Many common risk factors have been described in addictive disorders. Little is known about factors' respective contributions to discrimination of addicted and nonaddicted participants. Two large samples were compared including 513 nonpsychiatric participants and 374 addicted participants meeting the DSM–IV criteria for eating disorders, alcohol, or substance dependence. Twenty-six risk factors were assessed by interview or self-rating scales. A discriminant analysis determined the respective weight of each risk factor. One discriminant function emerged and characterized a depressive dimension. The results suggest that the different risk factors described in addiction could be related to a depressive dimension.
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References
1.
AdesJ. (1995) Conduites de dépendance et recherche de sensations. In BaillyD.VenisseJ. L. (Eds.), Dépendance et conduites de dépendance.Paris: Masson.
2.
American Psychiatric Association. (1994) Diagnostic and statistical manual of mental disorders. (4th ed.) Washington, DC: Author.
3.
AtgerF.FrassonG.LoasG.GuibourgeS.CorcosM.Perez DiazF.SperanzaM.VenisseJ. L.LangF.StephanP.BizouardP.FlamentM.JeammetP. (2003) Validation study of the Depressive Experience Questionnaire. L'Encéphale, 29(5), 445–455.
4.
BagbyR. M.ParkerJ. D. A.TaylorG. J. (1994) The Twenty-item Toronto Alexithymia Scale–1. Item selection and cross validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32.
5.
Bailly-LambinI.BaillyD. (1999) Angoisse de séparation et troubles addictifs. In BaillyD.VenisseJ. L. (Eds.), Addictions et Psychiatric.Paris: Masson.
6.
BallI. L.FarnillD.WangemanJ. (1983) Factorial invariance across sex of the Form V of the Sensation Seeking Scale. Journal of Personality and Social Psychology, 45, 1156–1159.
7.
BeckA. T. (1983) Cognitive therapy of depression: new perspectives. In ClaytonP. J.BarrettJ. E. (Eds.), Treatment of depression: old controversies and new approaches.New York: Raven Press. Pp. 265–290.
8.
BeckA. T.BeasmerderferA. (1974) Assessment of depression: the Depression Inventory. Modern Problems in Pharmacopsychiatry, 7, 151–169.
9.
BeckA. T.SteerR. A.GarbinM. G. (1988) Psychometric properties of the Beck Depression Inventory: 25 years of evaluation. Clinical Psychology Review, 8, 77–100.
10.
BenjaminL.WulfertE. (2005) Dispositional correlates of addictive behaviors in college women: binge eating and heavy drinking. Eating Behaviors, 6, 197–209.
11.
BlattS. J. (1974) Levels of object representation in anaclitic and introjective depression. Psychoanalytic Study of the Child, 29, 107–157.
12.
BlattS. J.D'AfflittiJ. P.QuinlanD. M. (1976) Experiences of depression in normal young adult. Journal of Abnormal Psychology, 85, 383–389.
13.
BornsteinR. F. (1993) The dependent personality.New York: Guilford.
14.
BornsteinR. F. (1995) Comorbidity of dependent personality disorder and other psychological disorders: an integrative review. Journal of Personality Disorders, 4, 286–303.
15.
ButcherJ. N.DahlstromW. G.GrahamJ. R. (1996) Inventaire multiphasique de personnalité due Minnestoa–2: manuel (French ed.). Paris: Centre de psychologie appliquée.
16.
CartonS.JouventR.WidlöcherD. (1992) Cross-cultural validity of the Sensation Seeking Scale: development of a French abbreviated form. European Psychiatry, 7, 225–234.
17.
CassinS. E.Von RansonK. M. (2005) Personality and eating disorders: a decade in review. Clinical Psychology Review, 25, 895–916.
18.
ColletL.CottrauxJ. (1986) The shortened Beck Depression Inventory (13 items). Study of the concurrent validity with the Hamilton Scale and Widlöcher's Retardation Scale. L'Encéphale, 12(2), 77–79.
19.
CorcosM. (2000) Le corps absent: approche psychopathologique des troubles des conduits alimentaires.Paris: Dunod.
20.
