von Knorring L, von Knorring A L, Smigan L, Lindberg U, Edholm M
Department of Psychiatry, Umeå University, Sweden.
J Stud Alcohol. 1987 Nov;48(6):523-7. doi: 10.15288/jsa.1987.48.523.
Earlier studies have identified at least two distinct subgroups of alcoholics: Type II with early onset and high genetic loading and Type I with late onset in which genetic factors seem to be of minor importance. In the present study, type I and type II alcoholics are compared on stable personality traits determined by the Karolinska Scales of Personality. Both groups were found to have high scores on scales that measured somatic anxiety, psychic anxiety, muscular tension, impulsiveness, detachment, psychastenia, suspicion, guilt and inhibition of aggression. Both groups had low scores on the scale that measured socialization. Type II alcoholics had significantly higher scores than type I alcoholics on Somatic Anxiety and Verbal Aggression scales and significantly lower scores on Socialization and Inhibition of Aggression scales. On the Impulsive Sensation-Seeking Psychopathy factor (Impulsiveness + Monotony Avoidance - Socialization), type II alcoholics were significantly differentiated from both type I alcoholics and healthy volunteers. Results of this study were consistent with those of other studies indicating that alcoholism accompanied by antisocial behavior should be kept separate from alcoholism that is unrelated to antisocial behavior.
II型酗酒者发病早且遗传负荷高,I型酗酒者发病晚,其中遗传因素似乎不太重要。在本研究中,对I型和II型酗酒者在由卡罗林斯卡人格量表所测定的稳定人格特质方面进行了比较。结果发现,两组在测量躯体焦虑、精神焦虑、肌肉紧张、冲动性、超脱、精神衰弱、猜疑、内疚和攻击抑制的量表上得分都很高。两组在测量社会化程度的量表上得分都很低。II型酗酒者在躯体焦虑和言语攻击量表上的得分显著高于I型酗酒者,在社会化和攻击抑制量表上的得分则显著低于I型酗酒者。在冲动性寻求感觉的精神病态因子(冲动性+避免单调-社会化)方面,II型酗酒者与I型酗酒者和健康志愿者都有显著差异。本研究结果与其他研究结果一致,表明伴有反社会行为的酗酒应与与反社会行为无关的酗酒区分开来。