Les pensées ruminatives chez les patients présentant un trouble addictif

Abstract : Introduction: Ruminations are considered as a transdiagnostic factor that could explain the high co-morbidity between psychiatric and addictological pathologies. The main objective of our study is to evaluate the frequency of dysfunctional ruminative thoughts compared to functional thoughts in patients with addicted disorders, all addictions combined. The second objective is to compare the frequency of functional and dysfunctional ruminative thoughts within each addiction. The third objective is to study the correlations between the ruminative thoughts and anxiety and depression disorders in patients with addictive disorders. Material and method: This is a cross-sectional descriptive epidemiological study. 89 patients from a referral center of addictive disorders were included in our study. We used two rumination questionnaires (Ruminative Response Scale and Mini Cambridge Exeter Ruminative Thought Scale). Results: All addictions combined, there was a very significant difference between ruminations (functional or dysfunctional) for both scales. The same results are found for the alcohol, tobacco and behavioural addiction subgroups. For the opiate, hypnotic-sedative subgroups, there was a significant difference only for the Ruminative Response Scale. No significant differences were found for the cannabis and cocaine groups. Conclusion: In patients with addictive disorders, we found more dysfunctional thoughts than functional thoughts, in line with the transdiagnostic model of Nolen-Hoeksema and Watkins. On the other hand, we reported differences between each addiction subgroups.
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Marine Vincenti. Les pensées ruminatives chez les patients présentant un trouble addictif. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02169362⟩

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