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全国样本中酒精使用者、滥用者和依赖者的情绪特质与情感气质

Emotional traits and affective temperaments in alcohol users, abusers and dependents in a national sample.

作者信息

Leite Leticia, Machado Leonardo N, Lara Diogo R

机构信息

Programa de Pós-Graduação da Faculdade de Medicina e Ciências da Saúde da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.

Programa de Pós-Graduação da Faculdade de Medicina e Ciências da Saúde da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; Faculdade de Biociências-PUCRS, Av. Ipiranga, 6681-Pd12A, Porto Alegre, RS 90619-900, Brazil.

出版信息

J Affect Disord. 2014 Jul;163:65-9. doi: 10.1016/j.jad.2014.03.021. Epub 2014 Mar 26.

DOI:10.1016/j.jad.2014.03.021
PMID:24836089
Abstract

BACKGROUND

It is unclear how temperament is related to alcohol-related behavior in large population studies. We have used the Affective and Emotional Composite Temperament Scale (AFECTS) model to evaluate how emotional traits and affective temperaments are associated with alcohol use, abuse, and dependence in the general population.

METHODS

Data from 10,603 subjects (mean age=28.0±7.8 years, 70.3% females) was collected anonymously by the Internet in Brazil using the AFECTS model and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Alcohol use was stratified into control, low use, abuse, and dependence groups.

RESULTS

The analysis of dimensional traits showed that Volition and Coping were lower, and Sensitivity was higher, in the abuse and dependence groups, with no differences between the Control and the Low Use groups. Alcohol consumption was also associated with lower Control, Stability, and Caution, and higher with Anger, Anxiety, and Desire, with significant differences between all groups. Regarding affective temperament types, alcohol abuse and dependence were associated with euphoric and cyclothymic temperaments in both genders, which was mirrored by a lower frequency of both euthymic and hyperthymic types. Only hyperthymics were overrepresented in the Control group for both genders.

LIMITATIONS

Data was collected by Internet only.

CONCLUSIONS

A global dysfunction of emotional traits and a predominance of cyclothymic and euphoric temperaments were associated with alcohol-related behavior. Prevention and treatment strategies may be developed more effectively if these traits are taken into account.

摘要

背景

在大规模人群研究中,气质与酒精相关行为之间的关系尚不清楚。我们使用情感与情绪综合气质量表(AFECTS)模型来评估情绪特质和情感气质如何与普通人群中的酒精使用、滥用及依赖相关联。

方法

在巴西,通过互联网使用AFECTS模型和酒精、吸烟及物质使用筛查测试(ASSIST),对10603名受试者(平均年龄=28.0±7.8岁,70.3%为女性)进行匿名数据收集。酒精使用被分为对照组、低使用组、滥用组和依赖组。

结果

维度特质分析显示,滥用组和依赖组的意志力和应对能力较低,敏感性较高,对照组和低使用组之间无差异。酒精消费还与较低的自控力、稳定性和谨慎性相关,与较高的愤怒、焦虑和欲望相关,所有组之间存在显著差异。关于情感气质类型,酒精滥用和依赖在男女两性中均与欣快和环性心境气质相关,这反映在正常心境和高涨心境类型的频率较低。只有高涨心境者在男女两性的对照组中占比过高。

局限性

仅通过互联网收集数据。

结论

情绪特质的整体功能障碍以及环性心境和欣快气质的占主导与酒精相关行为有关。如果考虑到这些特质,可能会更有效地制定预防和治疗策略。

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