Abstract
To generate homogeneous clusters of alcoholics and to check the empirical stability of the clusters. Patients from consecutive admissions were assessed by face to face interview on 7 or 8 post abstinence day in a cross-sectional design. 73 male inpatients satisfying DSM-IV criteria of alcohol dependence syndrome without significant physical or cognitive deficits formed the sample. Apart from socio demographic variables, twelve other parameters were assessed with appropriate instruments over a span of last six months. Cluster analysis was followed by ANOVA on the twelve variables between the clusters. Stability of the clusters was checked by a three step statistical technique. Two clusters with 61 subjects and 12 subjects were accepted. ANOVA showed significant difference on nine out of twelve variables. Throughout the three steps of the check mechanism eight variables were found to consistently discriminate the two clusters. On a small sample of hospitalized alcoholics using twelve parameters we could obtain a preliminary evidence that subtypes simulating Type A - Type B could occur in a different sociocultural setting. Further studies on a bigger sample with data on treatment response are indicated.
Keywords: Alcoholics, clusters, type A, type B
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- Andreasen N. C., Endicott J., Spitzer R. L., Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977 Oct;34(10):1229–1235. doi: 10.1001/archpsyc.1977.01770220111013. [DOI] [PubMed] [Google Scholar]
- Babor T. F., Hofmann M., DelBoca F. K., Hesselbrock V., Meyer R. E., Dolinsky Z. S., Rounsaville B. Types of alcoholics, I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Arch Gen Psychiatry. 1992 Aug;49(8):599–608. doi: 10.1001/archpsyc.1992.01820080007002. [DOI] [PubMed] [Google Scholar]
- Cloninger C. R. A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry. 1987 Jun;44(6):573–588. doi: 10.1001/archpsyc.1987.01800180093014. [DOI] [PubMed] [Google Scholar]
- JELLINEK E. M. Alcoholism, a genus and some of its species. Can Med Assoc J. 1960 Dec 24;83:1341–1345. [PMC free article] [PubMed] [Google Scholar]
- Loranger A. W., Sartorius N., Andreoli A., Berger P., Buchheim P., Channabasavanna S. M., Coid B., Dahl A., Diekstra R. F., Ferguson B. The International Personality Disorder Examination. The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration international pilot study of personality disorders. Arch Gen Psychiatry. 1994 Mar;51(3):215–224. doi: 10.1001/archpsyc.1994.03950030051005. [DOI] [PubMed] [Google Scholar]
- Lumeng L., Crabb D. W. Genetic aspects and risk factors in alcoholism and alcoholic liver disease. Gastroenterology. 1994 Aug;107(2):572–578. doi: 10.1016/0016-5085(94)90185-6. [DOI] [PubMed] [Google Scholar]
- Morey L. C., Skinner H. A. Empirically derived classifications of alcohol-related problems. Recent Dev Alcohol. 1986;4:145–168. doi: 10.1007/978-1-4899-1695-2_6. [DOI] [PubMed] [Google Scholar]
- Schuckit M. A. The clinical implications of primary diagnostic groups among alcoholics. Arch Gen Psychiatry. 1985 Nov;42(11):1043–1049. doi: 10.1001/archpsyc.1985.01790340021003. [DOI] [PubMed] [Google Scholar]
- Schuckit M. A., Tipp J. E., Smith T. L., Shapiro E., Hesselbrock V. M., Bucholz K. K., Reich T., Nurnberger J. I., Jr An evaluation of type A and B alcoholics. Addiction. 1995 Sep;90(9):1189–1203. doi: 10.1046/j.1360-0443.1995.90911894.x. [DOI] [PubMed] [Google Scholar]
- Selzer M. L. The Michigan alcoholism screening test: the quest for a new diagnostic instrument. Am J Psychiatry. 1971 Jun;127(12):1653–1658. doi: 10.1176/ajp.127.12.1653. [DOI] [PubMed] [Google Scholar]
- Stinnett J. L., Schechter J. O. A Quantitative Inventory of Alcohol Disorders (QIAD): a severity scale for alcohol abuse. Am J Drug Alcohol Abuse. 1982;9(4):413–430. doi: 10.3109/00952998209002643. [DOI] [PubMed] [Google Scholar]
- Stockwell T., Hodgson R., Edwards G., Taylor C., Rankin H. The development of a questionnaire to measure severity of alcohol dependence. Br J Addict Alcohol Other Drugs. 1979 Mar;74(1):79–87. doi: 10.1111/j.1360-0443.1979.tb02415.x. [DOI] [PubMed] [Google Scholar]
- Strauss J. S., Bartko J. J., Carpenter W. T., Jr The use of clustering techniques for the classification of psychiatric patients. Br J Psychiatry. 1973 May;122(570):531–540. doi: 10.1192/bjp.122.5.531. [DOI] [PubMed] [Google Scholar]
