McMahon R C, Davidson R S, Flynn P M
Int J Addict. 1986 Jul;21(7):819-35. doi: 10.3109/10826088609027395.
This study is designed to identify psychologically meaningful correlates of high and low social functioning among alcoholics and to determine if High Social Alcoholics show greater changes between intake and 1 1/2 months into treatment than Low Social Alcoholics on various psycho-diagnostic measures. High Social group membership was found to be positively associated with scores at intake on the MCMI Compulsive-Conforming Scale. Low Social group membership was positively associated with scores on the POMS Depression-Dejection and Confusion-Bewilderment Scales; and on the MCMI Avoidant, Schizotypal, Passive-Aggressive, Psychotic Thinking, Psychotic Depression, Alcohol Abuse, and Borderline Scales. Repeated measures analyses revealed that, although both groups showed significant changes on a variety of measures, the High Social group showed significantly greater decreases between intake and 1 1/2 months into treatment than the Low Social group on the Avoidant, Dysthymic, Somatoform, and Anxiety Scales of the MCMI and on the Confusion-Bewilderment, Tension-Anxiety, and Fatigue-Inertia Scales of the POMS.
本研究旨在确定酗酒者社会功能高低在心理层面上有意义的相关因素，并确定在各种心理诊断指标上，社交功能高的酗酒者在治疗开始时到治疗1个半月之间的变化是否比社交功能低的酗酒者更大。研究发现，社交功能高的群体成员身份与米隆临床多轴问卷（MCMI）强迫-顺从量表的初始得分呈正相关。社交功能低的群体成员身份与情绪状态量表（POMS）的抑郁-沮丧和困惑-迷茫量表得分呈正相关；与MCMI的回避、分裂样、被动攻击、精神病性思维、精神病性抑郁、酒精滥用和边缘性量表得分也呈正相关。重复测量分析显示，尽管两组在各种指标上均有显著变化，但在MCMI的回避、恶劣心境、躯体形式和焦虑量表以及POMS的困惑-迷茫、紧张-焦虑和疲劳-惰性量表上，社交功能高的群体在治疗开始时到治疗1个半月之间的下降幅度显著大于社交功能低的群体。
