@misc{10481/57405,
year = {2019},
month = {6},
url = {http://hdl.handle.net/10481/57405},
abstract = {Previous research has suggested the prevalence of certain personality traits, some of
which are related to a disorganized attachment, in substance abuse disorders. Further,
frustration tolerance (FT) has been proposed as an important factor in addiction, both
at the inception—following the “self-medication” hypothesis—and regarding treatment
compliance. In turn, an inadequate response to frustrating events has been also
associated with a disrupted attachment. Our goal is to explore the mediational role of FT
in the relationship between personality traits and two different treatments for substance
addiction: therapeutic community (TC) and ambulatory treatment (AT). Eighty-four subjects
with substance abuse disorder were recruited in total (22 female), including 46 volunteers
(13 female) in TC and 38 (9 female) in AT. They were assessed with Rosenzweig’s test
for FT and the Millon Clinical Multiaxial Inventory-III (MCMI-III) test to evaluate personality
factors. By comparing with a control sample (335 volunteers, 268 female), we found that
FT was lower in patients. Between therapeutic groups, FT was significantly lower in TC.
Depressive, antisocial, sadistic, negativistic, schizotypal, borderline, paranoid, anxiety,
dysthymia, alcohol use, drug use, posttraumatic stress disorder (PTSD), thought disorder,
and delusional disorder traits were suggestive of pathology in the clinical samples and
were significantly different between control, AT, and TC groups. Further, anxiety and PTSD
traits were higher in TC than in AT. A mediational analysis revealed that the effect of anxiety
and PTSD scales on therapeutic group was partially mediated by FT. In conclusion, FT
and its interplay with personality traits commonly related to disorganized attachment
(anxiety and PTSD) might be important factors to consider within therapeutic programs
for persons with substance addiction.},
organization = {We also acknowledge the
collaboration of the users and personnel of Fundación Proyecto
Hombre Navarra and Asociación Proyecto Hombre Granada
for making possible this research. This project was funded by
Fundación Caja de Ahorros de Navarra (grant number 70721)
and the Spanish Ministerio de Sanidad, Servicios Sociales e
Igualdad (2016/057).},
publisher = {Frontiers Media},
keywords = {substance addiction},
keywords = {frustration tolerance},
keywords = {ambulatory treatment},
keywords = {Professional therapeutic community},
keywords = {MCMI-III},
title = {Frustration Tolerance and Personality Traits in Patients With Substance Use Disorders},
doi = {10.3389/fpsyt.2019.00421},
author = {Ramírez Castillo, David and García Roda, Carlos and Guell, Francisco and Fernández Montalvo, Javier and Bernacer, Javier and Morón Henche, Ignacio},
}