Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Comparison of abnormal personality dimensions and emotional schemas in patients under methadone maintenance treatment and ordinary people

Document Type : Research Paper

Authors
Ali Mahmoodian 1
Parvin Rafieinia 2
1 PhD student in psychology, Department of Clinical Psychology, Semnan University, Semnan, Iran
2 Assistant Professor, Department of Clinical Psychology, Semnan University, Semnan, Iran
10.22038/mjms.2022.60072.3520
Abstract
Introduction: The aim of the present study was to compare the abnormal personality dimensions according to the DSM-5 and the emotional schemas in patients under methadone maintenance treatment and ordinary people.
Material and Methods: the plan of the present study was descriptive and causal-comparative. 35 patients under methadone maintenance treatment were selected by available sampling method from 3 addiction treatment centers and 35 ordinary people were matched with patients under methadone maintenance treatment with age, gender, marital status and level of education.
Results: The results showed a significant difference in the Comprehensibility and Higher values components of the emotional schemas scale, as well as Antagonism and Disinhibition components of the pathological personality dimensions scale between patients under methadone maintenance treatment and ordinary people.
Conclusion: Therefore, it can be said that the mentioned maladaptive emotional schemas and pathological personality dimensions can be considered in the field of prevention of substance use and intervention on patients under methadone maintenance treatment.
Keywords
abnormal personality dimensions
emotional schemas
addiction
under treatment
methadone
  1. Halgin RP, Krauss-Whitbourne S. Abnormal psychology: Clinical Perspectives on Psychological Disorders. 2010; New
    York: McGraw-Hill.
    2. Truong A, Moukaddam N, Toledo A, Onigu-Otite, E. Addictive Disorders in Adolescents. Psychiatric Clinics of North
    America. 2017; 40(3): 475-486.
    3. Bazmi N. Psychology of substance dependence (etiology, diagnosis and treatment). Tehran: arjmandpub; 2020.
    [Persian]
    4. Peleteiro B, Castro C, Morais S, Ferro A, Lunet N. Worldwide burden of gastric cancer attributable to tobacco smoking
    in 2012 and predictions for 2020. Digestive Diseases and Sciences. 2015; 60(9): 2470-2476.
    5. Deleuze J, et al. Prevalence & characteristics of addictive behaviors in a community sample: A latent class analysis.
    Addictive Behaviors Reports. 2015; 1: 49-56.
    6. Bing-Fei JT, Yee A, Bin-Habil MH, Danaee M. Effectiveness of Methadone Maintenance Therapy and Improvement
    in Quality of Life Following a Decade of Implementation. Journal of Substance Abuse Treatment. 2016; 69: 50-56.
    7. Fullerton CA, Kim M, Thomas CP, Lyman DR, Montejano LB, Dougherty RH, Delphin- Rittmon ME. Medicationassisted treatment with methadone: assessing the evidence. Psychiatric Services. 2014; 65: 146–157.
    8. Murray H, McHugh RK, Behar E, Pratt E, Otto M. Personality Factors Associated with Methadone Maintenance Dose.
    The American Journal of Drug and Alcohol Abuse. 2008; 34(5): 634-641.
    9. Ward J, Bell J, Mattick RP, Hall, W. Methadone Maintenance Therapy for Opioid Dependence A Guide to Appropriate
    Use. CNS Drugs. 1996; 6(6): 440-449.
    10. Bowen S, et al. Mindfulness-Based Relapse Prevention for Substance Use Disorders: A Pilot Efficacy Trial. Substance
    Abuse. 2009; 30(4): 295-305.
    11. Bradizza CM, Stasiewicz PR, Paas ND. Relapse to alcohol and drug use among individuals diagnosed with cooccurring mental health and substance use disorders: A review. Clinical Psychology Review. 2006; 26(2): 162-178.
    12. Xie H, McHugo GJ, Fox MB. Drake RE. Substance Abuse Relapse in a Ten-Year Prospective Follow-up of Clients
    with Mental and Substance Use Disorders. Psychiatric Services. 2005; 56(10): 1282-1287.
    13. Ramo DE, Anderson KG, Tate SR. Brown SA. Characteristics of relapse to substance use in comorbid adolescents.
    Addictive Behaviors. 2005; 30(9): 1811-1823.
    14. Cobos JP, Sinol N, Banulus E, Batlle F, Tejero A, Trujols J. Personality traits of cocaine-dependent patients associated
    with cocaine-positive baseline urine at hospitalization. Am J Drug Alcohol Abuse2010; 36(1): 52-56.
