Schema Modes and Personality Disorder Symptoms in Alcohol-Dependent and Cocaine-Dependent Patients

Substance use disorders (SUD) and personality disorders co-occur frequently. This relationship might be understood by studying schema modes (a key concept in Schema therapy), which explain the dysfunctions characterizing personality disorder patients. In the present study, we compared the schema modes and personality disorder symptoms between alcohol-dependent patients, cocaine-dependent patients and healthy controls. We found indications that specific schema modes are specific for SUD patients. However, no differences between specific subtypes of SUD patients (alcohol- vs. cocaine-dependent patients) could be found regarding schema modes. Further, it is suggested that borderline personality disorder symptoms are highly relevant for SUD patients. A first step is made in understanding the relationship between schema modes and SUD, which may contribute to the understanding of the problematic behaviour seen in patients with personality disorders and SUD (and may possibly contribute to the improvement of the treatment of this group of patients).Eur Addict Res 2018;24:226 –233
Source: European Addiction Research - Category: Addiction Source Type: research

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Gyöngyi Kökönyei1,2,3*, Natália Kocsel1,2,3,4, Orsolya Király1, Mark D. Griffiths5, Attila Galambos1,2,4, Anna Magi1,4, Borbála Paksi6 and Zsolt Demetrovics11 Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary2SE-NAP2 Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary3Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary4Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary5Psychology Department, Not...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
This study, therefore, compares reappraisal of negative, positive, neutral, and alcohol-related images at a behavioral and neural level between ADPs and healthy controls (HCs).Thirty-nine ADPs and 39 age-, gender-, and education-matched HCs performed an emotion reappraisal task during functional magnetic resonance imaging (fMRI), and craving was measured before and after the reappraisal task. During the emotion reappraisal task, participants were instructed to either attend or reappraise positive, negative, neutral, or alcohol-related images, and to indicate their experienced emotion on a visual analogue scale (VAS).Both A...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
In conclusion, therapeutic approaches for the two disorders should comprise combined treatment methods. To improve the specific treatment options for patients with substance use disorder and personality disorder further research is needed.
Source: Mental Health and Prevention - Category: Psychiatry Source Type: research
The men file in, a few wearing pressed button-down shirts, others jeans caked in mud from work on a construction site. They meet in the living room of an old taupe bungalow on a leafy street in a small Southern city. Someone has shoved a workout bike into the corner to make room for a circle of overstuffed chairs dug up at the local Goodwill. The men jockey for a coveted recliner and settle in. They are complaining about co-workers and debating the relative merits of various trucks when a faint beeping interrupts the conversation. One man picks up a throw pillow and tries to muffle the sound of the battery running low on h...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized nation sex offender therapy Source Type: news
As a relatively new and still poorly recognized concept, few people come to therapy identifying as suffering from Complex Post Traumatic Stress Disorder (C-PTSD). As a rule, a diagnosis of C-PTSD comes only after the process of self-discovery in therapy has begun. When people suffering from C-PTSD are referred to a therapist, or decide to seek help for themselves, it is usually because they are seeking help for one of its symptoms, including dissociative episodes, problems forming relationships, and alcohol or substance abuse. One of the more common issues that leads to the discovery of C-PTSD is the presence of an eating ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Binge Eating Bulimia Eating Disorders Loneliness Psychology PTSD Trauma Treatment affect regulation Bingeing Body Image C-PTSD Child Abuse child neglect Childhood Trauma complex posttraumatic stress di Source Type: news
As I have discussed in other articles, Complex Post Traumatic Stress Disorder (C-PTSD) is a unique condition that is the result of suffering a series of traumatic incidents over a long period of time at the hands of someone the victim has a dependent relationship with, usually a parent or other primary caregiver. C-PTSD shares many features of the better known PTSD (Post Traumatic Stress Disorder) which is the result of a small number of impersonal traumas, such as car accidents. However, it also has many unique features, which give it a dual nature, in some ways more similar to some personality disorders, or other disorde...
Source: Psych Central - Category: Psychiatry Authors: Tags: Abuse Anxiety Depression Dissociation Personality Psychology Psychotherapy PTSD Relationships & Love C-PTSD complex post-traumatic stress disorder complex trauma Dating Intimacy Marriage Traumatic Experience Source Type: news
AbstractDialectical behavior therapy has accrued substantial evidence as a treatment for individuals with borderline personality disorder. However, there are only two randomized clinical trials with individuals with comorbid substance use disorders. This case study presents Michael, a male client who sought treatment for his alcohol use, difficulties at work, and struggles with making and maintaining relationships. Michael engaged in dialectical behavior therapy that simultaneously addressed his substance use with comorbid borderline personality disorder. With this approach, the client exhibited reductions in substance use...
Source: International Journal of Mental Health and Addiction - Category: Addiction Source Type: research
CONCLUSION: Examining and understanding the substance use and clinical profile of patients with AUDs are crucial for planning intensity, settings and focus of treatment for women with AUDs. PMID: 28784400 [PubMed - in process]
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
Abstract The Marijuana Motives Measure (MMM), which is derived from a scale measuring alcohol use motives, has been the main instrument used to explore the role of motives in cannabis use and related problems. Two studies attempted to developed specific cannabis use motives but none of them showed a unique association to cannabis use and problems when controlling for MMM motives. The aim of our study was to examine if additional motives contributed to problematic use beyond MMM motives and psychopathological symptoms. Participants were 249 high-school students who completed the Cannabis Use Disorder Identification...
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research
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