Risk factors for addictive disorders: a discriminant analysis on 374 addicted and 513 nonpsychiatric participants

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.     

Anhedonia and suicide: a 6.5-yr. follow-up study of patients hospitalised for a suicide attempt

This was a prospective follow-up study of suicidal patients to assess the association of anhedonia, depression, and completed suicides. Survival analysis as well as Cox's regression makes it possible to weigh the influence of variables. A cohort of 106 patients (81 women, 25 men, M age=33 yr., SD=9.9) admitted to medical or surgical departments after a suicide attempt was followed during a 6.5-yr. mean observation period. In total, 6.7% of patients completed suicide. High proportion of male subjects (71.4%) and low anhedonia, assessed on the Physical Anhedonia Scale, decreased survival time of the cohort and characterized subjects who deceased by suicide. These results suggested that the people who completed suicide were characterized by low anhedonia. Further research is needed on people who attempt suicide and present with specific psychiatric diagnoses.     

Psychoaffective immaturity in psychiatric disorders

This study investigated the prevalence of psychoaffective immaturity and tested the hypothesis that it associated with bad prognosis. For 135 psychiatric patients meeting criteria for personality, neurotic, affective, substance use, or psychotic disorders emotional immaturity was rated using the 1985 diagnostic criteria of Doutheau, Dubertret, Moutin, and Barrois. 58 subjects (42.96%, 95% Confidence Interval: 34.61-51.31) were classified as immature. Scores of the Nonimmature and Immature groups were compared for the Beck Depression Inventory and the Professional and Social Functioning Assessment Scale. Scores were, respectively, significantly higher and lower in those patients classified as Immature than those who were classified Nonimmature. When depression was controlled by a covariance analysis, the mean difference on the Professional and Social Functioning Assessment Scale remained significant. It appears that psychoaffective immaturity is a factor associated with severity of psychiatric disorders.     

Anhedonia, asthenia, and depression

In a sample of 264 university students, anhedonia scores were not associated with scores for severity of fatigue.     

Criterion validity of Bermond-Vorst Alexithymia Questionnaire-20 Form B: a study of 63 alcoholic subjects

The aim of the study was to set alexithymia cutoff scores on the 20-item Bermond-Vorst Alexithymia Questionnaire-20 Form B. Alexithymia is a clinical construct describing individuals who have difficulty identifying and reporting their specific emotions. 63 subjects meeting the DSM-IV criteria for alcohol dependence completed the questionnaire and the 20-item Toronto Alexithymia Scale. Using cutoff scores for the latter, subjects were divided into alexithymic and nonalexithymic subgroups. Taking into account the sensitivity, specificity, and predictive positive value, several potential Bermond-Vorst questionnaire scores were tested. Using the Younden formula (Sensitivity+ Specificity-1), score of 52 was the most appropriate cutoff score for the Bermond-Vorst-20 to indicate the presence of alexithymia in these male alcoholics.     

Test-retest reliability of the Frankfurt Complaint Questionnaire

Long-term reliability of the Frankfurt Complaint Questionnaire (FCQ) was investigated in two follow-up studies of participants with psychosis using a test-retest method. In the first study (N = 56), the duration of the follow-up ranged from 6 months to 2 years; Spearman rho was .62 for the abridged (18 items) Spanish version of the questionnaire. In Study 2 (N = 21), in participants with stable schizophrenia, the follow-up ranged from 8 to 11 years; test-retest Spearman rho was .83 for the French version of the questionnaire. Subjective experiences could constitute, in psychosis-prone people, traits or markers of psychotic vulnerability.