    15. Oraki M, Mokri A, Kiaei Ziabari SM. Relationship between Craving for Methamphetamine and Personality
    Characteristics among Patients in Methadone Maintenance Treatment Program. IJPCP. 2014; 19(3) :177-186.
    16. Andersson HW, Wenaas M, Nordfjarn T. Relapse after inpatient substance use treatment: A prospective cohort study
    among users of illicit substances. Addictive Behaviors. 2019; 90: 222-228.
    17. Góngora VC, Solano AC. Pathological Personality Traits (DSM-5), Risk Factors, and Mental Health. Sage Open.
    2017; 7(3): 1-10.
    18. Krueger RF, Markon KE. The Role of the DSM-5 Personality Trait Model in Moving Toward a Quantitative and
    Empirically Based Approach to Classifying Personality and Psychopathology. Annual Review of Clinical Psychology.
    2014; 10: 477-501.
    19. Ackerman AA, Corretti CA. Pathological personality traits and intimacy processes within roommate relationships.
    European Journal of Personality. 2015; 10(29): 152–172.
    20. Zeigler-Hill V, Hobbs KA. The Darker Aspects of Motivation: Pathological Personality Traits and the Fundamental
    Social Motives. Journal of Social and Clinical Psychology. 2017; 36(2): 87–107.
    21. Thomas KM, et al. The Convergent Structure of DSM-5 Personality Trait Facets and Five-Factor Model Trait
    Domains. Sage Open. 2012; 20(3): 308–311.
    22. Wright AGC, Pincus AL, Hopwood CJ, Thomas KM, Markon KE, Krueger RF. An Interpersonal Analysis of
    Pathological Personality Traits in DSM-5. Assessment. 2012; 19(3): 263–275.
    23. Hong R.Y, Tan YL. DSM-5 personality traits and cognitive risks for depression, anxiety, and obsessive-compulsive
    symptoms. Personality and Individual Differences. 2021; 169(1).
    24. Creswell KG, Bachrach RL, Wright AG, Pinto A, Ansell E. Predicting problematic alcohol use with the DSM-5
    alternative model of personality pathology. Personality Disorders: Theory, Research, and Treatment. 2016; 7(1): 103-
    111.
    25. VanDerBleek E, Clark LA. Associations Between Pathological Personality Traits and Different Types of Legal
    Offenses. University of Notre Dame; 2015.
    26. Gunnarsson M. Psychological factors associated with substance use in adolescents. [Dissertation]. Department of
    Psychology, the University of Gothenburg, Sweden; 2012.
    27. McMahon RC. Personality, stress, and social support in cocaine relapse prediction. Journal of Substance Abuse
    Treatment. 2001; 21(2): 77-87.
    28. Swendsen JD, Conway KP, Rounsaville BJ, Merikangas KR. Are Personality Traits Familial Risk Factors for
    Substance Use Disorders? Results of a Controlled Family Study. Am J Psychiatry. 2002; 159(10): 1760-1766.
    29. Sharma AK, et al. A study of factors affecting relapse in substance abuse. indian journal of life science. 2012; 2(1):
    31-35.
    30. Pour Rajabali Moafi M, Abdi R, Chelbianlou G. The Role of Abnormal Personality Dimensions in Prediction of
    Tendency to Substance Use in Tehran University Students in 2016: the Mediating Role Of Impulsivity. etiadpajohi.
    2018; 12 (46) :235-254.
    31. Jebraeili H, Moradi A, Habibi M. Examining the Mediating Role of Emotional Dysregulation in the Relationship
    between Impulsivity Personality Trait and Consumption & Multiple Consumption of Drugs, Alcohol, and Tobacco.
    etiadpajohi. 2017; 11(41) :173-190.
    32. Seyed Hashemi SGH, Merghati Khoei E, Hosseinnezhad SH, Mousavi M, Dadashzadeh SH, Mostafaloo T,
    Mahmoudi SH, Yousefi H. Personality traits and substance use disorders: Comparative study with drug user and nondrug user population. Personality and Individual Differences. 2019; 148: 50-56.
    33. Pollock NC, McCabe GA, Southard AC, Zeigler-Hill V. Pathological personality traits and emotion regulation
    difficulties. Personality and Individual Differences. 2016; 95:168-177.
    34. Leahy RL. Introduction: Emotional Schemas and Emotional Schema Therapy. International Journal of Cognitive
    Therapy. 2019; 12: 1-4.
