The pattern of alcohol consumption in the form of binge drinking (BD) or heavy episodic drinking has increased notably worldwide in recent years, especially among adolescent and young people, being currently recognized as a global health problem. Although only a minority of binge drinkers will develop a substance use disorder, BD may have negative personal and social consequences in the short and medium term. The objective of this paper is to review the findings on personality traits related to binge drinkers and to emphasize the aspects that should be examined in order to make progress in this area. The main characteristics of personality related to the practice of BD, regardless of the theoretical model used, are high Impulsivity and high Sensation seeking, as well as Anxiety sensitivity, Neuroticism (Hopelessness), Extraversion and low Conscientiousness. The data obtained may have theoretical implications to elucidate the endophenotype of BD, but they are especially useful for their preventive applications. Integration into prevention programs of emotional self-control skills, decision-making, social skills and strategies to manage negative emotions, will minimize the risk factors or consequences of BD associated with personality and will improve their effectiveness. In the future, it is necessary to harmonize a common measurement instrument for the assessment of personality, develop longitudinal studies with large samples that also integrate biological and neurocognitive measurements, and determine the reciprocal relationship between personality and BD together with its modulating variables, as well as the possible cultural differences.
The relationships between circadian typology and several aspects related to mental health, such as satisfaction with life, emotional intelligence, perceived well-being and psychopathological symptomatology have been documented. However, their relationships with two psychological strengths such as resilience and optimism have not been examined yet. Therefore, the purpose of the present study was to explore whether circadian typology is related to both measures, taking into consideration the possible influence of sex. A sample of 1922 participants (978 men), aged between 18 and 60 yrs (30.08 ± 10.53) completed the reduced Morningness-Eveningness Questionnaire (rMEQ), the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) and the Life Orientation Test-Revised (LOT-R). Circadian typology was associated with different values in resilience (F(2,1915) = 45.89; p < 0.001; [Formula: see text]( )= 0.046) and optimism (F(2,1915) = 37.74; p < 0.001; [Formula: see text]( )= 0.038), independently of the sex. Morning-type subjects showed the highest resilience and optimism scores while the lowest scores were shown by evening-type, exhibiting the neither-type subjects intermediate scores (p < 0.007, in all cases). These results suggest that evening-type subjects could display less capacity to face adversity and adapt positively, as well as less expectance of the occurrence of positive events compared to neither and morning-type individuals. In addition, these results provide new evidence that might improve our understanding about the relationships between circadian typology and psychological traits and disorders. Although future studies with longitudinal designs are needed, the obtained results emphasize that the evening-type could be a risk factor for the development of psychological problems and mental disorders, whereas the morning-type could be considered as a protective factor.
Lifetime suicide attempts in patients with comorbidity between psychotic disorders and Substance Use Disorder (SUD), known as dual diagnosis, was associated with a worse clinical and cognitive state, poor prognosis and premature death. However, to date no previous study has examined the cognitive performance of these patients considering as independent the presence or absence of lifetime suicide attempts. We explore executive functioning differences between suicide attempters and non-attempters in dual schizophrenia (DS) patients and the possible related factors for both executive performance and current suicide risk. Fifty DS male patients in remission of SUD and clinically stables, 24 with and 26 without lifetime suicide attempts, were evaluated. We considered Z scores for all neuropsychological tests and a composite summary score for both premorbid IQ and executive functioning. DS patients showed low performance in set-shifting, planning and problem solving tasks. Those with suicide attempts presented lower composite summary scores, together with worse problem solving skills and decision-making, compared with non-attempters. However, after controlling for alcohol dependence, only differences in decision-making remained. Executive functioning was related to the premorbid intelligence quotient, and several clinical variables (duration, severity, months of abstinence and relapses of SUD, global functioning and negative symptoms). A relationship between current suicide risk, and first-degree relatives with SUD, insight and positive symptoms was also found. Our results suggest that problem solving and, especially, decision-making tasks might be sensitive to cognitive impairment of DS patients related to presence of lifetime suicide attempts. The assessment of these executive functions and cognitive remediation therapy when necessary could be beneficial for the effectiveness of treatment in patients with DS. However, further research is needed to expand our findings and overcome some limitations of this study.