Clinical Utility of Assessing Changes of Personality Functioning During Substance Misuse Treatment

Substance Abuse : Research and Treatment
Fivos E Papamalis

Abstract

Dimensional models for classifying personality have received extensive empirical support in the treatment of substance misuse. However, we do not currently understand whether and which dimensions of personality functioning are amenable to change. The aim was to examine whether there are clinically significant changes between pre- and during-treatment and assess whether these differ between those completing or dropping out of treatment. From the 200 participants from the outpatient and 340 from the inpatient treatment, a purposeful selection was utilised of 75 cases that participated in both phases and had complete datasets of the assessment battery. A quantitative multi-site individual follow-up design allowed the examination of the potential effects of treatment in personality functioning as well as the degree of clinical significant change of personality functioning. We use Jacob and Truax's formula of reliable and clinically significant change. Five independent mixed between-within subject analyses of variance were performed. All personality adaptations changed towards higher-functioning levels, except Social Concordance, which remained stable. Compared to those dropping out, completers had significantly more changes towards...Continue Reading

References

Jan 1, 1992·Journal of Substance Abuse Treatment·A T McLellanM Argeriou
Feb 1, 2000·Journal of Personality and Social Psychology·R R McCraeP B Smith
Jul 18, 2000·Journal of Personality Disorders·W J Livesley, K L Jang
Jun 23, 2009·Journal of Personality Disorders·Jennifer Ruth Lowe, Thomas A Widiger
Dec 4, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·Trudie I Rossouw, Peter Fonagy
Dec 19, 2013·Journal of Personality Disorders·Dine J FeenstraJacques van Limbeek
Jan 21, 2015·Journal of Psychiatric Practice·Bo BachRobert F Krueger
Jul 23, 2015·Journal of Personality Disorders·Christopher J HopwoodRobert F Krueger
Jan 6, 2017·Psychological Bulletin·Brent W RobertsPatrick L Hill
Apr 30, 2017·Professional Psychology, Research and Practice·Mark H WaughAidan G C Wright
Nov 30, 2019·Addiction·Fivos E PapamalisPetra S Meier

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