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KMID : 0870520120160010021
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Journal of Korean Academy of Addiction Psychiatry
2012 Volume.16 No. 1 p.21 ~ p.29
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The Study of Relationship between Temperament-Characters, and Drinking Characteristics and Motivation for Abstinence in Alcohol Dependent Patients
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Kim Jin-Hyeon
Lee Duk-Ki
Jung Bong-Ju
Park Young-Min
Kim Sung-Gon
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Abstract
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Objectives： The purpose of this study is to investigate personality traits, investigate differences in onset times between the sexes, and compare schizophrenic patients with alcoholic patients using TCI. And we examined the correlation between TCI and drinking characteristics, and TCI and motivational status for abstinence.
Methods： We enrolled 169 alcohol dependent patients (118 males, 51 females) by DSM-IV criteria, and 86 stable schizophrenic patients (42 males, 44 females) for the control group. We used TCI, SCL-90, AUI, URICA as a self reported questionnaire. We compared the score of those questionnaires of the early onset group with that of the late onset group in the alcohol dependent group.
Results: 1) The mean values of Novelty Seeking (NS) and Reward Dependence (RD) were significantly higher in the alcohol dependent group than in the control group (schizophrenic patients). 2) In the alcohol dependent group, the early onset group had significantly higher Novelty Seeking (NS) and Self Directedness (SD) but lower Harm Avoidance (HA) than the late onset group. 3) The mean value of Novelty Seeking (NS) in female alcohol dependent patients was significantly higher than in male patients in the early onset group, and the mean value of NS in females was significantly
lower than in males in the late onset group. 4) The mean value of Harm Avoidance (HA) was higher in female alcohol dependent patients than in the male patients group, and the late onset group had a higher mean value than the early onset group. 5) Harm Avoidance (HA) had negative correlation with ‘anxiety related to drinking’, and Reward Dependence (RD) and Coop-erativeness (CO) had positive correlation with ‘acknowledgement and awareness of use problem’. 6) The patients with lower Reward Dependence (RD) and Cooperativeness (CO) were included in the lower motivation group.
Conclusion： The alcohol dependent patient group was more impulsive and intemperate, and had a stronger tendency to pursue new things than the schizophrenic patient group. Especially, female alcohol dependent patients had a higher tendency to seek stimulation, so they drink alcohol more impulsively, resulting in higher risks of acquiring alcohol-dependence problems earlier than the male alcohol dependent patient group. On the other hand, females who had anxiety and higher avoidant tendency acquired alcohol dependence later in life. Reward Dependence (RD) and Cooperativeness
(CO) were related with patient’s motivation, so it will affect the prognosis of the treatment.
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KEYWORD
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Alcohol dependence, Temperament, Character, Personality trait, Drinking pattern, Motivation
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