长期参加嗜酒者互戒协会酒依赖者的述情障碍研究  

An investigation of alexithymia in alcoholic anonymous members and its relationship with alcoholics anonymous participation

作　　者：杨传青[1] 田成华[1] 王文政[1] 梁杰[1] 

机构地区：[1]北京大学精神卫生研究所,100191

出　　处：《中华精神科杂志》2009年第3期158-161,共4页Chinese Journal of Psychiatry

摘　　要：目的探索长期参加嗜酒者互戒协会（AA）治疗酒依赖者的述情障碍特征；初步了解酒依赖者参加AA与述情障碍的关系。方法18例累计参加AA超过≥4个月的酒依赖者（AA组）、38例未参加过AA的住院酒依赖者（非AA组）、38名无酒依赖者（对照组）完成20条目多伦多述情障碍量表（TAS-20）。结果AA组TAS-20总分为（51．1±10．5）分，非从组为（56．9±9．3）分，对照组为（51．2±6．3）分；3组间的差异有统计学意义（F=5．199；P=0．007）。3组间TAS-20因子1得分（AA组45．92分，非AA组59．88分，对照组35．87分）的差异有统计学意义（x^2=14．924；P=0．001）；因子2（x^2=5．768；P=0．056）和因子3（x^2=3．020；P=0．221）得分的差异均无统计学意义。结论酒依赖者存在明显的述情障碍；长期参加AA的酒依赖者发生述情障碍的比例较小。Objective To investigate alexithymia of alcoholics who have participated in alcoholics anonymous（AA） for a long time and explore preliminarily the relationship between alexithymia and AA participation. Methods Eighteen subjects who had been in AA group for at least 4 months and 38 alcoholics without taking part in AA （non-AA） group and 38 normal controls were given the 20-item Toronto Alexithymia Scale （TAS-20） to measure the alexithymia. Results The TAS-20 total score of non-AA group （56.9±9.3） was higher than AA group（51.1 ± 10.5） and control group（51.2 ±6.3） （P =0.007）. There was no significant difference between AA group and control group. There was statistically significant difference in TAS-20 factor 1 score among three groups （P = 0. 001 ）. There were no significant differences in factor 2 （P = 0. 056）and factor 3 scores （P = 0. 221 ）. Conclusions There is high rate of alexithymia in alcoholics, ones who have participated AA regularly for a long time has lower rate of alexithymia.

关 键 词：酒精相关性障碍 自助小组 述情障碍 

分 类 号：R686[医药卫生—骨科学]