Relationship Between Alcohol Dependence And Adverse Childhood Experiences, Personality Character And Executive Function

Objective:This study aimed to explore the relationship between alcohol dependence and adverse children experiences (ACEs), personality character and executive function, so as to provide theoretical support for early intervention and nursing of alcohol dependence.Methods:The study group were selected the inpatients from Nov,2012to Aug,2013in Shandong Mental Health Hospital whom were diagnosed as alcohol dependence. The control group were selected the healthy male staff and some relatives of some staff of the hospital. The measurements included general information questionnaire, Adverse Children Experiences questionnaire(ACEs), Big five personality scale(BFP), Big Behavior Rating Inventory of Executive Function-Adult Version (BRIEF), Which to measure the general information, adverse children experiences, personality and executive function of the two groups.Results:(1) The prevalence of ACEs are significant higher among patients than control group, especially in the aspects of emotional abuse, physical neglect, witness violence and substance abuse.(2) The patient group has lower scores of delight, conscientiousness and higher scores of psychoticism of BFP.(3) The total scores and every scale score of the patient group of BRIEF-A are significant higher than the control group. Divided the patient group into two groups according to drinking amount and it is found that the higher drinking level(over10ml of38℃alcohol per day) get higher score on working memory scale (P<0.05.(4) Physical neglect, parents abuse alcohol in childhood and the damage of mood managing executive function are the risk factors of the alcohol dependence according logistic regression analysis.Conclusion:(1) The more adverse children experiences, the more risk of becoming alcohol dependence, especially on the respects of physical neglect, parents substance abuse;(2) Alcohol dependence correlated with personality characters. Unhealthy personality characters may increase the risk of alcohol dependence;(3) There is a close correlation between alcohol dependence and executive function. Poor executive function increases the risk of alcohol dependence, especially the damage of mood managing function.