남자 알코올의존 환자에서 가족력에 따른 우울 및 공격성, 가족환경과의 관계

The Relationships among Depression, Aggression, and Family Environment in Male Alcoholics according to Family History of Alcohol Dependence

Objective：We intended to identify relationships among depression, aggression, and family environment in patients with alcohol dependence, and relationships in these variables according to the family history of alcohol dependence. Method：We examined 49 male patients with alcohol dependence (DSM-Ⅳ) who had been admitted in Yong-In Mental Hospital from June 1st 1998 to October 31th 1998. We performed semistructured interview for demographic and clinical characteristics, and family history. Self-report questionnaires for aggresssion (Buss- Durkee Hostility Inventory), depression (Beck Depression Inventory), and family environment (Family Environmental Scale) were given to all subject at least 4 weeks later after admission. We devided alcoholic patients into two groups according to family history of alcohol dependence, i. e. familial alcoholics (N＝26) and non-familial alcoholics (N＝23). Results：1) In alcoholic patients, there were statistically significant positive correlations between aggression and depression, especially between spontaneous aggression subscale and depression. 2) In non-familial alcoholics, there were statistically significant positive correlations between aggression and depression, especially between control of aggression subscale and depression. And there was a statistically significant negative correlation between family conflict subscale and depression. 3) In familial alcoholics, there was a statistically significant positive correlation between spontaneous aggression subscale and depression, but a statistically significant negative correlaion between expression oofaggression subscale and depression. Conclusions：We found that there was a positive correlation between aggression and depression in alcoholics. And we suggested that deression may be much more influenced by spontaneous aggression and temperamental factor in familial alcoholics and by family conflict and environmental factor innon-familial alcoholics relatively.