기분장애 환자에서 성별에 따른 일주기유형과 문제음주행동과의 관련성

The Relationship between Chronotype and Problematic Drinking according to Gender in Mood Disorder

  • 공자영 (부산대학교병원 정신건강의학과) ;
  • 강태욱 (부산대학교병원 정신건강의학과) ;
  • 문은수 (부산대학교병원 정신건강의학과) ;
  • 박제민 (부산대학교병원 정신건강의학과) ;
  • 이병대 (부산대학교병원 정신건강의학과) ;
  • 이영민 (부산대학교병원 정신건강의학과) ;
  • 정희정 (부산대학교병원 정신건강의학과)
  • Kong, Ja Young (Department of Psychiatry, Pusan National University Hospital) ;
  • Kang, Tae Uk (Department of Psychiatry, Pusan National University Hospital) ;
  • Moon, Eunsoo (Department of Psychiatry, Pusan National University Hospital) ;
  • Park, Je-Min (Department of Psychiatry, Pusan National University Hospital) ;
  • Lee, Byung-Dae (Department of Psychiatry, Pusan National University Hospital) ;
  • Lee, Young-Min (Department of Psychiatry, Pusan National University Hospital) ;
  • Jeong, Hee-Jeong (Department of Psychiatry, Pusan National University Hospital)
  • 투고 : 2018.05.24
  • 심사 : 2018.09.12
  • 발행 : 2018.10.31

초록

Objectives : Some studies have reported that chronotypes, among several factors, could contribute to problematic drinking. However, there is little evidence confirming this relationship between chronotype and problematic drinking based on gender differences in mood disorder. This study is to investigate the difference of the relationship between chronotype and problematic drinking according to gender differences in mood disorder. Methods : Two hundred fifteen patients with mood disorder were recruited. Problematic drinking and chronotypes were assessed by the Alcohol Use Disorder Identification Test in Korea(AUDIT) and the Korean translation of composite scale of morningness(KtCS). We analyzed the correlation between KtCS and AUDIT using Pearson's correlation, and compared AUDIT scores according to chronotypes classified by KtCS between male and female patients using analysis of variance(ANOVA). Results : There was no significant difference in AUDIT scores between the male and female patients(t=0.91, p=0.183). In female patients, eveningness had significantly higher AUDIT scores than other chronotypes(F=0.199, p=0.033). Meanwhile, in male patients, there was no significant difference in AUDIT score among chronotypes(F=0.008, p=0.933). Conclusion : This study suggests that eveningness might be associated with problematic drinking in female patients who suffer from mood disorder. It also suggests that chronotherapeutical treatment might be able to help improve the course in female patients with mood disorder. In the future, a large-scale prospective study is needed to confirm these results.

