男性單純酒癮與合併焦慮症病人在行為抑制與激發之比較

Behavioral Inhibition and Activation Systems in Male Alcoholic Patients with and without Anxiety Disorders

陳仲鉉(Chung-Hsuan Chen) ； 柯慧貞(Huei-Chen Ko) ； 陸汝斌(Ru-Band Lu)

《台灣精神醫學》 19卷2期 (2005/06) Pp. 119-127

https://doi.org/10.29478/TJP.200506.0005

摘要

目的：本研究擬探討單純酒癮患者與焦慮酒癮共病患者在行為抑制系統和行為激發系統上之差異。本研究假設單純酒癮組具有較高之行為激發系統或較低之行為抑制系統；而焦慮酒癮共病組則具有較高之行為抑制系統。方法：本研究共取樣78名男性受試者，包括26名單純酒癮患者、25名合併焦慮症之酒癮患者，以及27名健康正常人。所有受試者皆由研究人員以終生診斷晤談量表進行晤談而確定臨床診斷，並以飲酒行為量表蒐集前三個月之喝酒量；另外，由受試者自填行為抑制系統與行為激發系統量表。結果：焦慮酒癮共病患者之「行為抑制」分量表的得分顯著高於單純酒癮患者和健康正常人；單純酒癮患者在「行為激發」分量表的得分則顯著高於健康正常人，但與焦慮酒癮共病患者間並無顯著差異。結論：併有焦慮之酒癮患者的氣質不同於單純酒癮者；單純酒癮患者有較活躍的行為激發系統；而焦慮酒癮共病患者則有較敏感的行為抑制系統。

關鍵字

行為抑制系統 ； 行為激發系統 ； 單純酒癮 ； 焦慮酒癮共病

並列摘要

Objectives: We hypothesized that alcoholics only may have a higher behavioral activation sensitivity or a less sensitive behavioral inhibition system, while alcoholics with anxiety disorders may have a more sensitive behavioral inhibition system. To test this hypothesis, this study examined the behavioral inhibition and behavioral activation systems in patients with alcoholism only and in those with alcoholism accompanied by a previous history of anxiety disorders. Methods: A total of 78 male participants were recruited and categorized into three groups, including 26 with alcoholism only, 25 with mixed anxiety-alcoholism, and 27 healthy controls. Each subject was interviewed by a trained researcher using the MSADS-L to obtain diagnostic status in the life time and the drinking behavior inventory (Form 90) to assess weekly alcohol consumption in the past three months. The BIS/BAS scale was completed by self-report. Results: Alcoholics with anxiety disorder had a higher score on the behavioral inhibition subscale than the alcoholics only and healthy controls. Compared to healthy controls, patients with alcoholism only had a significantly higher score on the subscale of behavioral activation. Conclusion: The results of this study suggest that patients with mixed-alcoholism have different temperament from those with alcoholism only. Patients with alcoholism in the absence of anxiety disorder may have a higher behavioral activation sensitivity, while alcoholics with anxiety disorder may have a more sensitive behavioral inhibition system.

並列關鍵字

behavioral inhibition system ； behavioral activation system ； pure alcoholism ； mixed anxiety-alcoholism

參考文獻

Merikangas KR,Stevens DE,Fenton B(1998).Comorbidity and familial aggregation of alcoholism and anxiety disorders.Psychol Med.28,773-88.

Kushner MG,Abrams K,Borchardt C(2000).The relationship between anxiety disorders and alcohol use disorders a review of majorperspectives and findings.Clin Psychol Rev.20,149-71.

Kushner MG,Kenneth MA,Sher KJ, Bernard D,Beitman MD(1990).The relation between alcohol problems and the anxiety disorders.Am J Psychiatry.147,685-95.

Schuckit MA,Hesselbrock V(1994).Alcohol dependence and anxiety disorder: what is the relationship.Am J Psychiatry.151,1723-34.

Hwu HG,The EK,Chen CC(1991).Alcoholism and emerging mental health problem in Taiwan.J China Mental Health.5,1-9.