Sher K J, Alterman A I
Department of Psychology, University of Missouri, Columbia.
Alcohol Clin Exp Res. 1988 Apr;12(2):233-8. doi: 10.1111/j.1530-0277.1988.tb00186.x.
Although Tarter et al.'s (1977) HK/MBD questionnaire has been found useful in subtyping populations of clinical alcoholics, its potential utility in nonclinical populations has yet to be determined. The current study examined the family history, personality, and substance use/abuse correlates of Tarter et al.'s HK/MBD questionnaire and factor analytically derived subscales (Alterman and McLellan, 1986) in a nonclinical sample of 580 young, adult males. In addition, a factor analysis of the HK/MBD questionnaire was undertaken to assess the extent to which the factor structure determined on a clinical alcoholic sample replicates in a nonclinical sample. Results indicated that each of the HK/MBD subscales showed relatively unique patterns of correlations with the various personality measures employed suggesting that they are measuring separate constructs. Perhaps of greatest importance, the HK/MBD items that appear to be of greatest relevance for understanding substance use/abuse are those related to antisocial behavior. Finally, the factor structure of the HK/MBD questionnaire in the nonclinical sample was found to be quite similar to the structure obtained in a clinical sample. These results demonstrate the multidimensional structure of the HK/MBD questionnaire and the utility of using the more homogeneous subscales in research with both clinical and nonclinical samples.
尽管塔尔特等人（1977年）的HK/MBD问卷已被证明在对临床酗酒人群进行亚型分类方面很有用，但它在非临床人群中的潜在效用尚未确定。当前的研究在一个由580名年轻成年男性组成的非临床样本中，考察了塔尔特等人的HK/MBD问卷以及经因素分析得出的分量表（阿尔特曼和麦克莱伦，1986年）与家族史、人格及物质使用/滥用之间的相关性。此外，还对HK/MBD问卷进行了因素分析，以评估在临床酗酒样本中确定的因素结构在非临床样本中的复制程度。结果表明，HK/MBD的每个分量表与所采用的各种人格测量方法都呈现出相对独特的相关模式，这表明它们测量的是不同的结构。也许最重要的是，对于理解物质使用/滥用似乎最相关的HK/MBD项目是那些与反社会行为有关的项目。最后，发现HK/MBD问卷在非临床样本中的因素结构与在临床样本中获得的结构非常相似。这些结果证明了HK/MBD问卷的多维结构以及在临床和非临床样本研究中使用更同质的分量表的效用。
