한국판 TCI를 사용한 알코올 의존 환자의 인격 특성 연구

A Study about Personality Trait of Alcoholic Patient with Korean Version of Temperament and Character Inventory

Alcoholism is a complex disease which has underlying biopsychosocial factors. So, we can make prevention and treatment plan with understanding of alcoholic’s biopsychosocial background. Personality factor is one of the important factors for occurrence, prevention and treatment of alcoholism. Recently, It is increasing the research of personality traits using of Temperament and Character Inventory (TCI), one of the dimensional personality models, which is based on biopsychosocial model. We compared personality traits of alcoholic patients and normal controls with TCI. We divided alcoholic patients into subgroups according to age at onset of problem drinking and family history of alcoholism and compared the personality traits of the subgroups with TCI. We chose 50 male alcoholic patients admitted to Yong-In mental hospital as case and 93 male people who visited Han gang Sacred Heart hospital to exam their health or who work in the hospital as normal controls. We took demographic data and TCI scores from patients and normal controls and got clinical characteristics such as drinking frequency, acute psychological and physiological response after alcohol ingestion, Buss-Durkee Hostility Inventory (BDHI) and Michigan Alcohol Screening Test (MAST) from alcoholics. Alcoholic patients show higher novelty seeking, higher harm avoidance and lower self-directedness than normal controls. In alcoholics, early onset (onset before 25 year old) patients show higher novelty seeking and have more drinking problems and show more spontaneous aggression. Patients with family history show higher novelty seeking and more drinking problems. There are significant differences in personality traits according to age at onset, family history of alcoholism. This study suggested the necessity to build different treatment and prevention plan of alcoholics according to TCI personality traits.