注射吸毒者反社会行为综合征中的性别异同

Gender similarities and differences in antisocial behavioral syndromes among injection drug users.

作者信息

Mikulich-Gilbertson Susan K, Salomonsen-Sautel Stacy, Sakai Joseph T, Booth Robert E

机构信息

Department of Psychiatry, University of Colorado at Denver and Health Sciences Center, 4200 E. 9th Avenue, Denver, CO 80262, USA.

出版信息

Am J Addict. 2007 Sep-Oct;16(5):372-82. doi: 10.1080/10550490701525558.

DOI:10.1080/10550490701525558

PMID:17882608

Abstract

Studies report that more female substance users meet the adult antisocial behavioral (AASB) criteria of antisocial personality disorder (ASPD) without having conduct disorder. We assessed gender and antisocial syndrome (ASPD vs. AASB) effects jointly on multiple outcomes in injection drug users. More males had ASPD (40%) and more females had AASB (67%). After adjusting for gender, the ASPD group was consistently more severe, indicating discriminative validity for the diagnosis. However, the AASB group reported substantial pathology, signifying AASB as an important sub-threshold antisocial syndrome. Antisocial behavior might be described as a distribution, with AASB and ASPD defined by increasingly extreme points.

摘要

研究报告称，更多女性物质使用者符合反社会人格障碍（ASPD）的成人反社会行为（AASB）标准，且没有品行障碍。我们联合评估了性别和反社会综合征（ASPD与AASB）对注射吸毒者多种结局的影响。更多男性患有ASPD（40%），更多女性患有AASB（67%）。在对性别进行调整后，ASPD组始终更为严重，这表明该诊断具有区分效度。然而，AASB组报告了大量病理情况，这意味着AASB是一种重要的亚阈值反社会综合征。反社会行为可能被描述为一种分布，AASB和ASPD由越来越极端的点来定义。