Personality traits and coping compensate for disadvantageous decision-making in long-term alcohol abstinence

Bálint Andó, Anita Must, Eszter Kurgyis, Andrea Szkaliczki, Gergely Drótos, S. Rózsa, Petronella Szikszay, Szatmár Horváth, Z. Janka, Péter Z. álmos

Research output: Article

17 Citations (Scopus)

Abstract

Aims: High relapse rate and extreme difficulty to maintain abstinence are core characteristics of alcohol dependence (AD). Previous studies have demonstrated a persistent decision-making (DM) deficit in AD. We aimed to reveal specific personality features and stress-coping mechanisms presumed to compensate for ineffective DM skills. Methods: Eighty-eight unmedicated patients with AD were enrolled. Intact general cognitive status was assured by IQ above 90. Forty-three patients had an average abstinence period of 12 weeks and were currently in an inpatient treatment program (short-term abstinence group, STA) and 45 patients were abstinent for at least 3 years (long-term abstinence group, LTA). The two groups were assessed using an integrative approach combining domains of DM, temperament and character dimensions and stress-coping measures. Results: Both groups performed at chance level with no linear improvement tendency on the gambling task assessing DM adequacy. The LTA group scored significantly higher on scales of self-directedness and cooperativeness. In contrast, levels of harm avoidance, emotion-oriented coping and perceived stress were significantly higher in the STA group. Conclusion: Our findings provide new evidence for a persistent DM deficit with no learning effect in AD. Despite the deficit, alcohol-dependent patients can achieve LTA. STA patients perceive higher levels of stress and use non-adaptive coping strategies. We propose that the more adaptive personality profile of LTA patients contributes to the compensation of the trait-like DM deficit in alcoholism. These compensatory features represent promising new targets for preventive measures and therapeutic interventions in AD.

Original languageEnglish
Article numberagr144
Pages (from-to)18-24
Number of pages7
JournalAlcohol and Alcoholism
Volume47
Issue number1
DOIs
Publication statusPublished - jan. 2012

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Alcohol Abstinence
Alcoholism
Personality
Decision Making
Decision making
Alcohols
Gambling
Temperament
Inpatients
Emotions
Learning
Recurrence
Therapeutics

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Toxicology

Cite this

Personality traits and coping compensate for disadvantageous decision-making in long-term alcohol abstinence. / Andó, Bálint; Must, Anita; Kurgyis, Eszter; Szkaliczki, Andrea; Drótos, Gergely; Rózsa, S.; Szikszay, Petronella; Horváth, Szatmár; Janka, Z.; álmos, Péter Z.

In: Alcohol and Alcoholism, Vol. 47, No. 1, agr144, 01.2012, p. 18-24.

Research output: Article

Andó, B, Must, A, Kurgyis, E, Szkaliczki, A, Drótos, G, Rózsa, S, Szikszay, P, Horváth, S, Janka, Z & álmos, PZ 2012, 'Personality traits and coping compensate for disadvantageous decision-making in long-term alcohol abstinence', Alcohol and Alcoholism, vol. 47, no. 1, agr144, pp. 18-24. https://doi.org/10.1093/alcalc/agr144
Andó, Bálint ; Must, Anita ; Kurgyis, Eszter ; Szkaliczki, Andrea ; Drótos, Gergely ; Rózsa, S. ; Szikszay, Petronella ; Horváth, Szatmár ; Janka, Z. ; álmos, Péter Z. / Personality traits and coping compensate for disadvantageous decision-making in long-term alcohol abstinence. In: Alcohol and Alcoholism. 2012 ; Vol. 47, No. 1. pp. 18-24.
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