Objawy atypowej depresji u mężczyzn uzależnionych od alkoholu – rola agresywności, impulsywności i bólu psychicznego

Abstract

Abstract Objectives This study is based on the concept of atypical clinical symptoms of depression that affects men. The main aim of the study was to extract the correlates and the predictors of depressive mood in a group of men with alcohol dependence. The severity of male depression symptoms between alcohol-dependent patients and healthy control group has been also compared. Methods The group of 71 alcohol-dependent men was examined using the Gotland Male Depression Scale by Rutz et al., IPSA by Gas, BIS-11 by Barratt and The Psychache Scale by Holden. A correlation with other factors (age, having children, marital status, living with family or alone, age of alcohol-dependence onset, duration of abstinence, past suicide attempts, drinking patterns, somatic diseases and family of origin history of alcoholism) was also analyzed. Results Alcohol-dependent men display higher level of male depression compared to healthy control subjects and it applies mostly to atypical depression symptoms. The studies revealed that depressed mood correlates with aggressiveness and its factors (aggression against self, hidden aggression and violence against others), impulsiveness and its factors (attentional, motor and non-planning impulsiveness) and psychache. Positive correlation between somatic diseases and depressed mood and negative correlation between duration of alcohol abstinence and depressed mood have been also confirmed. Attentional impulsiveness and violence against other people are predictors of depression among alcohol-dependent men. Nevertheless, no predictive role of psychache was found. Conclusions The therapy of alcohol-dependent men should also consider the problem of atypical depressive syndrome in men with particular reference to excessive aggressiveness and impulsiveness.