Typology of patients with behavioral addictions or eating disorders during a one-year period of care: Exploring similarities of trajectory using growth mixture modeling coupled with latent class analysis.

Tipologi pasien dengan adiksi perilaku atau gangguan makan selama periode perawatan satu tahun: Mengeksplorasi kesamaan trajektori menggunakan *growth mixture modeling* yang dipadukan dengan analisis kelas laten.

แบบลักษณ์ของผู้ป่วยที่มีภาวะเสพติดพฤติกรรมหรือโรคพฤติกรรมการกินผิดปกติตลอดระยะเวลาการดูแลรักษาหนึ่งปี: การสำรวจความคล้ายคลึงของแนววิถีโดยใช้การสร้างแบบจำลองการเติบโตแบบผสมควบคู่กับการวิเคราะห์กลุ่มแฝง

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2018
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Abstract
Addictions are not restricted to substance-use disorders, and it is now widely recognized that they also include behavioral addictions. Certain individuals with eating disorders also experiment their disorder as an addiction. The objective was to identify typologies of patients presenting with various behavioral addictions or eating disorders according to their evolution within the framework of care, and to specify the factors associated with the differential clinical trajectories.We included 302 patients presenting with problem gambling, sexual addiction, compulsive buying, excessive videogame use or eating disorders. The patients completed a multiaxial assessment through a face-to-face structured interview and self-administered questionnaires, including sociodemographic and addiction-related characteristics, psychiatric and addictive comorbidities and several psychological characteristics. The assessment was performed at inclusion and then repeated after 6 and 12 months. The statistical analysis included a combination of growth mixture models and latent class analysis.We identified five classes of patients with different profiles related to their trajectories during a one-year period of specialized care: "complex patients", "patients with impulsive psychological functioning", "patients with cooperative psychological functioning", "patients with immature psychological functioning," and "patients with resilient psychological functioning".The typology obtained brings interesting findings to propose patient-centered care strategies adapted to these disorders. Because the typology was independent from the type of disorder, it supports the general concept of behavioral addictions, and the similarities between eating disorders and behavioral addictions. The relevance of this model should be further examined in future studies.
Adiksi tidak terbatas pada gangguan penggunaan zat, dan kini telah diakui secara luas bahwa adiksi juga mencakup adiksi perilaku. Individu tertentu dengan gangguan makan juga mengalami gangguan mereka layaknya suatu adiksi. Penelitian ini bertujuan untuk mengidentifikasi tipologi pasien dengan berbagai adiksi perilaku atau gangguan makan berdasarkan perkembangannya dalam kerangka perawatan, serta menentukan faktor-faktor yang berkaitan dengan perbedaan trajektori klinis tersebut. Kami menyertakan 302 pasien yang mengalami judi bermasalah, adiksi seksual, belanja kompulsif, penggunaan gim video berlebih, atau gangguan makan. Para pasien menyelesaikan asesmen multiaksial melalui wawancara terstruktur tatap muka dan kuesioner yang diisi secara mandiri, mencakup karakteristik sosiodemografi dan terkait adiksi, komorbiditas psikiatrik dan adiktif, serta beberapa karakteristik psikologis. Asesmen dilakukan saat inklusi dan kemudian diulang setelah 6 dan 12 bulan. Analisis statistik mencakup kombinasi *growth mixture models* dan *latent class analysis*. Kami mengidentifikasi lima kelas pasien dengan profil berbeda yang berkaitan dengan trajektori mereka selama periode satu tahun perawatan spesialis: "pasien kompleks", "pasien dengan keberfungsian psikologis impulsif", "pasien dengan keberfungsian psikologis kooperatif", "pasien dengan keberfungsian psikologis imatur", dan "pasien dengan keberfungsian psikologis resilien". Tipologi yang diperoleh memberikan temuan menarik untuk mengusulkan strategi perawatan yang berpusat pada pasien yang disesuaikan dengan gangguan-gangguan tersebut. Mengingat tipologi ini tidak bergantung pada jenis gangguan, hasil ini mendukung konsep umum adiksi perilaku, serta kesamaan antara gangguan makan dan adiksi perilaku. Relevansi model ini perlu diteliti lebih lanjut dalam studi-studi mendatang.
Reference Key
montourcy2018typologyplos Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Montourcy, Marion;Hardouin, Jean-Benoit;Caillon, Julie;Leboucher, Juliette;Rousselet, Morgane;Grall-Bronnec, Marie;Challet-Bouju, Gaëlle;
Journal PloS one
Year 2018
DOI
10.1371/journal.pone.0207398
URL
Keywords
disinhibition impulsivity addictions compulsivity dimensional phenotypes

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