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童年期多动程度高与低的酗酒者的差异

Differentiation of alcoholics high and low in childhood hyperactivity.

作者信息

Alterman A I, Tarter R E, Baughman T G, Bober B A, Fabian S A

出版信息

Drug Alcohol Depend. 1985 May;15(1-2):111-21. doi: 10.1016/0376-8716(85)90035-3.

DOI:10.1016/0376-8716(85)90035-3
PMID:4017868
Abstract

Fifty alcoholics who reported a greater number of childhood hyperactivity/minimum brain damage (MBD) symptoms (HA+ alcoholics) were compared to 49 alcoholics low in childhood hyperactivity/MBD (HA- alcoholics) with respect to patterns and severity of alcoholism, psychosocial functioning and physical status, personality and psychopathology, and familial alcoholism. HA+ alcoholics were found to report considerably more psychopathology on the MMPI and the Psychopathic State Inventory (PSI), findings which were suggestive of an underlying personality disorder. HA+ alcoholics were also found to differ significantly from the HA- alcoholics in several areas of psychosocial functioning and with respect to their pattern of alcoholism. That is, HA+ alcoholics had more interpersonal difficulties and had experienced more psychological/emotional problems; they were more likely to use alcohol to alter their moods and to use non-alcoholic illicit drugs; and they had less ability to internalize control of their impulses to consume alcohol. These findings, taken together, suggest that alcoholics reporting more symptoms of childhood hyperactivity/MBD may represent a subgroup within the larger alcoholic population. High and low hyperactivity alcoholics did not differ in severity of alcoholism or in alcohol-related physical effects or medical problems. Additionally, no evidence was obtained for a significant relationship between childhood hyperactivity and familial alcoholism.

摘要

五十名报告童年多动/最小脑损伤(MBD)症状数量较多的酗酒者(HA+酗酒者)与49名童年多动/MBD症状较少的酗酒者(HA-酗酒者)在酗酒模式和严重程度、心理社会功能和身体状况、人格和精神病理学以及家族性酗酒方面进行了比较。研究发现,HA+酗酒者在明尼苏达多相人格调查表(MMPI)和精神病态状态量表(PSI)上报告的精神病理学症状要多得多,这些发现表明存在潜在的人格障碍。还发现,HA+酗酒者在心理社会功能的几个方面以及酗酒模式上与HA-酗酒者有显著差异。也就是说,HA+酗酒者有更多的人际困难,经历过更多的心理/情绪问题;他们更有可能用酒精来改变情绪,使用非酒精类非法药物;而且他们在将控制饮酒冲动内化方面的能力较弱。综合这些发现表明,报告童年多动/MBD症状较多的酗酒者可能是更大酗酒人群中的一个亚组。多动程度高和低的酗酒者在酗酒严重程度、与酒精相关的身体影响或医疗问题方面没有差异。此外,没有证据表明童年多动与家族性酗酒之间存在显著关系。

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Differentiation of alcoholics high and low in childhood hyperactivity.童年期多动程度高与低的酗酒者的差异
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