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2018_Molitor_Ann_Med_Psychol.pdf
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(en) [Thymic symptoms related to the use of alcohol] Although the existence of links between alcohol consumption and thymic symptoms seems obvious, the nature and mechanisms underlying these interactions are, on the other hand, very complex and less well-known. This article, which relies mainly on empirical data and is intended for clinicians, aims to describe how understanding these thymic symptoms can identify avenues of work or levers for clinical work with alcohol-dependent patients. In particular, we develop the way in which acute consumption leads to emotional reactions, outside the context of abuse or dependence (symptom with the social framework of consumption, “binge-drinking”). Chronic consumption leading to abuse or dependence is then discussed, detailing how their biological interaction with the brain reward circuit significantly changes mood, based on a principle of allostasis. We also highlight the role of personality factors such as self-consciousness in the relationship between depression and craving. Furthermore we emphasize manifestations related to thymic symptoms such as social cognition disorders common in alcoholic patients, often leading to social isolation as well as conflicting interpersonal relationships which can in turn be factors of accentuation as far as depression symptoms are concerned.
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Molitor, C., Maurage, P., Petit, G., Poncin, M., Leclercq, S., Rolland, B., & de Timary, P. (2018). Les symptômes thymiques liés à l’usage d’alcool. Annales médico-psychologiques, 176(8), 813-818. https://doi.org/10.1016/j.amp.2018.08.009 (Original work published 2018)