Marchiori E, Loschi S, Marconi P L, Mioni D, Pavan L
Department of Neurological and Psychiatric Sciences, University of Padua, Italy.
Alcohol Alcohol. 1999 May-Jun;34(3):396-401. doi: 10.1093/alcalc/34.3.396.
Personality traits, socio-cultural factors, and dysfunctional family systems are considered to be important in the aetiology and clinical development of alcoholism. Particularly, conflict and issues involving psychological (emotional) dependence have long been associated with alcohol addiction. The present work, part of a more extensive study to validate a new rating scale to measure emotional dependence, the Dependence Self-rating Scale (DSRS), assesses dependence, orientation of locus of control, parental bonding perceptions, and personality disorders (PDs) in alcoholic and non-alcoholic samples. The alcoholics showed a prevalence of PDs of 31.3%. The most frequent is the Schizoid PD (40%) followed by the Dependent PD (20%). Subjects with antisocial PD were not included in our selection criteria. The alcoholics scored higher on the DSRS than the controls, but this difference was not statistically significant. By making a comparison between subjects with and without PDs, the DSRS scores were significantly higher in alcoholics with PDs. No significant differences between alcoholics and non-alcoholics in the parental perceptions and locus of control were seen. These findings are sufficiently coherent to encourage further studies on psychological emotional dependence in alcoholics using the DSRS.
人格特质、社会文化因素和功能失调的家庭系统被认为在酒精中毒的病因学和临床发展中起着重要作用。特别是，涉及心理（情感）依赖的冲突和问题长期以来一直与酒精成瘾有关。本研究是一项更广泛研究的一部分，旨在验证一种新的测量情感依赖的评定量表——依赖自评量表（DSRS），该研究评估了酒精依赖者和非酒精依赖者样本中的依赖程度、控制点取向、父母依恋认知和人格障碍（PDs）。酒精依赖者中人格障碍的患病率为31.3%。最常见的是分裂样人格障碍（40%），其次是依赖型人格障碍（20%）。反社会人格障碍患者未纳入我们的选择标准。酒精依赖者在DSRS上的得分高于对照组，但这种差异无统计学意义。通过比较有无人格障碍的受试者，有PDs的酒精依赖者的DSRS得分显著更高。在父母认知和控制点方面，酒精依赖者和非酒精依赖者之间没有显著差异。这些发现具有足够的连贯性，鼓励使用DSRS对酒精依赖者的心理情感依赖进行进一步研究。
