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Características clínicas del alcoholismo familiar frente al esporádico en una muestra de pacientes masculinos y femeninos

Published online by Cambridge University Press:  12 May 2020

F. Limosin ,
P. Gorwood  and
J. Adés
F. Limosin
Affiliation:
Servicio de Psiquiatría, Hospital Louis Mourier, 178 rué des Renouillers, 92701Colombes cedex, Francia
P. Gorwood
Affiliation:
Servicio de Psiquiatría, Hospital Louis Mourier, 178 rué des Renouillers, 92701Colombes cedex, Francia
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Resumen

La presencia de antecedentes familiares de alcoholismo puede predecir características clínicas en los sujetos afectados, como una edad más temprana en el comienzo. Para el alcoholismo familiar, se citan también regularmente una inadaptación social más frecuente y grave, y complicaciones somáticas, aunque sujeto a muchos otros factores de confusión. Analizamos las características clínicas específicas de 79 pacientes dependientes de alcohol hospitalizados según la presencia o ausencia de antecedentes familiares de alcoholismo.

Se evaluó a los pacientes con la Entrevista Diagnóstica para Estudios Genéticos (DIGS) para la morbilidad psiquiátrica vital y con una lista sistemática de detección selectiva para las complicaciones somáticas, y se evaluó a los familiares de primer grado (N = 428) con el Cuestionario y Criterios de los Informantes Familiares (FISC).

La edad en el comienzo y las complicaciones sociales predecían el alcoholismo familiar frente al esporádico. incluso considerando los datos perdidos, la interacción entre las variables o ambos. Pero las diferencias se volvieron no significativas al excluir a los pacientes con personalidad antisocial. Si bien la edad en el comienzo parece ser, en efecto, la característica más informativa para predecir el alcoholismo familiar frente al esporádico, parece que, en estudios futuros, puede ser necesario tener en cuenta sistemáticamente el diagnóstic de personalidad antisocial, a causa de una probable contaminación.

Keywords

alcoholismopersonalidad antisocialantecedentes familiaresfactores de riesgo
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 8 , Issue 5 , June 2001 , pp. 318 - 323
Copyright
Copyright © European Psychiatric Association 2001

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