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%（P〈0.01）；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P〈0.05）。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P〈0.01），神经质维度得分高于对照组（P〈0.01）。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（P〈0.01）。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。
Objective To explore the correlation between adverse childhood experiences, personality characteristics and alcohol dependence. Methods A total of 102 patients with alcohol-dependence （Patients group） and 106 volunteers （control group） were rated by the adverse childhood experience scale （ACEs） and the big five personality scale （BFP）. Results The prevalence of ACEs are significant higher in patients group than in control group, especially regarding emotional abuse, physical neglect, witness violence and substance abuse. The patients group has lower scores of delight, conscientiousness and higher scores of psychoticism. Psychoticism and parents abuse alcohol in childhood were the risk factors of alcohol dependence. Conclusions There is a correlation between alcohol dependence with their ACEs, personality characteristics and parents abused substance. The psychoticism increase the risk of alcohol dependence.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2014年第10期585-589,共5页
Chinese Journal of Nervous and Mental Diseases
基金
山东省医药卫生科技发展计划项目(编号:2011HW052)
关键词
酒精依赖
童年期逆境
人格特征
Alcohol dependence
Personality Characteristics