키워드

과제정보

연구 과제 주관 기관 : 부산대학교병원

참고문헌

  1. Dauber H, Braun B, Pfeiffer-Gerschel T, Kraus L, Pogarell O. Co-occurring Mental Disorders in Substance Abuse Treatment: the Current Health Care Situation in Germany. Int J Ment Health Addict 2018;16:66-80. https://doi.org/10.1007/s11469-017-9784-5
  2. Fergusson DM, Boden JM, Horwood LJ. Alcohol misuse and psychosocial outcomes in young adulthood: results from a longitudinal birth cohort studied to age 30. Drug Alcohol Depend 2013;133:513-9. https://doi.org/10.1016/j.drugalcdep.2013.07.015
  3. Chun S AB, Kim M, Sohn A. Cognitive differences of drinking attitude and drinking problems between the normal drinkers and the problem drinkers. Korean Public Health Res 2011;37:121-30.
  4. Rounsaville BJ, Dolinsky ZS, Babor TF, Meyer RE. Psychopathology as a predictor of treatment outcome in alcoholics. Arch Gen Psychiatry 1987;44:505-13. https://doi.org/10.1001/archpsyc.1987.01800180015002
  5. Burns L, Teesson M, O'Neill K. The impact of comorbid anxiety and depression on alcohol treatment outcomes. Addiction 2005;100:787-96. https://doi.org/10.1111/j.1360-0443.2005.001069.x
  6. Schneider U, Altmann A, Baumann M, Bernzen J, Bertz B, Bimber U, et al. Comorbid anxiety and affective disorder in alcohol-dependent patients seeking treatment: the first Multicentre Study in Germany. Alcohol Alcohol 2001;36:219-23. https://doi.org/10.1093/alcalc/36.3.219
  7. Boschloo L, Vogelzangs N, van den Brink W, Smit JH, Veltman DJ, Beekman AT, et al. Alcohol use disorders and the course of depressive and anxiety disorders. Br J Psychiatry 2012;200:476-84. https://doi.org/10.1192/bjp.bp.111.097550
  8. Prat G, Adan A. Relationships among circadian typology, psychological symptoms, and sensation seeking. Chronobiol Int 2013;30:942-9. https://doi.org/10.3109/07420528.2013.790044
  9. Hidalgo MP, Caumo W, Posser M, Coccaro SB, Camozzato AL, Chaves ML. Relationship between depressive mood and chronotype in healthy subjects. Psychiatry Clin Neurosci 2009;63:283-90. https://doi.org/10.1111/j.1440-1819.2009.01965.x
  10. Adan A, Lachica J, Caci H, Natale V. Circadian typology and temperament and character personality dimensions. Chronobiol Int 2010;27:181-93. https://doi.org/10.3109/07420520903398559
  11. Shin HW. The Effects of Personality on Drinking Problems. Korean Journal of Clinical Psychology 1999;18:105-22.
  12. Prat G, Adan A. Influence of circadian typology on drug consumption, hazardous alcohol use, and hangover symptoms. Chronobiol Int 2011;28:248-57. https://doi.org/10.3109/07420528.2011.553018
  13. Ely M, Hardy R, Longford NT, Wadsworth ME. Gender differences in the relationship between alcohol consumption and drink problems are largely accounted for by body water. Alcohol Alcohol 1999;34:894-902. https://doi.org/10.1093/alcalc/34.6.894
  14. Wilsnack RW, Vogeltanz ND, Wilsnack SC, Harris TR, Ahlstrom S, Bondy S, et al. Gender differences in alcohol consumption and adverse drinking consequences: cross-cultural patterns. Addiction 2000;95:251-65. https://doi.org/10.1046/j.1360-0443.2000.95225112.x
  15. Erol A, Karpyak VM. Sex and gender-related differences in alcohol use and its consequences: Contemporary knowledge and future research considerations. Drug Alcohol Depend 2015;156:1-13. https://doi.org/10.1016/j.drugalcdep.2015.08.023
  16. Schenker S. Medical consequences of alcohol abuse: is gender a factor? Alcohol Clin Exp Res 1997;21:179-81. https://doi.org/10.1111/j.1530-0277.1985.tb05753.x
  17. Greenfield SF, Back SE, Lawson K, Brady KT. Substance abuse in women. Psychiatr Clin North Am 2010;33:339-55. https://doi.org/10.1016/j.psc.2010.01.004
  18. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test(AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction 1993;88:791-804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
  19. Kim JS, Oh MK, Park BK, Lee MK, Kim GJ. Screening criteria of alcoholism by alcohol use disorders identification test (AUDIT) in Korea. Korean Journal of Family Medicine 1999; 20:1152-9.