CorcosM.GuilbaudO.SperanzaM.PaternitiS.LoasG.StephanP.JeammetP. (2000) Alexithymia and depression in eating disorders. Psychiatry Research, 93, 263–266.
21.
CullbergE. J.SteeanssonC. G. (1983) Social class and psychotherapy. Acta Psychiatrica Scandinavica, 68(5), 335–340.
22.
DuncanD. F. (1997) Uses and misuses of epidemiology in shaping and assessing drug policy. Journal of Primary Prevention, 17, 375–382.
23.
DunkleyD. M.BlanksteinK. R.MashebR. M.GriloC. M. (2006) Personal standards and evaluative concerns dimensions of “clinical” perfectionism: a reply to Shafran, et al. (2002, 2003) and Hewitt, et al. (2003). Behaviour Research and Therapy, 44, 63–84.
24.
FargesF.CorcosM.SperanzaM.LoasG.Perez-DiazF.VenisseJ. L.LangF.BizouardP.HalfonO.FlamentM.JeammetP. (2004) Alexithymie et toxicomanie: lien avec la dépression. L'Encéphale, XXX, 201–211.
25.
FranquesP.AuriacombeM.TignolJ. (2000) Personnalités du toxicomane. L'Encéphale, XXVI, 68–78.
26.
FriedmanM. A.WhismanM. A. (1998) Sociotropy, autonomy, and bulimic symptomatology. International Journal of Eating Disorders, 23, 439–442.
27.
GeistR.DavisR.HeinmaaM. (1998) Binge/purge symptoms and comorbidity in adolescents with eating disorders. Canadian Journal of Psychiatry, 43(5), 507–512.
28.
GoodmanA. (1990) Addiction definition and implications. British Journal of Addiction, 85, 1403–1408.
29.
HavilandM. G.HendryxM. S.CummingsM. A.ShawD. G.MacMurrayJ. P. (1991) Multidimensionality and state dependency of alexithymia in recently sober alcoholics. Journal of Nervous and Mental Diseases, 179(5), 284–290.
30.
HavilandM. G.MacMurrayJ. P.CummingsM. A. (1988) The relationship between alexithymia and depressive symptoms in a sample of newly abstinent alcoholic inpatients. Psychotherapy and Psychosomatics, 49(1), 37–40.
31.
HayakiJ.FriedmanM. A.WhismanM. A.DelinskyS. S.BrownellK. D. (2003) Sociotropy and bulimic symptoms in clinical and nonclinical samples. International Journal of Eating Disorders, 34, 172–176.
32.
HirschfeldR. M. A.KlermanG. L.GoughH. G.BarrettJ.KorchinS. J.ChodoffP. (1977) A measure of interpersonal dependency. Journal of Personality Assessment, 41(6), 610–618.
33.
HoldernessC. C.Brooks-GunnJ.WarrenM. P. (1994) Comorbidity of eating disorders and substance abuse: review of the literature. International Journal of Eating Disorders, 16, 1–34.
34.
JacksonT.WeissK. E.LunquistJ. J.SoderlindA. (2005) Sociotropy and perceptions of interpersonal relationships as predictors of eating disturbances among college women: two prospective studies. Journal of Genetic Psychology, 166(3), 346–359.
35.
KesslerR. C.BerglundP.DemlerO.JinR.KoretzD.MerikangasK. R.RushA. J.WaltersE. E.WangP. S. (2003) The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association, 289(23), 3095–3105.
36.
LangA. R. (1983) Addictive personality: a viable construct? In LevisonP. K.GersteinD. R., & MaloffD. R. (Eds.), Commonalities in substance abuse and habitual behavior.Lexington, MA: D.C. Health and Co. Pp. 157–235.
37.
LecrubierY.SheehanE.WeillerE.AmorinI.BonoraK.Harnett-SheehanJ.JanavsG.DunbarC. (1997) The MINI International Neuropsychiatric Interview (MINI), a short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry, 5(12), 74–89.
38.
LiraudF.VerdouxH. (2000) Which temperamental characteristics are associated with substance use in subjects with psychotic and mood disorders?Psychiatry Research, 93, 63–72.
39.
