밀리온 임상 다축 검사(MCMI)를 이용한 알코올의존 입원 환자의 아형 분류 연구

A Study of the Types of Alcohol Dependence by Personality Characteristics on Million Clinical Multiaxial Inventory(MCMI)

Objectives：The purpose of this study is to classify the personality characteristics of individuals with alcohol dependence through cluster analysis, and to examine clinical characteristics of each subtype. Methods：402 Inpatients with alcohol dependence were received MCMI, AUI, MAST, and ADS. The classification of personality subtypes of alcohol dependence was done through the cluster analysis. Results：1) Personality characteristics of patients with alcohol dependence could be classified into three subtypes. Subtype 1 showed the most severe personality pathology. Subtype 2 showed the relatively milder personality pathology. Subtype 3 showed the intermediate level of personality pathology. 2) There is no difference in age, educational level, marital status, and the onset age of alcohol problem, and the existence or nonexistence of job, family history of alcoholism, medical disease, and smoking among three subtypes. 3) As a result of comparative analysis of alcohol-related variables, mental functioning, compulsive drinking, drinking problem, insight of problem, anxiety, and physical, psychological dependence showed statistically significant difference between subtype 1 and subtype 2 or 3. 4) There was a significant difference in anxiety, somatization, mania, alcohol dependence, posttraumatic stress symptom, thought disorder, major depression, and delusional disorder among three subtypes. There was a significant difference in the degree of drug abuse between subtype 1 and subtype 2 or 3. Conclusion：It is possible to classify personality characteristics of patients with alcohol dependence into three subtypes by means of MCMI in Korea.