男性酒依赖患者明尼苏达多相人格特征对复饮的影响  

The effects of MMPI personality traits to relapse in male patients with alcohol dependence

作　　者：杨可冰[1] 杨清艳[1] 武志强[1] 范洪振 赵荣江[1] 王君[1] 牛雅娟[1] YANG Kebing;YANG Qingyan;WU Zhiqiang;FAN Hongzhen;ZHAO Rongjiang;WANG Jun;NIU Yajuan(Dept.2 of Beijing Huilongguan Hospital,Peking University HuiLongGuan Clinical Medical School,Beijing 100096,China)

机构地区：[1]北京回龙观医院临床二科,北京大学回龙观临床医学院,北京100096

出　　处：《中国神经精神疾病杂志》2020年第10期603-607,共5页Chinese Journal of Nervous and Mental Diseases

基　　金：北京市医院管理局临床医学发展专项经费资助(编号:XMLX201834);北京市属医院科研培育项目(编号:PX2017067);北京市卫生与健康科技成果和适宜技术推广项目(编号:2018-TG-22);北京中医药科技发展资金项目(编号:JJ2018-07)。

摘　　要：目的探索男性酒依赖患者的人格特征,以及人格特征对复饮的影响。方法纳入完成急性脱瘾治疗的男性酒依赖患者62例(患者组)以及年龄和受教育年限与之相匹配的健康成年男性62名(对照组),通过明尼苏达多相人格测试(Minnesota multiphasic personality inventory,MMPI)评估两组的人格特征。按照随访半年后是否复饮,将患者分为复饮组及未复饮组,分析复饮与人格特征之间的关系。结果患者组在MMPI说谎(L)、诈病(F)、疑病(Hs)、抑郁(D)、偏执狂(Pa)、精神衰弱(Pt)、精神分裂(Sc)及轻躁狂(Ma)等8个因子上的得分高于对照组(均P<0.05)。复饮组在L、F、Pa、Pt、Sc及Ma等6个因子上的得分高于未复饮组(均P<0.05)。logistic回归分析显示MMPI中Ma因子得分较高是患者复饮的危险因素(OR=1.150,95%CI:1.027~1.289,P=0.016)。结论酒依赖患者存在多个维度的人格偏离。人格特征中的轻躁狂倾向可能是复饮的危险因素。Objective The study aims to explore the personality traits of male patients with alcohol dependence(AD),and examine the potential effects of personality traits to relapse.Methods Data of Minnesota Multiphasic Personality Inventory(MMPI)were collected from 62 male inpatients with AD(patient group,PGs)and 62 male age-and education-matched healthy controls(control group,CGs)to investigate group differences in personality traits.PGs were divided into relapse and abstinence group following a half year follow-up and the relationship between relapse and personality features were examined in PGs.Results Compared with CGs,PGs showed significantly increased scores in total 8 sub-scales of MMPI as follows:Lie(L),Infrequency(F),Hypochondriasis(Hs),Depression(D),Paranoia(Pa),Psychasthenia(Pt),Schizophrenia(Sc),and Hypomania(Ma)(all P<0.05).Furthermore,compared with abstinence group,relapse group showed significantly increased scores in L,F,Pa,Pt,Sc,and Ma(all P<0.05).Logistic regression analysis indicated that the higher score of Ma can be a risk factor of relapse in AD(OR=1.150,95%CI:1.027~1.289,P=0.016).Conclusion patients with AD have multidimensional abnormal personality and hypomania personality trait may be the risk factor of relapse.

关 键 词：酒依赖 人格特征 复饮 

分 类 号：R749.62[医药卫生—神经病学与精神病学]