외상 후 스트레스 장애 환자의 음주와 음주동기

• 영문명: Alcohol Use and Drinking Motives in Patients with Posttraumatic Stress Disorder
• 발행기관: 한국중독정신의학회
• 저자명: 이시은(Shi-Eun Lee) 정혜경(Hae Gyung Chung) 이수영(Soo Young Lee) 소형석(Hyung Seok So) 정문용(Moon Yong Chung) 최진희(Jin Hee Choi) 김태용(Tae Yong Kim)
• 간행물 정보: 『중독정신의학』Vol.14, No.2, 63~69쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2010.09.30

영문 초록

Objectives：Posttraumatic stress disorder (PTSD) is a mental disorder that develops in response to catastrophic life events. Alcohol abuse or dependence is the most common co-occurring disorder among men with PTSD, and possible functional correlations are suspected. Therefore, we conducted this study to identify the differences in drinking patterns and motives between patients with PTSD and a combat exposed control group. Methods：We recruited 92 veterans patients with PTSD and 79 veterans without PTSD for a control group, who had all experienced combat trauma in the Vietnam War. A detailed history of alcohol use, the Alcohol Use Disorder Identification Test (AUDIT), Clinician-administered PTSD Scale (CAPS), Combat Exposure Scale (CES) and Drink-ing Motive Questionnaire were obtained from all participants. Results：Patients with PTSD consumed alcohol longer and more frequently than those in the control group. In the PTSD group, the AUDIT scores and coping motives were significantly higher than in the control group (p<0.01). The difference in coping motive was still significant after adjusting for AUDIT score using multi-variate analysis of covariance. There were no significant differences in enhancement, social, and conformity motives between groups. Conclusion：Our data support the hypothesis that patients with PTSD drink to cope with the negative affects including symptoms of PTSD. These results suggest that treatment of symptoms of PTSD may be important for optimizing the outcomes for patients with comorbid PTSD and alcohol use disorders.

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키워드

Posttraumatic stress disorder PTSD Alcohol Drinking motive 외상후 스트레스 장애 PTSD 알코올 음주 동기.