应激事件、人格与情绪障碍:酗酒者和问题饮酒者的性别差异

Stressful events, personality, and mood disturbance: gender differences in alcoholics and problem drinkers.

作者信息

King Andrea C, Bernardy Nancy C, Hauner Katherina

机构信息

Department of Psychiatry, University of Chicago, 5841 S Maryland Avenue, Chicago, IL 60637, USA.

出版信息

Addict Behav. 2003 Jan-Feb;28(1):171-87. doi: 10.1016/s0306-4603(01)00264-7.

Abstract

The present study examined relationships among stressful events, personality characteristics, and affective status in males and females of various alcohol drinking patterns. We examined a total of 154 participants from three distinct alcohol subgroups: alcohol dependent, problem drinker, and light social drinker. These subjects did not meet criteria for any concurrent nonalcohol comorbid psychiatric disorder. The study included an alcohol quantity-frequency interview and self-report questionnaires on stressful life events, depressive symptoms, trait anxiety, and personality characteristics. Results showed female alcoholics reported significantly greater depression, anxiety, and neuroticism compared to their male counterparts (and all other drinking groups). Female problem drinkers reported significantly greater depressive symptoms and health-related stressful events compared to male problem drinkers and the light drinkers. In contrast, male problem drinkers did not show elevations on these dimensions and more closely resembled light drinkers, of whom no gender differences were found. The findings support theories suggesting a "telescoping" of complications, health-related stress, and mood dysfunction in women at a lower threshold level of alcohol consumption compared to their male counterparts.

摘要

本研究调查了不同饮酒模式的男性和女性中应激事件、人格特征和情感状态之间的关系。我们总共调查了来自三个不同酒精亚组的154名参与者:酒精依赖者、问题饮酒者和轻度社交饮酒者。这些受试者不符合任何并发非酒精共病精神障碍的标准。该研究包括一次酒精量-频率访谈以及关于应激生活事件、抑郁症状、特质焦虑和人格特征的自我报告问卷。结果显示,与男性酗酒者(以及所有其他饮酒组)相比,女性酗酒者报告的抑郁、焦虑和神经质程度明显更高。与男性问题饮酒者和轻度饮酒者相比,女性问题饮酒者报告的抑郁症状和与健康相关的应激事件明显更多。相比之下,男性问题饮酒者在这些维度上没有表现出升高,并且更类似于轻度饮酒者,而在轻度饮酒者中未发现性别差异。这些发现支持了一些理论,这些理论表明,与男性相比,女性在较低的酒精消费阈值水平下就会出现并发症、与健康相关的压力和情绪功能障碍的“叠加”。

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