Shirley M C, Windle M
Addiction Research Foundation, Toronto, Ontario.
J Subst Abuse. 1994;6(3):279-93. doi: 10.1016/s0899-3289(94)90469-3.
Data from the Vietnam Experience Study (Centers for Disease Control [CDC], 1988a) were used to investigate differences in sociodemographic characteristics, psychological functioning, and social support among five groups: (a) controls; (b) alcohol use disorder only; (c) alcohol use disorder and major depression; (d) alcohol use disorder and generalized anxiety, and (e) alcohol use disorder and antisocial personality (ASP). Consistent with prior findings, alcoholics with co-occurring disorders were more pervasively dysfunctional across the domains measured than the controls, and in some instances, than the alcohol use disorder only group. Differences among alcohol-comorbid groups also were found. The alcohol-depression group had the highest number of elevated MMPI scores, the highest levels of negative affect, and along with the alcohol-ASP group, the lowest levels of perceived social support. The alcohol-ASP group had the highest school dropout rate and, along with the alcohol-depression group, the earliest onset of problem drinking. Results were discussed regarding the importance of identifying distinctive psychosocial variables associated with alcoholic subtypes that may enhance perspectives on etiology, prevention, and treatment.
越南经验研究（疾病控制中心[CDC]，1988a）的数据被用于调查五组人群在社会人口学特征、心理功能和社会支持方面的差异：（a）对照组；（b）仅患有酒精使用障碍者；（c）患有酒精使用障碍和重度抑郁症者；（d）患有酒精使用障碍和广泛性焦虑症者，以及（e）患有酒精使用障碍和反社会人格（ASP）者。与先前的研究结果一致，患有共病的酗酒者在所测量的各个领域中功能失调的情况比对照组更为普遍，在某些情况下，也比仅患有酒精使用障碍的组更为普遍。还发现了酒精共病组之间的差异。酒精-抑郁症组的明尼苏达多相人格调查表（MMPI）得分升高的数量最多，消极情绪水平最高，并且与酒精-ASP组一样，感知到的社会支持水平最低。酒精-ASP组的辍学率最高，并且与酒精-抑郁症组一样，问题饮酒的发病最早。讨论了有关识别与酒精性亚型相关的独特心理社会变量的重要性的结果，这些变量可能会增强对病因、预防和治疗的认识。