LoasG.AtgerF.PerdereauF.VerrierA.GuelfiJ. D.HalfonO.LangF.BizouardP.VenisseJ. L.Perez-DiazF.CorcosM.FlamentM.JeammetP. (2002) Comorbidity of dependent personality disorder and separation anxiety disorder in addictive disorders and in healthy subjects. Psychopathology, 35, 249–253.
40.
LoasG.CorcosM.StephanP.PelletJ.BizouardP.VenisseJ. L.Perez-DiazF.GuelfiJ. D.FlamentM.JeammetP. (2001) Factorial structure of the 20-item Toronto Alexithymia Scale: confirmatory factorial analyses in nonclinical and clinical samples. Journal of Psychosomatic Research, 50, 255–261.
41.
LoasG.FremauxD.MarchandM. P. (1995) Factorial structure and internal consistency of the French version of the Twenty-item Toronto Alexithymia Scale in a group of 183 healthy probands. L'Encéphale, 21(2), 117–122.
42.
LoasG.FremauxD.OtmaniO.LecercleC.DelahousseJ. (1997) Is alexithymia a negative factor for maintaining abstinence? A follow-up study. Comprehensive Psychiatry, 38(5), 296–299.
43.
LoasG.GuilbaudO.Perez-DiazF.VerrierA.StephanP.LangF.BizouardP.VenisseJ. L.CorcosM.FlamentM. F.JeammetF., & Reseau Inserm No. 494013 (2005) Dependency and suicidality in addictive disorders. Psychiatry Research, 137(1-2), 103–111.
44.
LoasG.OtmaniO.FremauxD.LecercleC.DuflotM.DelahousseJ. (1996) Etude de la validité externe, de la fidélité et détermination des notes seuils des échelles d'alexithymie de Toronto (TAS et TAS-20) chez un groupe de malades alcooliques. L'Encéphale, XXII, 35–40.
45.
LoasG.OtmaniO.LercercleC.JouventR. (2000) Relationships between the emotional and cognitive components of alexithymia and dependency in alcoholics. Psychiatry Research, 96, 63–74.
46.
LoasG.VerrierA.FlamentM.Perez-DiazF.CorcosM.HalfonO.LangF.BizouardP.VenisseJ. L.GuelfiJ. D.JeammetP. (2001) Factorial structure of the Sensation-Seeking Scale-Form V: confirmatory factorial analyses in nonclinical and clinical samples. Canadian Journal of Psychiatry, 46, 850–855.
47.
LoasG.VerrierA.GayantC.GuelfiJ. D. (1997) Etude de validation de la version française de l'inventaire de dépendance interpersonnelle d'Hirschfeld, et al. (IDI) dans une population de 202 étudiants. Annales Médico-Psychologiques, 155(3), 211–212.
48.
ManicavasagarV.SiloveD.CurtisJ. (1997) Separation anxiety in adulthood: a phenomenological investigation. Comprehensive Psychiatry, 38(5), 274–282.
49.
MorrisJ. N. (1995) Uses of epidemiology. British Medical Journal, 395–401.
50.
O'BrienK. M.VincentN. K. (2003) Psychiatric comorbidity in anorexia and bulimia nervosa: nature, prevalence and causal relationships. Clinical Psychology Review, 23, 57–74.
51.
PinardL.NegreteJ. C.AnnableL.AudetN. (1996) Alexithymia in substance abusers. American Journal of Addiction, 5, 32–39.
52.
RegierD. A.FarmerM. E.RaesD. S. (1990) Comorbidity of mental disorder with alcohol and other drug abuse. Journal of the American Medical Association, 264, 2511–2518.
53.
RossierV.BologniniM.PlancherelB.HalfonO. (2000) Sensation seeking: a personality traits characteristic of adolescent girls and young women with eating disorders. European Eating Disorders Review, 8, 245–252.
54.
SchuckitM. A.TippJ. E.BucholzK. K. (1997) The lifetime rates of three major mood disorders and four major anxiety disorders in alcoholics and controls. Addiction, 92 (10), 1289–1304.
55.
ShearK.JinR.RuscioA. M.WaltersE. E.KesslerR. C. (2006) Prevalence and correlates of estimated DSM-IV child and adult separation anxiety disorder in the National Comorbidity Survey Replication. American Journal of Psychiatry, 163, 1074–1083.
