Evren Cuneyt, Sar Vedat, Evren Bilge, Dalbudak Ercan
Alcohol and Drug Research, Treatment and Training Center (AMATEM), Bakirkoy State Hospital for Mental Health and Neurological Disorders, Istanbul 34147, Turkey.
Compr Psychiatry. 2008 Sep-Oct;49(5):489-95. doi: 10.1016/j.comppsych.2008.02.006. Epub 2008 Mar 28.
The aim of this study was to investigate the relationship of self-mutilative behavior with dissociative experiences among men who are alcohol dependent. Participants were 176 inpatients consecutively admitted to an alcohol dependency treatment center. Dissociative Experiences Scale, Beck Depression Inventory, State-Trait Anxiety Inventory, Symptom Checklist-Revised, and Michigan Alcoholism Screening Test were conducted to all participants. A sizable proportion of patients (29.0%) reported self-mutilation (SM). Childhood abuse, younger age, early onset of alcoholism, and dissociative taxon membership predicted SM. The overall severity of clinical condition and the frequency of suicide attempts among those who reported SM were higher than those of the remaining patients. The Dissociative Experiences Scale-Taxon item "auditory verbal hallucinations" and the Symptom Checklist-Revised dimension "hostility" were predictors of SM. There is a complex relationship between dissociation, alcohol use, and SM. Increased awareness among clinicians on this relationship may increase the effectiveness of treatment interventions.
本研究旨在调查酒精依赖男性中自我伤害行为与分离体验之间的关系。参与者为连续入住酒精依赖治疗中心的176名住院患者。对所有参与者进行了分离体验量表、贝克抑郁量表、状态-特质焦虑量表、症状自评量表修订版和密歇根酒精ism筛查测试。相当一部分患者（29.0%）报告有自我伤害行为（SM）。童年期受虐、年龄较小、酒精ism发病较早以及分离分类归属可预测SM。报告有SM的患者临床状况的总体严重程度和自杀未遂频率高于其余患者。分离体验量表-分类项目“幻听”和症状自评量表修订版维度“敌对”是SM的预测因素。分离、酒精使用和SM之间存在复杂的关系。临床医生对这种关系的认识提高可能会提高治疗干预的效果。
