BACKGROUND: With the development of multidisciplinary addictology teams, the ability of an addictologist to reliably assess personality psychopathology can be considered an important prerequisite that significantly enters the process of treatment planning. AIMS: Verification of the reliability and validity of the assessment of personality psychopathology in master's students of Addictology (addiction science) based on the Structured Interview of Personality Organization (STIPO) scoring course. METHODS: 31 Master's students of Addictology independently evaluated 7 STIPO protocols based on recordings. The presented patients were unknown to the students. The resulting scores of students were compared with 1. expert scores of a clinical psychologist with extensive experience with the STIPO; 2. scores of 4 psychologists without previous experience with the STIPO who have attended the course; 3. information on previous clinical experience and education of the students. The comparison of scores was performed using a coefficient of intraclass correlation, a social relation model analysis and linear mixed-effect models. RESULTS: Students demonstrated a high degree of inter-rater reliability with a significant degree of agreement in patient assessments, as well as a high to satisfactory degree of validity in the STIPO assessments. An increase in validity after the individual phases of the course was not proven. Their evaluations were generally independent of previous education, as well as diagnostic and therapeutic experience. CONCLUSIONS: The STIPO seems to be a useful tool to facilitate the communication of personality psychopathology between independent experts within multidisciplinary addictology teams. Training in the STIPO can be a useful addition to the study curriculum.
- MeSH
- lidé MeSH
- osobnost * MeSH
- poruchy osobnosti * diagnóza MeSH
- reprodukovatelnost výsledků MeSH
- studenti MeSH
- stupeň vzdělání MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Cílem pilotní studie byla implementace nekuřáckého provozu na mužském lůžkovém oddělení Kliniky adiktologie, kde byla pacientům měřena míra abstinenčních příznaků ve čtvrtém a sedmém týdnu léčby. Z kvalitativního hlediska bylo cílem práce zjistit připravenost oddělení, resp. Kliniky adiktologie, na nekuřácký režim, a také vyvodit implikace pro klinickou praxi. Abstinenční příznaky se vyskytovaly v nízké míře, jednalo se hlavně o touhu kouřit a zvýšenou chuť k jídlu. Z kvalitativního hlediska hodnotíme jako nejdůležitější prognostický faktor úspěšnosti prosazení nekuřáckého provozu jednotnost postojů personálu celého pracoviště a vytvoření algoritmu terapeutických intervencí při porušení abstinence. Z hlediska klinických implikací pacienti mohou profitovat z náhledu o prospěšnosti nekuřáckého provozu pro jejich budoucí abstinenci od primární návykové látky.
Nicotine and tobacco withdrawal in the process of substance use disorder (SUD) treatment is considered to have beneficial effects for the patient ́s abstinence from substance use. The purpose of this study was to implement smoke-free men inpatients unit at the Department of Addictology where the changes in symptoms of smoking withdrawal were measured in fourth and seventh week of SUD treatment. From qualitative point of view, the goal was to determine the readiness of the unit, and the whole department for the smoke-free regime along with drawing implication for clinical practice. Withdrawal symptoms were present in low rate, the most present were urge to smoke and increased appetite. From qualitative point of view, the crucial prognostic factor of successful implementation is considered the consistence of the staff of the whole department and creation of an algorithm of therapeutic interventions when the abstinence is violated. When it comes to clinical implications, patients can benefit from the insight of how smoke-free regime can be beneficial for their future abstinence from the primary substance.
- MeSH
- abstinenční syndrom prevence a kontrola MeSH
- adiktologie MeSH
- dospělí MeSH
- kouření terapie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nekuřácká politika MeSH
- pilotní projekty MeSH
- poruchy vyvolané užíváním tabáku * terapie MeSH
- ústavní terapie * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
BACKGROUND: There is a presumption that pathological narcissism, or narcissistic personality disorder per se, can be considered a precursor to addiction. Although the ICD-11 model does not distinguish specific personality disorders, narcissistic psychopathology should be captured through personality trait qualifiers. OBJECTIVES: To verify the capacity of the ICD-11 model in the detection of narcissistic psychopathology in patients with addiction; to test its discrimination capacity, convergent validity, and specificity toward the gender and the type of addiction. MATERIALS AND METHODS: Two samples were employed in the study. Sample 1 (n = 421) consisted of patients with addiction; Sample 2 (n = 567) consisted of general population volunteers. Age range was 18-75 years and a battery of self-assessment questionnaires containing Personality Inventory for DSM-5-Brief Form Plus Modified; Triarchic Psychopathy Measure; Hypersensitive Narcissism Scale; and Level of Personality Functioning Scale-Self-Report was administered by pencil-and-paper method. RESULTS: The following was confirmed: (1) capacity of the ICD-11 model in relation to capture narcissistic pathology; (2) the differentiation capacity between the clinical and non-clinical population; (3) gender specificity in relation to grandiose and vulnerable narcissism; (4) the connection between the overall degree of impairment in personality functioning and most of trait qualifiers; (5) certain specifics of patients with addiction in relation to the type of addiction. CONCLUSION: Results support the empirical and clinical relevance of the ICD-11 model in capturing narcissistic pathology in addicted patients. Clinical implications concerning assessment and treatment in addiction settings, and certain limits regarding the Anankastia domain are discussed.
- Publikační typ
- časopisecké články MeSH
Background: Empirical soundness and international robustness of the PID5BF+M, a shortened version of the PID-5 developed for simultaneous evaluation of maladaptive personality traits in the DSM-5 AMPD and ICD-11 models for personality disorders, was recently confirmed in 16 samples from different countries. Because the modified PID5BF+ scale (36 items) was extracted from the complete 220-item PID-5, an independent evaluation of psychometric properties of a stand-alone PID5BF+M is still missing. Objectives: The present study evaluated the validity and reliability of the 36-item PID5BF+M in comparison with the extracted version from the original PID-5. It also assessed associations between the Borderline Pattern qualifier and trait domain qualifiers. Methods: Two non-clinical samples meeting the inclusion criteria were employed in the study. Sample 1 (n = 614) completed the 220-item PID-5; Sample 2 (n = 1,040) completed the independent 36-item PID5BF+M. Participants were from all 14 regions of the Czech Republic. The Borderline Pattern qualifier was evaluated using a shortened IPDEQ screener. Results: The proposed latent structure of the independent PID5BF+M was confirmed, with an exception of the Disinhibition domain. The results confirmed good internal consistency and test-retest reliability of the measure, as well as some support for the measurement invariance of the independent PID5BF+M in comparison with the extracted version from the original PID-5. Significant associations between the Negative affectivity, Disinhibition, and Psychoticism qualifiers and the IPDEQ items for the emotionally unstable personality disorder of both impulsive and borderline types confirmed good predictive validity of the PID5BF+M in pursuing borderline psychopathology within the ICD-11 model. Conclusions: The independent PID5BF+M was found to be a valid and reliable tool for evaluation of the ICD-11 trait model. However, the Disinhibition domain deserves further investigation in clinical samples as well as in international community samples.
- Publikační typ
- časopisecké články MeSH
