Аннотация:
Aim: Study of the impact of violence suffered in childhood and adulthood on the characteristics of the clinic and the course of alcohol dependence in women.
Methods. As a material, we used the results of a survey of 100 patients with an average stage of alcohol dependence (average age – 45.1 [39; 50] years). The methodological base consisted of a combination of clinical-anamnestic, clinical-psychopathological, clinical-psychological and statistical methods.
Results. The anamnesis of most women with alcohol dependence under the age of 16 revealed single or multiple facts of physical, sexual, emotional and combined violence from the immediate social environment, and as the disease develops, similar excesses on the part of husbands, roommates and other persons in the process of joint drinking alcohol. Regular combined violence experienced by women under the age of 16 was statistically significantly more likely to be associated with a highly progressive type of alcohol dependence. Regardless of the frequency of victim episodes, women who underwent them before the age of 16 statistically significantly more often did not have a secondary complete education, began to abuse alcohol before the age of 20, had a pronounced behavioral component in the structure of the pathological craving for alcohol, and statistically significantly less frequently manifested inhibited traits, as well as a statistically higher frequency of occurrence of suicidal thoughts and actions.
Conclusion. In women with alcohol dependence, violence suffered by the immediate social environment before the age of 16 can be considered as a predictor of their low educational resources, early onset of alcohol abuse, the development of a deficiency of personality inhibitory mechanisms in combination with a facilitated occurrence of suicidal manifestations, and the predominance of the behavioral component in the structure. pathological craving for alcohol and a highly progressive type of the course of the disease.
Ключевые слова:
alcohol dependence, women, childhood violence, domestic violence, addictive personality, victimization.