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Una confirmación de la clasificación del alcoholismo masculino en dos tipos

Published online by Cambridge University Press:  12 May 2020

J. Modestin  and
O. Würmle
J. Modestin
Affiliation:
Hospital Psiquiátrico Universitario, Lengstrasse 31, CH-8029, Zürich
O. Würmle
Affiliation:
Hospital Psiquiátrico Universitario, Berna, Suiza
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Resumen

En los últimos años, varios autores han propuesto una clasificación del alcoholismo masculino en dos tipos. El estudio pretendía poner a prueba la clasificación del alcoholismo en los tipos I y II en una muestra independiente. Se estudió un total de 351 hombres alcohólicos según los Criterios para el Estudio Diagnóstico (RDC) admitidos consecutivamente para tratamiento psiquiátrico interno. Las características del tipo II se extrajeron de las publicaciones pertinentes; se seleccionaron las 19 variables disponibles que mejor representaban estas características. Los datos se recogieron utilizando el método de evaluación retrospectiva de los historiales clínicos. El análisis de grupos produjo dos grupos que estaban muy separados entre sí. Se demostró la heterogeneidad de la población interna masculina de alcohólicos y se confirmó la existencia del alcoholismo de tipo I y de tipo II definido de manera amplia.

Keywords

alcoholismotipologíahombresanálisis de grupos
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 5 , Issue 3 , April 1998 , pp. 162 - 173
Copyright
Copyright © European Psychiatric Association 1998

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Footnotes

Modestin J, Wurmle O. Two types classification of male alcoholism confirmed. Eur Psychiatry 1997; 12: 335-341.

