酒依赖患者人格特征及酒依赖程度的影响因素分析  

Analysis of correlation between personality characteristics of patients with alcohol dependence and the severity of alcohol dependence

作　　者：艾霞[1] 刘华清[1] 杨甫德[1] 张东[1] 刘红侠 

机构地区：[1]北京回龙观医院心理科,100096 [2]北京市西城区广内社区卫生服务中心

出　　处：《临床精神医学杂志》2015年第2期114-116,共3页Journal of Clinical Psychiatry

基　　金：北京市科技计划(D121100005012005)

摘　　要：目的:探索酒依赖患者的人格特征,以及酒依赖程度的影响因素。方法:运用明尼苏达多相人格调查表(MMPI)和酒依赖筛查量表(MAST)测查150例住院酒依赖患者(研究组)进行评估并与正常人(对照组)进行比较。以年龄、受教育年限、病程、发病年龄、饮酒时间、每日饮酒量以及MMPI 10个临床量表分作自变量,依次将酒依赖患者MAST 5个因子分作为因变量,进行多元逐步回归分析。结果:研究组的校正量表分低于对照组,差异具有统计学意义(P<0.05),诈病、疑病、抑郁、癔症、精神病态、偏执、神经衰弱、精神分裂、轻躁狂量表分均高于对照组,差异有统计学意义(P<0.01)。多元逐步回归分析显示,对饮酒问题的认识分与Pa、Pt、饮酒时间、受教育年限存在相关性(P均<0.05);工作社会分与Hy、Pt存在相关性(P均<0.05);肝脏疾患分与D、受教育年限存在相关性(P均<0.05)。结论:酒依赖患者有明显的人格偏离,某些人格特质、受教育时间和持续饮酒时间影响患者酒依赖程度。Objective： To explore the personality characteristics of patients with alcohol dependence as well as the correlation with the severity of alcohol dependence. Method： Minnesota multiphasic personality inventory（ MMPI） and Michigan alcohol screening test（ MAST） were administered to 150 patients hospitalized for alcohol dependence（ experimental group）. The results were compared with those of the control. Age,years of education,course of disease,age of onset,time of drinking,daily alcohol intake and ten clinical scales of MMPI were selected as independent variables. In the meantime,five factors of MAST were treated as dependent variables to perform multiple stepwise regression,respectively. Results： The scores of corrected scales in the experimental group were lower than those of the control with statistical significance（ P〈0. 05）. The scores of scales on malinger,hypochondria,depression,hysteria,psychopathy,paranoia,neurasthenia,schizophrenia and hypomania were significantly higher than those of the control（ P〈0. 01）. Multiple stepwise regression analysis indicated that the scores on the understanding of drinking problem were correlated with Pa,Pt,time of drinking and years of education（ P〈0. 05）; work and social scores were correlated with Hy and Pt（ P〈0. 05）; liver disease scores were correlated with D and years of education（ P〈0. 05）. Conclusion： Patients with alcohol dependence showed obvious personality deviation. Some personality traits,years of education and time of drinking had an influence on the degree of alcohol dependence.

关 键 词：酒依赖 人格特征 酒依赖调查量表 

分 类 号：R749.62[医药卫生—神经病学与精神病学]