56.
SheehanR.LecrubierY.JanvsJ.WeillerE.KeskinerA.SchinkaJ.KnappE.DunbarG. C. (1997) The validity of the MINI International Neuropsychiatric Interview (MINI) according to the SICD–P and its reliability. European Psychiatry, 5(12), 56–70.
57.
SperanzaM.AtgerF.CorcosM.LoasG.GuilbaudO.StephanP.Perez-DiazF.HalfonO.VenisseJ. L.BizouardP.LangF.FlamentM.JeammetP. (2003) Depressive psychopathology and adverse childhood experiences in eating disorders. European Psychiatry, 18, 377–383.
58.
SperanzaM.CorcosM.LoasG.StephanP.GuilbaudO.Perez-DiazF.VenisseJ. L.BizouardP.HalfonO.FlamentM.JeammetP. (2005) Depressive personality dimensions and alexithymia in eating disorders. Psychiatry Research, 135(2), 153–163.
59.
SperanzaM.StephanP.CorcosM.LoasG.TaiebO.GuilbaudC.Perez-DiazR.VenisseJ. L.BizouardP.HalfonO.JeammetP. (2003) Etude des liens entre l'alexithymie, l'expérience dépressive et la dépendance interpersonnelle chez les sujets addictifs. Annales de Médecine Interne, 154, 1S65–1S75.
60.
SteigerH.GoldsteinC.MongrainM.Van Der FeenJ. (1990) Description of eating-disordered, psychiatric, and normal women along cognitive and psychodynamic dimensions. International Journal of Eating Disorders, 9, 129–140.
61.
SteigerH.JabalpurwalaS.ChampagneJ.StollS. (1997) A controlled study of trait narcissism in anorexia and bulimia nervosa. International Journal of Eating Disorders, 22, 173–178.
62.
TaylorG. J.BagbyR. M.ParkerJ. D. A. (1997) Disorders of affect regulation alexithymia in medical and psychiatric illness.Cambridge, UK: Cambridge Univer. Press.
63.
TeichmanM.BarneaZ.RahavG. (1989) Personality and substance abuse: a longitudinal study. Journal of Addiction, 84, 181–190.
64.
TroisiA.PasiniA.SaraccoM.SpallettaG. (1998) Psychiatric symptoms in male cannabis users not using other illicit drugs. Addiction, 93(4), 487–492.
65.
UzunÖ. (2003) Alexithymia in male alcoholics: study in a Turkish sample. Comprehensive Psychiatry, 44(4), 349–352.
66.
VaillantG. E. (1980) Natural history of male psychological health, VIII: antecedents of alcoholism and orality. American Journal of Psychiatry, 137, 181–186.
67.
VerheulR. (2001) Co-morbidity of personality disorders in individuals with substance use disorders. European Psychiatry, 16, 274–282.
68.
Von KnorringL.BohmanM.Von KnorringA. L.OrelandL. (1985) Platelet MAO activity as a biological marker in subgroups of alcoholism. Acta Psychiatrica Scandinavia, 72, 51–58.
69.
Von KnorringL.Von KnorringA. L.SmiganL.LindbergU.EdholmM. (1987) Personality traits in subtypes of alcoholics. Journal of Studies on Alcohol, 48(6), 523–527.
70.
WilsonG. T. (1993) Binge eating and addictive disorders. In FairburnC. G.WilsonG. T. (Eds.), Binge eating: nature, assessment, and treatment.New York: Guilford. Pp. 97–120.
71.
WolfeW. L.MaistoS. A. (2000) The relationship between eating disorders and substance use moving beyond co-prevalence research. Clinical Psychology Review, 20(5), 617–631.
72.
World Health Organization. (1992) The ICD–10 classification of mental and behavioural disorders.Geneva, Switz.: Author.
73.
ZuckermanM. (1979) Sensation seeking: beyond the optimal level of arousal.Hillsdale, NJ: Erlbaum.
74.
ZuroffD. C.QuinlanD. M.BlattS. J. (1990) Psychometric properties of the Depressive Experiences Questionnaire in a college population. Journal of Personality Assessment, 55, 65–72.
