입원된 알콜리즘 환자의 정신병리 一 MMPI, SCL-90, HPRS를 중심으로 -

A Study on Psychopathology of the Admitted Alcoholic Patients Using MMPI, SCL-90, and HPRS

This study was to investigate the psychopathology of 55 patients with alcohol dependence, who had been admitted to Wonkwang University Neuropsychiatric hospital from October, 1988 to May, 1989. They were diagnosed with DSM-III-R, who had 5 score or more on Alcoholism Screening Test (AST). The control group was 32 social drinkers who had less than 5 score 에 AST. All subject was evaluated with AST., MMPI, SCL-90-R and Hopkins Psychiatric Rating Scale(HPRS). The results were as follows * 1) The MMPI profile of the patients with alcohol dependence was L-6-8~9 type, and that of social drinkers was L-K_5_2_3 type. 2) On MMPI, the alcoholic group showed significantly higher scores than social drinkers in Pa, Pt, Sc and Ma subscales at the level of 1%, and F, Hs and Pd subscales at the level of 5%. 3) On SCL-90-R, both groups showed 40~55 score with normal of subscales. Specially, alcoholic group showed significantly higher scores on SOM, O-C, DEP, PSY, GSI and PSDI subscal at the level of 1% and ANX and PHOB subscales at the level of 5%. 4) On the HPRS rated by the families, the patients were rated more severe than the social drinkers on all of subscales except 4 subscales. 5) Compared the transformated scores of patients’ SCL_90~R to the scores of the corresponding HPRS subscales rated by their families, the patients rated more severe about themselves on SOM, ANX, PHOB and PSY subscales than their families, but rated lower on HOS subscale. 6) Compared the transformated scores of patients’ SCL_90~R to the scores of the corresponding HPRS subscales rated by their doctors, the patients rated more severe about themselves on ANX, PHOB and PSY subscales. 7) On HPRS rated about the patients, their families rated higher on HYS subscale and lower on SOM and ANX subscales than their doctors.