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The role of Effortful Control in Substance Use Disorders

Published online by Cambridge University Press:  01 September 2022

E. Santens ,
G. Dom ,
E. Dierckx  and
L. Claes
E. Santens*
Affiliation:
Alexian Psychiatric Hospital, Addiction, Tienen, Belgium
G. Dom
Affiliation:
University of Antwerp, Faculty Of Medicine And Health Sciences, Antwerp, Belgium
E. Dierckx
Affiliation:
Vrije Universiteit Brussel (& Alexianen Zorggroep Tienen, psychiatric hospital), Department Of Psychology, Brussel, Belgium
L. Claes
Affiliation:
University of Antwerp, Faculty Of Medicine And Health Sciences, Antwerp, Belgium KU Leuven, Faculty Of Psychology And Educational Sciences, Tienen, Belgium
*
*Corresponding author.

Abstract

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Background and aim: Temperament and personality traits are important factors underlying the vulnerability for both initiation and continuation of addictive behaviors. In SUDs there is a high comorbidity with mood and anxiety disorders and personality disorders. As there is a growing interest in the possible transdiagnostic role of Effortful Control in both SUDs as in their comorbid disorders the current study therefore investigates the influence of reactive (Behavioral Inhibition System and Behavioral Activation System, BIS/BAS) and regulative (Effortful Control, EC) temperament and their interaction in relation to clinical symptomatology and PDs in adult inpatients with SUD. Methods: The EC, BIS/BAS, SCL-90-R and ADP-IV questionnaires were administered to 841 patients (age between 17 y and 71 y) with a SUD admitted at the treatment unit for addiction of a psychiatric hospital. Results: Hierarchical regression analyses showed that both, clinical symptomatology and PDs were related to low levels of effortful control (EC). Furthermore, cluster C PDs were related to high levels of BIS and low levels of EC; whereas cluster B PDs were related to low levels of EC and high levels of BAS for the narcissistic and histrionic PD. An interaction effect (BIS*EC) was found for the Schizotypal PD, all other interactions (BIS*EC and BAS*EC) were not significant. Discussion: We found that low EC is involved in all clinical symptomatology and PDs in a sample of inpatients with SUDs. Therapeutic interventions aiming at strengthening effortful control can possibly result in better treatment outcomes for both the addiction as the comorbid psychopathology

Disclosure

No significant relationships.

Keywords

substance use disordersEffortful Controlclinical symptomsPersonality disorders
Type
Effortful Control/Cognitive Control: A Transdiagnostic Factor in Psychopathology
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S51
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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