A possible contribution to improving the therapeutic potentials of Babor's Typology of Alcohol Dependent Patients

Jornal Brasileiro de Psiquiatria

Mário Sérgio Ribeiro¹  Luiz Cláudio Ribeiro¹  Rafael Augusto Ferreira¹ 

关键词: Alcoholism;    typology;    diagnosis;    cluster analysis;    alcoholism treatment;    Alcoolismo;    tipologia;    diagnóstico;    análise de cluster;    tratamento do alcoolismo;   

DOI  :  10.1590/0047-2085000000079

来源: SciELO

【 摘 要 】

ABSTRACTObjectiveThe objective of this study was to replicate Babor's Typology and to explore clinical features related to personality traits that may underlie this classification, in order to improve its therapeutic possibilities.MethodsObservational prospective study on a group of 273 male alcoholics. After a replication of Babor's variables, Cluster Analysis, Chi-Square – applied on clinical variables related to a Lappda Tipology – and Kappa tests were performed.ResultsThe study identified two distinct clusters that held similar features to those described for the Type A/Type B classification. Besides presenting a lower socio-economic situation, Cluster 2 patients were associated with higher vulnerability and severe clinical features and also differed from Cluster 1 in their response to treatment. These replicated clusters retained connections and also differences in relation to the variables derived from the Lappda Typology.ConclusionConsidering that each of the two replicated clusters seem to be associated to different personality traits – according to their correlations to the affective, cognitive and behavioral dimensions brought forward by the Lappda Typology – it is acceptable that this study may contribute to the development of more comprehensive and effective therapeutic strategies specifically tailored to target more specific personality traits of these subgroups of alcoholic patients.

【 授权许可】

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