality dimensions of psychoticism sensu Eysenck [18] (representing ruthlessness and antisocial behaviour) and lack of persistence [19,20], it was intended to investigate if the two types of personality traits, impulsivity and aggression on the one hand and the neuroticism-related traits of anxiety and depression on the other, are associated with liability to relapse after abstinence.…”

Determinants of personality in the scope of motivation for maintaining abstinence in the case of male alcohol-dependent individuals concluding therapy

“…A positive role of that dimension in alcohol rehabilitation therapy and the results of it has been proved in the literature of the subject (Andó et al, 2012;Arnau et al, 2008). What is interesting, that dimension (measured with the application of the TCI as well) was also positively correlated with motivation for giving up smoking in the case of individuals addicted to nicotine (Bishry et al, 2012).…”

“…Arnau, Mondon, and Santacreu, 2008 A significant positive role of the following dimensions: persistence, selfdirectedness, and also ability to cooperate, in the progress of an alcohol rehabilitation therapy.…”