Hinrichs Jonathan, Defife Jared, Westen Drew
Department of Psychology, Saint Louis University, 3511 Laclede Ave., St. Louis, MO 63103, USA.
J Nerv Ment Dis. 2011 Jul;199(7):487-98. doi: 10.1097/NMD.0b013e3182214268.
The authors conducted two studies to identify and to validate potential personality subtypes in the adolescent and adult children of alcoholics. As part of a broader NIMH-funded study, randomly selected psychologists and psychiatrists provided personality data on adolescent (n = 208) or adult (n = 349) children of alcoholics using a Q-sort procedure (Shedler-Westen Assessment Procedure [SWAP]-II-A for adolescents and SWAP-II for adults), which were subjected to a cluster-analytic procedure, Q-factor analysis. Q-factor analysis yielded five personality subtypes in both groups. Despite the different samples and age groups, four of the personality subtypes were highly similar, including externalizing, inhibited, emotionally dysregulated, and high-functioning. Providing initial data on their validity, the subtypes differed on axis I and II pathology, adaptive functioning, and developmental and family history variables. These findings show heterogeneity among children of alcoholics and suggest the importance of addressing personality subtypes for research and practice in treating adolescent and adult children of alcoholics.
作者开展了两项研究,以识别和验证酗酒者的青少年及成年子女中潜在的人格亚型。作为美国国立精神卫生研究所(NIMH)资助的一项更广泛研究的一部分,随机挑选的心理学家和精神科医生使用Q分类程序(青少年用谢德勒-韦斯顿评估程序[SWAP]-II-A,成人用SWAP-II),为酗酒者的青少年(n = 208)或成年(n = 349)子女提供人格数据,这些数据随后接受了聚类分析程序——Q因子分析。Q因子分析在两组中均产生了五种人格亚型。尽管样本和年龄组不同,但其中四种人格亚型高度相似,包括外化型、抑制型、情绪失调型和高功能型。这些亚型在轴I和轴II病理学、适应性功能以及发育和家族史变量方面存在差异,从而为其有效性提供了初步数据。这些发现表明酗酒者的子女存在异质性,并提示在研究和治疗酗酒者的青少年及成年子女时,考虑人格亚型具有重要意义。