童年期逆境经历、人格特征与成年男性酒精依赖的关系

发布时间：2018-11-06 16:49

【摘要】：目的探讨童年期逆境经历、人格特征与成年男性酒精依赖的关系。方法应用童年期逆境问卷(adverse childhood experience scale,ACEs)及大五人格问卷(big five personality,BFP),对103例酒精依赖患者(患者组)及106名健康志愿者(对照组)进行童年期逆境经历及人格特征的评估,比较两组间的差异。结果患者组中经历高童年期逆境者构成比为42.2%,高于对照组的16.0%(P0.01);其中患者组的情感虐待、躯体忽视、目击暴力和物质滥用的发生率高于对照组(均P0.05)。在人格特征方面,患者组在宜人性、尽责性维度得分低于对照组(均P0.01),神经质维度得分高于对照组(P0.01)。多因素Logistic回归分析示,家庭成员物质滥用(OR=8.397,95%CI:3.022~23.328)及人格特征中神经质维度(OR=1.135,95%CI:1.052~1.224)与酒精依赖有关联(P0.01)。结论童年期逆境经历、人格特征与酒精依赖之间存在一定关系,童年期躯体忽视及家庭成员有物质滥用是酒精依赖的危险因素。
[Abstract]:Objective to explore the relationship between childhood adversities, personality traits and alcohol dependence in adult males. Methods (adverse childhood experience scale,ACEs and (big five personality,BFP) were used. The childhood adverse experiences and personality characteristics of 103 patients with alcohol dependence and 106 healthy volunteers (control group) were evaluated and the differences between the two groups were compared. Results the constituent ratio of the patients with high childhood adversity was 42.2%, which was higher than that of the control group (16.0%) (P0.01). The incidence of emotional abuse, physical neglect, eyewitness violence and substance abuse in the patients group was higher than that in the control group (P0.05). In terms of personality traits, the scores of due diligence dimension and neuroticism dimension in the patients group were lower than those in the control group (P 0.01) and higher than those in the control group (P 0.01). Multivariate Logistic regression analysis showed that family members' substance abuse (OR=8.397,95%CI:3.022~23.328) and neuroticism dimension (OR=1.135,95%CI:1.052~1.224) in personality traits were associated with alcohol dependence (P0.01). Conclusion there is a certain relationship between childhood adversities, personality traits and alcohol dependence. Somatic neglect and substance abuse by family members in childhood are risk factors of alcohol dependence.
【作者单位】：山东省精神卫生中心;山东大学护理学院;
【基金】：山东省医药卫生科技发展计划项目(编号:2011HW052)
【分类号】：R749.62

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