  20. Beck A, Steer R, Brown G. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996. Google Scholar 2014.
  21. Smith CS, Reilly C, Midkiff K. Evaluation of three circadian rhythm questionnaires with suggestions for an improved measure of morningness. J Appl Psychol 1989;74:728-38. https://doi.org/10.1037/0021-9010.74.5.728
  22. Lee HY, Yoon JS, Kook SH. Cross Validation of the Korean Translation of Composite Scale(KtCS) to Measure Morningness-Eveningness. Journal of the Korean Neuropsychiatric Association 1999;38:297-305.
  23. Kendler KS, Schmitt E, Aggen SH, Prescott CA. Genetic and environmental influences on alcohol, caffeine, cannabis, and nicotine use from early adolescence to middle adulthood. Arch Gen Psychiatry 2008;65:674-82. https://doi.org/10.1001/archpsyc.65.6.674
  24. Hingson RW, Heeren T, Winter MR. Age at drinking onset and alcohol dependence: age at onset, duration, and severity. Arch Pediatr Adolesc Med 2006;160:739-46. https://doi.org/10.1001/archpedi.160.7.739
  25. Makela P, Gmel G, Grittner U, Kuendig H, Kuntsche S, Bloomfield K, et al. Drinking patterns and their gender differences in Europe. Alcohol Alcohol Suppl 2006;41:i8-18. https://doi.org/10.1093/alcalc/agl071
  26. Park H. Prevalence and related risk factors of problem drinking in Korean adult population. Journal of the Korea Academia-Industrial Cooperation Society 2018;19:389-97.
  27. Hartwell EE, Ray LA. Sex moderates stress reactivity in heavy drinkers. Addict Behav 2013;38:2643-6. https://doi.org/10.1016/j.addbeh.2013.06.016
  28. Kenney S, Jones RN, Barnett NP. Gender Differences in the Effect of Depressive Symptoms on Prospective Alcohol Expectancies, Coping Motives, and Alcohol Outcomes in the First Year of College. J Youth Adolesc 2015;44:1884-97. https://doi.org/10.1007/s10964-015-0311-3
  29. Robbins CA, Martin SS. Gender, styles of deviance, and drinking problems. J Health Soc Behav 1993;34:302-21. https://doi.org/10.2307/2137369
  30. Rubonis AV, Colby SM, Monti PM, Rohsenow DJ, Gulliver SB, Sirota AD. Alcohol cue reactivity and mood induction in male and female alcoholics. J Stud Alcohol 1994;55:487-94. https://doi.org/10.15288/jsa.1994.55.487
  31. King AC, Bernardy NC, Hauner K. Stressful events, personality, and mood disturbance: gender differences in alcoholics and problem drinkers. Addict Behav 2003;28:171-87. https://doi.org/10.1016/S0306-4603(01)00264-7
  32. Adan A. Chronotype and personality factors in the daily consumption of alcohol and psychostimulants. Addiction 1994;89:455-62. https://doi.org/10.1111/j.1360-0443.1994.tb00926.x
  33. Adan A, Natale V, Caci H, Prat G. Relationship between circadian typology and functional and dysfunctional impulsivity. Chronobiol Int 2010;27:606-19. https://doi.org/10.3109/07420521003663827
  34. Tonetti L, Fabbri M, Natale V. Relationship between circadian typology and big five personality domains. Chronobiol Int 2009;26:337-47. https://doi.org/10.1080/07420520902750995
  35. Stewart SH, Zvolensky MJ, Eifert GH. Negative-reinforcement drinking motives mediate the relation between anxiety sensitivity and increased drinking behavior. Personality and Individual Differences 2001;31: 157-71. https://doi.org/10.1016/S0191-8869(00)00213-0
  36. Cloninger CR, Sigvardsson S, Bohman M. Childhood personality predicts alcohol abuse in young adults. Alcohol Clin Exp Res 1988;12:494-505. https://doi.org/10.1111/j.1530-0277.1988.tb00232.x
  37. Diaz-Morales JF, Pilar Sanchez-Lopez M. Morningness-eveningness and anxiety among adults: A matter of sex/gender? Personality and Individual Differences 2008;44:1391-401. https://doi.org/10.1016/j.paid.2007.12.007
  38. Alati R, Kinner S, Najman JM, Fowler G, Watt K, Green D. Gender differences in the relationships between alcohol, tobacco and mental health in patients attending an emergency department. Alcohol Alcohol 2004;39:463-9. https://doi.org/10.1093/alcalc/agh080
  39. Rohsenow DJ. Drinking habits and expectancies about alcohol's effects for self versus others. J Consult Clin Psychol 1983;51:752-6. https://doi.org/10.1037/0022-006X.51.5.752