Me ´ moire Comparaison des dimensions de personnalite ´ dans la de ´ pendance a ` l’alcool et les addictions sans substance Comparison of personality dimensions within alcohol dependency and behavioural addictions L. Romo a,c, *, C. Aubry b , C. Legauffre c , J. Ade `s c a Laboratoire Evaclipsy, universite ´ de Paris X-Nanterre, service de psychiatrie, ho ˆpital Louis-Mourier, 92701 Colombes cedex, France b Laboratoire Evaclipsy, universite ´ de Paris-X-Nanterre, 200, avenue de la Re ´publique, 92001 Nanterre cedex, France c Service de psychiatrie, CHU Louis-Mourier, 178, rue des Renouillers, 92701 Colombes cedex, France Annales Me ´ dico-Psychologiques 168 (2010) 412–415 INFO ARTICLE Historique de l’article : Rec ¸ u le 6 octobre 2008 Accepte ´ le 20 mars 2009 Disponible sur Internet le 9 juin 2010 Mots cle ´s : Addictions Addictions comportementales Alcool Jeu pathologique Personnalite ´ Keywords: Addictions Alcohol Behavioural addiction Pathological gambling Personality RE ´ SUME ´ Les diffe ´ rentes approches d’e ´ valuation de la personnalite ´ se sont inte ´ resse ´ es aux conduites addictives. Pour Cloninger, en 1987 [4], les traits de tempe ´ rament conside ´ re ´ s comme he ´ ritables et sous-tendus par des hypothe ` ses cliniques, neurobiologiques et ge ´ ne ´ tiques e ´ taient : la recherche de nouveaute ´, l’e ´ vitement du danger et la de ´ pendance a ` la re ´ compense. Un nouveau questionnaire a e ´ volue ´a ` partir du questionnaire initial de Cloninger : le Temperament and Character Inventory (TCI). Il est compose ´ de 226 questions. Nous avons utilise ´ ce questionnaire, dans le service de psychiatrie du professeur Ade ` s au CHU Louis-Mourier, sur 79 patients. Quarante-huit consultaient pour des proble ` mes d’alcool, et 31 pour addictions comportementales (jeu pathologique, achats pathologiques, etc.). Cet instrument e ´ value les dimensions suivantes : la recherche de nouveaute ´, l’e ´ vitement du danger, la de ´ pendance a ` la re ´ compense, la persistance, la de ´ termination, la coope ´ ration et la transcendance. Nous analyserons les points communs, en termes de dimensions de personnalite ´ , entre les de ´ pendances a ` l’alcool et les autres addictions de type comportemental. ß 2010 Elsevier Masson SAS. Tous droits re ´ serve ´ s. ABSTRACT Approaches in the assessment of personality were interested in addictive behaviours. For Cloninger, in 1987 [4], temperament characteristics considered to be hereditary and underlain by clinical, neurobiological and genetics hypothesis were: novelty seeking (NS), harm avoidance (HA), reward dependence (RD) and rersistence (P) and dimensions of character were self-directedness (SD), cooperativeness (C) and self-transcendence (ST). A new questionnaire evolved from the initial Cloninger’s questionnaire: the Temperament and Character Inventory (TCI). This new questionnaire includes 226 items. The authors used this questionnaire on 79 patients in the Pr. Ade ` s Psychiatry Unit of the University Hospital Center (CHU) Louis-Mourier. Of these patients, 48 consulted for alcohol’s problems and 31 for behavioural addictions (pathological gambling, compulsive buying...). Analysis of the results showed that in general anxiety rating is higher for patients suffering from a behavioural addiction than for patients with an alcoholic addiction. This study follows the theme of personal vulnerability, due to personality dimensions, but also due to the context and to the product or behaviour. The results suggest that, regardless of product or behaviour, personality dimensions appear from patient profiles (NS; HA and C) with higher rates in the case of addictive behaviour, but usually profiles are more alike than different. It seems that patients prefer to strive for behaviour-related excitement, than for an excitement due to a product easy to obtain that would have less interpersonal stakes than gambling or compulsive buying. The authors analysed the common factors between alcohol dependences and other behavioural addictions in terms of personality dimensions. ß 2010 Elsevier Masson SAS. All rights reserved. * Auteur correspondant. Adresse e-mail : lucia.romo@lmr.aphp.fr (L. Romo). 0003-4487/$ – see front matter ß 2010 Elsevier Masson SAS. Tous droits re ´ serve ´s. doi:10.1016/j.amp.2009.03.022