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[克隆宁格和冯·诺林格对I型和II型酒精中毒患者体验愉悦与不悦的能力研究]

[Capacity to experience pleasure and displeasure by Cloninger and von Knorring in type I and II alcoholism].

作者信息

Nowaczkowski P, Loas G, Gayant C, Delahousse J

机构信息

Hôpital Pinel, Amiens.

出版信息

Encephale. 1997 May-Jun;23(3):168-74.

PMID:9333546
Abstract

The aim of the present study is to test the hypothesis that Cloninger and von Knorring's type II alcoholics are more hedonic and experience less displeasure than type I alcoholics. 55 inpatients filled out the DSM III-R criteria for abuse or alcoholic dependence. The alcoholics were dichotomized into type I or type II using the onset of their alcoholism (type II < 25 years, type I > or = 25 years). In the few days of their hospitalization, the subjects filled out the Fawcett Clark Pleasure Capacity Scale-Physical Pleasure (FCPCS-PP), the Hardy Displeasure Capacity Scale-Physical Displeasure (HDCS-PD) and the abridged form of the Beck Depression inventory (BDI). The sociodemographic characteristics, the proportions of "abusers" and "dependents" and the scales scores were compared between the two groups. The sex-ratio and the educative level were not different between the two groups; the values of the chi 2 were respectively 1.36 (df = 1), p = 0.24 and 1.03 (df = 2), p = 0.59. The ratio "abusers" /"dependents" was not different (chi 2 = 1.115, p = 0.291). The mean age of the type I alcoholics was higher (m = 46.7, sd = 11.2) than that of the type II (m = 38.9, sd = 7.9) (U = 218.5, p = 0.013). Using covariance analyses (ANCOVA) to control the age, the results have shown that the FCPCS-PP and HDCS-PD scores of the type II alcoholics were not different than these of the type I alcoholics [respectively F (1.52) = 1.5, p = 0.23 and F (1.52) = 0.14, p = 0.7]. In conclusion, we failed to confirm the hypothesis that type II alcoholics would experience more pleasure and less displeasure than type I alcoholics. These negative results were discussed and the potential factors that could explain them are detailed.

摘要

本研究的目的是检验以下假设

与I型酗酒者相比,克隆宁格和冯·克诺林的II型酗酒者享乐性更强,体验到的不快更少。55名住院患者填写了DSM III-R关于滥用或酒精依赖的标准。根据酗酒起始时间将酗酒者分为I型或II型(II型<25岁,I型>或 = 25岁)。在住院的几天里,受试者填写了福西特·克拉克愉悦能力量表 - 身体愉悦(FCPCS-PP)、哈代不快能力量表 - 身体不快(HDCS-PD)以及贝克抑郁量表简版(BDI)。比较了两组之间的社会人口学特征、“滥用者”和“依赖者”的比例以及量表得分。两组之间的性别比例和教育水平没有差异;卡方值分别为1.36(自由度 = 1),p = 0.24和1.03(自由度 = 2),p = 0.59。“滥用者”/“依赖者”的比例没有差异(卡方 = 1.115,p = 0.291)。I型酗酒者的平均年龄(m = 46.7,标准差 = 11.2)高于II型酗酒者(m = 38.9,标准差 = 7.9)(U = 218.5,p = 0.013)。使用协方差分析(ANCOVA)来控制年龄,结果表明II型酗酒者的FCPCS-PP和HDCS-PD得分与I型酗酒者没有差异[分别为F(1.52)=1.5,p = 0.23和F(1.52)=0.14,p = 0.7]。总之,我们未能证实II型酗酒者比I型酗酒者体验到更多愉悦和更少不快这一假设。对这些阴性结果进行了讨论,并详细阐述了可能解释这些结果的潜在因素。

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