Fischer Benedikt, Haydon Emma, Kim Gregory, Rehm Jürgen, El-Guebaly Nady
University of Toronto, Toronto, Ontario, Canada.
Int J Methods Psychiatr Res. 2003;12(3):151-6. doi: 10.1002/mpr.151.
Knowledge about co-occurring personality disorders in drug users is important for planning therapy and prevention. The objective of this study was to assess whether the SCID-II (Structured Clinical Interview for DSM-III-R) Screen for antisocial personality disorder was feasible and acceptable in a population of opioid users. A qualitative study on veridicality and emotional quality in responses to SCID-II Screen was carried out by personal interview in a multifunctional addiction centre. The subjects were 10 outpatient participants (six female, four male) in methadone substitution treatment. The SCID-II Screen triggered a high level of emotions. Some questions were mainly interpreted from a victim's perspective, even though the intention was the perpetrator's view. Questions were seen as sex-biased. Provision of support to deal with potential emotional problems should be supplied. Potential revision should be considered to include the female perspective in the screen.
了解吸毒者中同时存在的人格障碍对于规划治疗和预防工作很重要。本研究的目的是评估DSM-III-R版结构化临床访谈（SCID-II）中反社会人格障碍筛查在阿片类药物使用者群体中是否可行且可接受。在一个多功能成瘾治疗中心通过个人访谈对SCID-II筛查的真实性和情感质量进行了定性研究。研究对象为10名接受美沙酮替代治疗的门诊患者（6名女性，4名男性）。SCID-II筛查引发了强烈的情绪反应。一些问题尽管本意是从犯罪者的角度出发，但主要还是从受害者的角度进行解读。这些问题被认为存在性别偏见。应该提供支持以应对潜在的情感问题。应考虑进行潜在的修订，以便在筛查中纳入女性视角。
