女性アルコール症者の臨床精神医学的研究

A survey was conducted in 1979 and 1981 of 40 women alcoholics in 10 mental hospitals in and around Kochi City, and the results were compared with those of men alcoholics in the hospitals. Many of the subjects experienced separation from their parents (40.0%) by death and other reasons, and also experienced trouble between the father and mother (48.0%) in their minority. There were many subjects whose families were guide poor. The percentage of alcoholism and heavy drinking in their relatives was high at 88.0 percent. Forty-four percent of the subjects experienced working in bars. Poor childhood environments, hereditary traits, closeness to alcohol and psychological stress seemed to be the important precipitating factors in women alcoholics. As for the chief complaints and main symptoms on admission, physical symptoms ranked 1st at 45.0 percent, followed by being neglectful of work at 35.0 percent and being unable to do household duties at 30.0 percent. In men, psychotic symptoms ranked 1st at 38.8 percent, and antisocial action was also more conspicuous than in women. Withdrawal symptoms on admission were found in 45.0 percent in women (65.5% in men). The percentage of delirium was 17.5 percent in women (29.6% in men). Complications and past psychiatric diseases were found in 50.0 percent (33.2% in men). The percentages of drug dependence (17.5%) and neurosis (12.5%) were significantly higher than those for men. Their main problem was an inability to discharge their duties inside or outside the home. Many used alcohol to allay their nervous tendencies and then fell into alcoholism. Between those who started habitual drinking early and those who started late, certain differences were found in their childhood environments, experience in bar work, problem behavior associated with drinking, marital situation, problem acts of the husband, the event leading to drinking and the MMPI.