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E-ISSN : 2733-4538
본 연구는 알코올 의존을 가진 남자 환자들의 임상적 특성을 다면적 인성검사(MMPI-2) 프로파일을 기반으로 한 유형 분류를 통해 알아보고자 하였다. 이를 위해 광역시 소재의 한 알코올 전문 병원에서 치료받은 337명 남자 환자의 MMPI-2 9개의 타당도척도와 10개의 임상척도가 군집분석에 포함되었다. 분석 결과, 다음과 같은 3개의 유형으로 분류되었다. 유형 1 (n=143, 42.4%)은 “방어적 정상 프로파일” 집단으로, 임상척도들은 모두 정상범위에 속하나 상대적으로 방어성 척도(L/K/S) 점수가 높고 비전형성 척도(F/Fb/Fp/FBS) 점수가 낮았다. 유형 2 (n=136, 40.4%)는 반사회성(Pd)과 우울(D) 척도가 상승한 “반사회적 성향” 집단이었다. 유형 3 (n=58, 17.2%)은 “심한 심리적 장애” 집단으로, 다수의 임상척도(D, Pd, Pa, Pt, Sc)와 비전형성 척도가 상승하였다. 물질남용 보충척도 중에는 중독인정 척도(AAS)가 각 유형을 유의하게 구분하였다. 위의 결과를 바탕으로 각 유형에 대한 이해와 개입을 위한 임상적 시사점을 논의하였다.
This study aimed to identify the clinical characteristics of male alcoholics using the MMPI-2 profile typology. Three types were found in a cluster analysis of the MMPI-2 scores (9 validity and 10 clinical scales) of 337 male patients admitted for alcohol-dependence. Type 1 (n=143, 42.4%) showed a “defensive normal profile,” with all clinical scale scores falling within the normal range while having high scores on defensive scales (L/K/S) and low scores on infrequency scales (F/Fb/Fp/FBS). Type 2 (n=136, 40.4%) was characterized as “psychopathic” with elevated Scale 4 (Pd) and Scale 2 (D). Type 3 (n=58, 17.2%) suggested“severe psychological disturbance” with elevated scores on several clinical scales (D, Pd, Pa, Pt, Sc) and on infrequency scales. Among the substance abuse supplementary scales, only Addiction Admission Scale (AAS) significantly differed across the types. Based on these results, each type is discussed with implications for intervention.
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