Yoshino A, Kato M, Takeuchi M, Ono Y, Kitamura T
Komagino Hospital, Tokyo, Japan.
Alcohol Clin Exp Res. 1994 Oct;18(5):1121-4. doi: 10.1111/j.1530-0277.1994.tb00091.x.
Cloninger (1987) has hypothesized a tridimensional personality theory for two types of alcoholism, type 1 and type 2, that exhibit opposing clinical characteristics and personality traits. The Tridimensional Personality Questionnaire (TPQ) is designed to test this hypothesis on three independent dimensions--novelty seeking (NS), harm avoidance (HA), and reward dependence (RD)--to evaluate the personality trait. We examined the tridimensional personality hypothesis by comparing TPQ scores between two empirically derived multivariate types of alcoholism. The present study included 191 male subjects with alcoholism. A cluster analysis was conducted using clinical characteristics, and two empirical types, type A and type B, were identified. Type A is similar to Cloninger's type 1 and type B is similar to type 2. The TPQ scores given to these two empirical types were compared. Scores on the NS and RD scales were in good agreement with the hypothesis, whereas the HA score was discordant with the hypothesis. HA is highly correlated with the depression scale score that is elevated in type B. We discussed the possibility that type B, which may be called a familial early-onset alcoholism, is related to character spectrum disorder.
克隆宁格（1987年）针对两种类型的酒精中毒（1型和2型）提出了一种三维人格理论，这两种类型表现出相反的临床特征和人格特质。三维人格问卷（TPQ）旨在在三个独立维度——寻求新奇（NS）、回避伤害（HA）和奖赏依赖（RD）——上检验这一假设，以评估人格特质。我们通过比较两种基于实证得出的多元酒精中毒类型之间的TPQ分数，来检验三维人格假设。本研究纳入了191名患有酒精中毒的男性受试者。利用临床特征进行了聚类分析，确定了两种实证类型，即A型和B型。A型类似于克隆宁格的1型，B型类似于2型。比较了这两种实证类型的TPQ分数。NS和RD量表的分数与假设高度一致，而HA分数与假设不一致。HA与B型中升高的抑郁量表分数高度相关。我们讨论了B型（可能被称为家族性早发性酒精中毒）与性格谱系障碍相关的可能性。