References

BIBLIOGRAFIA

Alterman, AITarter, RE. An examination of selected typologies. Hyperactivity, familial, and antisocial alcoholism. In: Galanter, M ed. Recent Developments in Alcoholism. New York, London: Plenum Press, 1986: 169-89.CrossRefGoogle Scholar
Antheneili, RMSmith, TLIrwin, MRSchuckit, MA. A comparative study of criteria for subgrouping alcoholics: the primary/secondary diagnostic scheme versus variations of the type 1/type 2 criteria. Am J Psychiatry 1994; 151: 1468-74.Google Scholar
Babor, FLauerman, RJ. Clasification and forms of inebriety. Historical antecedents of alcohol typologies. In: Galanter, M ed. Recent Developments in Alcoholism. New York, London: Plenum Press, 1986: 113-44.CrossRefGoogle Scholar
Babor, FMeyer, RD. Typologies of alcoholics. OverView. In: Galanter, M ed. Recent Developments in Alcoholism. New York, London: Plenum Press, 1986: 107-11.Google Scholar
Babor, FHofmann, MDel Boca, FKHesselbrock, VMeyer, REDolinsky, ZSRounsaville, B. Types of alcoholics. I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Arch Gen Psychiatry 1992; 49: 599–608.CrossRefGoogle ScholarPubMed
Bohman, MCloninger, CRSigvardsson, Svon Knorring, AL. The genetics of alcoholisms and related disorders. J Psychiatry Res 1987; 21: 447-52.CrossRefGoogle ScholarPubMed
Bohman, MCloninger, CRvon Knorring, ALSigvardsson, S. An adoption study of somatoform disorders. III. Cross-fostering analysis and genetic relationship to alcoholism and criminality. Arch Gen Psychiatry 1994; 41: 872-8.CrossRefGoogle Scholar
Brown, JKranzler, HR Del Boca, FK. Self-reports by alcohol and drug abuse inpatients: factors affecting reliability and validity. Br J Addict 1992; 87: 1012-24.CrossRefGoogle ScholarPubMed
Buydens-Branchey, LBranchey, MHNoumair, D. Age of alcoholism onset. I. Relationship to psychopathology. Arch Gen Psychiatry 1989a; 46: 225-30.CrossRefGoogle Scholar
Buydens-Branchey, LBranchey, MHNoumair, DLieber, CS. Age of alcoholism onset. II. Relationship to susceptibility to serotonin precursor availability. Arch Gen Psychiatry 1989b; 46: 231-6.CrossRefGoogle Scholar
Cadoret, RTroughton, EWidmer, R. Clinical differences between antisocial and primary alcoholics. Compr Psychiatry 1984; 25: 1–8.CrossRefGoogle ScholarPubMed
Clapp, JDSegars, LB. Alcohol consumption pattems and related problems: results of a county survey. J Community Health 1993; 18: 153-61.CrossRefGoogle Scholar
Cloninger, CR. Neurogenetic adaptive mechanisms in alcoholism. Science 1987; 236: 410-6.CrossRefGoogle ScholarPubMed
Cloninger, CRBohman, MSigvardsson, S. Inheritance of alcohol abuse. Cross-fostering analysis of adopted men. Arch Gen Psychiatry 1981; 38: 861-8.CrossRefGoogle ScholarPubMed
Cook, BLWinokur, GFowler, RCLiskow, BI. Classification of alcoholism with reference to comorbidity. Compr Psychiatry 1994; 35: 165-70.CrossRefGoogle ScholarPubMed
Epstein, EEKahler, CWMcCraddy, BSLewis, KDLewis, S. An empirical classification of drinking pattems among alcoholics: binge, episodic, sporadic, and steady. Addict Behav 1995; 20: 23–41.CrossRefGoogle Scholar
Farren, CKDinnan, TG. Alcoholism and typology: findings in an Irish private hospital population. J Stud Alcohol 1996; 57: 249-52.CrossRefGoogle Scholar
Feingold, ARounsaville, B. Construct validity of the dependence syndrome as measured by DSM-IV for different psychoactive substances. Addiction 1995; 90: 1661–9.CrossRefGoogle ScholarPubMed
Fils-Aime, MLEckhardt, MJGeorge, DTBrown, GLMefford, ILinnoila, M. Early-onset alcoholics have lower cerebrospinal fluid 5-hydroxyindoleacetic acid levels than late-onset alcoholics. Arch Gen Psychiatry 1996; 53: 211-6.CrossRefGoogle ScholarPubMed
Gilligan, SBReich, TCloninger, CR. Alcohol-related symptoms in heterogenous families of hospitalized alcoholics. Alcohol Clin Exp Res 1988; 12: 671-8.CrossRefGoogle Scholar
Hasin, DSMuthuen, BWisnicki, KSGrant, B. Validity of the bi-axial dependence concept: a test in the US general population. Addiction 1994; 89: 573-9.CrossRefGoogle ScholarPubMed
Hesselbrock, MN. Alcoholic typologies. A review of empirical evaluations of common classification Schemes. In: Galanter, M ed Recent Developments in Alcoholism. New York, London: Plenum Press, 1986: 191–206.CrossRefGoogle Scholar
Irwin, MSchukit, MSmith, TL. Clinical importance of age at onset in type 1 and type 2 primary alcoholics. Arch Gen Psychiatry 1990; 47: 320-4.CrossRefGoogle ScholarPubMed
Jellinek, EM. The Disease Concept o f Alcoholism. New Haven: College and University Press, 1960.CrossRefGoogle Scholar
Knorring von, A-LBohman, M Knorring von, LOreland, L. Platelet MAO activity as a biological marker in subgroups of alcoholism. Acta Psychiatr Scand 1985a; 72: 51-8.CrossRefGoogle Scholar
Knorring von, A-LPalm, UAndersson, H-E. Relationship between treatment outeome and subtype of alcoholism in men. J Stud Alcohol 1985b; 46: 388-91.CrossRefGoogle Scholar
Knorring von, LKnorring von, A-LSmigan, LLindberg, UEdholm, M. Personality traits in subtypes of alcoholics. J Stud Alcohol 1987; 48: 523-7.CrossRefGoogle Scholar
Lamparski, DMRoy, ANutt, DJLinnoila, M. The criteria of Cloninger et al, and von Knorring et al, for subgrouping alcoholics: a comparison in a clinical population. Acta Psychiatr Scand 1991; 84; 497–502.CrossRefGoogle Scholar
Mezzich, ATarter, Rkirisci, LClark, DBuckstein, OMartin, C. Subtypes of early onset alcoholism. Alcohol Clin Exp Res 1993; 17: 767-70.CrossRefGoogle Scholar
Modestin, JAmmann, R. Two methods of authenticating past criminal conduct by psychiatric inpatients: a comparison of clinical chart reports and criminal records. MedLaw 1995; 14: 313-20.Google ScholarPubMed
Modestin, JBerger, AAmmann, R. Mental disorder and criminality. Male alcoholism. J Nerv Ment Dis 1996; 184: 393–402.CrossRefGoogle ScholarPubMed
Schuckit, MATipp, JESmith, TLShapiro, EHesselbrock, VMKK, Bucholz et al. An evaluation of Type A and B alcoholics. Addiction 1995; 90: 1189-203.CrossRefGoogle ScholarPubMed
Spitzer, RLCohen, JFleiss, JLEndicott, J. Quantification of agreement in psychiatric diagnoses: a new approach. Arch Gen Psychiatry 1967; 17: 83-7.CrossRefGoogle ScholarPubMed
Spitzer, RLEndicott, JRobins, E. Research Diagnostic Criteria (RDC) for a Selected Group o f Functional Disorders, 3rd ed. New York State Psychiatric Institute, 1978.Google Scholar
Sullivan, JLBaenziger, JCWagner, DLRauscher, FP Nurnberger JI Jr, Holmes, JS. Platelet MAO in subtypes of alcoholism. Biol Psychiatry 1990; 27: 911-22.CrossRefGoogle ScholarPubMed
Vaillant, GE. Natural history of male alcoholism V: Is alcoholism the cart or the horse to sociopathy? Br J Addiction 1983; 78: 317-26.CrossRefGoogle ScholarPubMed
Winokur, GRimmer, JReich, T. Alcoholism IV: Is there more than one type of alcoholism? Br J Psychiatry 1971; 118: 525-31.CrossRefGoogle ScholarPubMed