    35. Leahy RL. Emotional Schemas and Self-Help Homework Compliance. Cognitive and Behavioral Practice.
    2007; 14(3): 297-302.
    36. Leahy RL. A model of emotional schemas. Cognitive and behavioral practice. 2002; 9(3): 177-190.
    37. Leahy RL, Tirch DD, Melwani PS. Emotional Schemas, Psychological Flexibility, and Anxiety: The Role of Flexible
    Response Patterns to Anxious Arousal. International Journal of Cognitive Therapy. 2012; 5(4): 380–391.
    38. Leahy RL, Tirch DD, Melwani PS. Processes Underlying Depression: Risk Aversion, Emotional Schemas, and
    Psychological Flexibility. International Journal of Cognitive Therapy. 2012; 5(4): 362–379.
    39. Leahy RL. Emotional schema therapy. New York: Guilford; 2015.
    40. Leahy RL. Emotional schemas and resistance to change in anxiety disorders. Cognitive and Behavioral practice. 2007;
    14(1): 36-45.
    41. Herbert JD, Forman EM. Acceptance and Mindfulness in Cognitive Behavior Therapy: Understanding and Applying
    the New Therapies. John Wiley & Sons; 2011.
    42. Sirota NA, Moskovchenko DV, Yaltonsky VM. Yaltonskaya AV. The Role of Emotional Schemas in Anxiety and
    Depression among Russian Medical Students. Psychology in Russia2018; 11(4); 130-143.
    43. SaberiZafarghandi MB, Khanipour H. Prediction the severity of addiction based on the role of the demographic
    factors, history of childhood abuse, temperament dimension and emotional schemas. Koomesh. 2019; 2 (1):109-115.
  2. 44. Ghaednia Jahromi A, Hasani J, Farmani Shahreza S, Zarei F. The Assessment of Cognitive Emotion Regulation
    Strategies and Emotional Schemas in Men with Substance Abuse, Abstinent and Normal Individuals. Community
    Health. 2016; 3(4): 307-18. [Persian]
    45. Leahy RL. EMOTION REGULATION IN CBT: An emotional schema therapy approach. Psychoz; 2013.
    46. Masoomi-Nomandan S, Hasani J, Hatami M. The role of emotional schemas in substance abuse craving. Journal of
    Behavioral Sciences. 2014; 8(2): 131-136. [Persian]
    47. Khanzadeh M, Edrisi F, Muhammadkhani Sh, Saidian M. Factor Structure and Psychometric Properties of Emotional
    Schema Scale, Quarterly of Clinical Psychology Studies. 2013; 3(11): 91-119. [Persian]
    48. Krueger RF, Derringer J, Markon KE, Watson D, Skodol, AE. Initial construction of a maladaptive personality trait
    model and inventory for DSM-5. Psychol Med. 2012; 42(09): 1879-1890.
    49. Abdi R, Chalabianlou G. Adaptation and Psychometric Characteristic of Personality Inventory for DSM-5-Brief Form
    (PID-5-BF). Journal of Modern Psychological Researches. 2017; 12(45): 131-154. [Persian]
    50. Fisher LA, Elias JW, Ritz K. Predicting Relapse to Substance Abuse as a Function of Personality Dimensions.
    Alcoholism: Clinical and Experimental Research. 1998; 22(5): 1041-1047.
    51. Widiger TA. Personality and psychopathology. World Psychiatry. 2011; 10(2): 103-106.
    52. Hopwood CL, et al. Pathological personality traits among patients with absent, current, and remitted substance use
    disorders. Addictive Behaviors. 2011; 36(11): 1087-1090.
    53. Nordfærn T. Relapse patterns among patients with substance use disorders. Journal of Substance Use. 2010; 16(4):
    313-329.
    54. Hopwood CJ, et al. DSM-5 personality traits and DSM–IV personality disorders. Journal of Abnormal Psychology.
    2012; 121(2): 424–432.
    55. Harkness AR, Reynolds SM, Lilienfeld SO. A review of systems for psychology and psychiatry: Adaptive systems,
    personality psychopathology five (PSY-5), and the DSM–5. Journal of Personality Assessment. 2014; 96: 121–139.
    56. American Psychiatric Association Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC:
    American Psychiatric Publishing; 2013.
    57. Leahy RL. Introduction: Emotional Schemas, Emotion Regulation, and Psychopathology. International Journal of
    Cognitive Therapy. 2012; 5(4): 359–361.
Medical Journal of Mashhad university of Medical Sciences
Volume 65, Issue 3
May and June 2022
Pages 1139-1150