CAJ | 학술논문

目的：探索酒依赖患者的人格特征，以及酒依赖程度的影响因素。方法：运用明尼苏达多相人格调查表（ MMPI）和酒依赖筛查量表（ MAST）测查150例住院酒依赖患者（研究组）进行评估并与正常人（对照组）进行比较。以年龄、受教育年限、病程、发病年龄、饮酒时间、每日饮酒量以及MMPI 10个临床量表分作自变量，依次将酒依赖患者MAST 5个因子分作为因变量，进行多元逐步回归分析。结果：研究组的校正量表分低于对照组，差异具有统计学意义（ P<0.05），诈病、疑病、抑郁、癔症、精神病态、偏执、神经衰弱、精神分裂、轻躁狂量表分均高于对照组，差异有统计学意义（ P<0.01）。多元逐步回归分析显示，对饮酒问题的认识分与Pa、Pt、饮酒时间、受教育年限存在相关性（ P均<0.05）；工作社会分与Hy、Pt存在相关性（P均<0.05）；肝脏疾患分与D、受教育年限存在相关性（P均<0.05）。结论：酒依赖患者有明显的人格偏离，某些人格特质、受教育时间和持续饮酒时间影响患者酒依赖程度。
목적：탐색주의뢰환자적인격특정，이급주의뢰정도적영향인소。방법：운용명니소체다상인격조사표（ MMPI）화주의뢰사사량표（ MAST）측사150례주원주의뢰환자（연구조）진행평고병여정상인（대조조）진행비교。이년령、수교육년한、병정、발병년령、음주시간、매일음주량이급MMPI 10개림상량표분작자변량，의차장주의뢰환자MAST 5개인자분작위인변량，진행다원축보회귀분석。결과：연구조적교정량표분저우대조조，차이구유통계학의의（ P<0.05），사병、의병、억욱、억증、정신병태、편집、신경쇠약、정신분렬、경조광량표분균고우대조조，차이유통계학의의（ P<0.01）。다원축보회귀분석현시，대음주문제적인식분여Pa、Pt、음주시간、수교육년한존재상관성（ P균<0.05）；공작사회분여Hy、Pt존재상관성（P균<0.05）；간장질환분여D、수교육년한존재상관성（P균<0.05）。결론：주의뢰환자유명현적인격편리，모사인격특질、수교육시간화지속음주시간영향환자주의뢰정도。
Objective:To explore the personality characteristics of patients with alcohol dependence as well as the correlation with the severity of alcohol dependence. Method:Minnesota multiphasic personality inventory( MMPI)and Michigan alcohol screening test( MAST)were administered to 150 patients hospitalized for alcohol dependence( experimental group). The results were compared with those of the control. Age,years of education,course of disease,age of onset,time of drinking,daily alcohol intake and ten clinical scales of MMPI were selected as independent variables. In the meantime,five factors of MAST were treated as dependent variables to perform multiple stepwise regression,respectively. Results:The scores of corrected scales in the experimental group were lower than those of the control with statistical significance(P<0. 05). The scores of scales on malinger,hypochondria,depression,hysteria,psychopathy,paranoia,neurasthenia,schizophrenia and hypomania were significantly higher than those of the control(P<0. 01). Multiple stepwise regression a-nalysis indicated that the scores on the understanding of drinking problem were correlated with Pa,Pt,time of drinking and years of education(P <0.05);work and social scores were correlated with Hy and Pt(P <0.05);liver disease scores were correlated with D and years of education(P<0.05). Conclusion:Pa-tients with alcohol dependence showed obvious personality deviation. Some personality traits,years of education and time of drinking had an influence on the degree of alcohol dependence.