Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy State Hospital for Psychiatric and Neurological Diseases, Istanbul, Turkey.
Int J Psychiatry Clin Pract. 2009;13(1):3-10. doi: 10.1080/13651500801932660.
Objective. The aim of this study was to determine the relationship of alexithymia and temperament and character model of personality with depression and anxiety symptoms in detoxified male alcohol-dependent inpatients. Method. The subjects consisted of 176 male alcohol-dependent inpatients according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. Patients were investigated with the Beck Depression Inventory, Beck Anxiety Inventory, State and Trait Anxiety Inventory, Michigan Alcoholism Screening Test (MAST), Toronto Alexithymia Scale (TAS-20) and Temperament and Character Inventory (TCI). Results. MAST score and scores of all three factors of the TAS-20 significantly predicted depression scale and anxiety scales. Difficulty in identifying feelings and difficulty in describing feelings factors were particularly effective, relative to the externally orientated thinking factor of the TAS-20 for prediction depression and anxiety. The TCI dimensions emerged as distinct and conceptually meaningful predictors for the depression scale and anxiety scales. Conclusion. Depression and anxiety symptoms among detoxified male alcohol dependents are associated with alexithymia, a broad range of personality dimensions and higher severity of alcohol-related problems, which make these related factors highly relevant for clinical practice.
目的。本研究旨在确定述情障碍与人格特质的气质和性格模型与脱毒男性酒精依赖住院患者的抑郁和焦虑症状之间的关系。
方法。研究对象为 176 名符合《精神障碍诊断与统计手册》第 4 版的男性酒精依赖住院患者。采用贝克抑郁量表、贝克焦虑量表、状态特质焦虑量表、密歇根酒精筛查测试（MAST）、多伦多述情障碍量表（TAS-20）和气质与性格量表（TCI）对患者进行调查。
结果。MAST 评分和 TAS-20 的所有三个因子的评分均显著预测抑郁量表和焦虑量表。与 TAS-20 的外向思维因子相比，识别情感困难和描述情感困难的因子对抑郁和焦虑的预测作用更为显著。TCI 维度是抑郁量表和焦虑量表的独特且具有概念意义的预测因子。
结论。脱毒男性酒精依赖者的抑郁和焦虑症状与述情障碍、广泛的人格维度以及更严重的与酒精相关的问题有关，这些相关因素在临床实践中具有重要意义。
