Hyer L, Leach P, Boudewyns P A, Davis H
VA Medical Center, Augusta, Georgia 30910.
J Subst Abuse Treat. 1991;8(4):213-9. doi: 10.1016/0740-5472(91)90041-8.
Alcohol use patterns among Vietnam combat veterans is an area with little research. This study evaluated three groups of Vietnam subjects on a chemical dependency unit who had a current Axis I diagnosis of alcohol abuse. No subject possessed a PTSD diagnosis. Two groups involved in-country veterans divided by presence or absence of PTSD based on the MMPI-PTSD scale (In-country and PTSD). The third group did not experience combat and was below the mean on the MMPI-PTSD scale (Noncombat). These groups were compared on the MMPI and the Alcohol Use Inventory (AUI), a measure of alcohol use patterns. Results showed that the PTSD Group had significantly higher scores on the MMPI and AUI reflective of deteriorated and binge drinking patterns. Discussion focused on the "hidden" dimension of PTSD among chemically dependent Vietnam veteran inpatients. The Relapse Prevention model was endorsed.
越南参战退伍军人的饮酒模式是一个研究较少的领域。本研究评估了戒毒治疗科的三组越南受试者，他们目前被诊断为酒精滥用（轴I诊断）。没有受试者被诊断为创伤后应激障碍（PTSD）。两组为在越南服役的退伍军人，根据明尼苏达多相人格调查表创伤后应激障碍量表（MMPI-PTSD）有无PTSD进行划分（在越南服役且有PTSD、在越南服役但无PTSD）。第三组未经历过战斗，且在MMPI-PTSD量表上得分低于平均值（非参战组）。对这些组在MMPI和酒精使用量表（AUI，一种衡量饮酒模式的量表）上进行了比较。结果显示，有PTSD组在MMPI和AUI上的得分显著更高，反映出饮酒模式恶化和暴饮情况。讨论聚焦于有药物依赖的越南退伍军人住院患者中PTSD的“隐性”层面。复发预防模型得到了认可。
