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阿片类成瘾者的气质和性格维度:比较在治疗社区完成住院治疗的患者与未完成治疗的患者。

Temperament and character dimensions in opiate addicts: comparing subjects who completed inpatient treatment in therapeutic communities vs. incompleters.

作者信息

Zoccali R, Muscatello M R A, Bruno A, Bilardi F, De Stefano C, Felletti E, Isgrò S, Micalizzi V, Micò U, Romeo A, Meduri M

机构信息

Unit of Psychiatry, Department of Neurosciences, University of Messina, Messina, Italy.

出版信息

Am J Drug Alcohol Abuse. 2007;33(5):707-15. doi: 10.1080/00952990701522625.

DOI:10.1080/00952990701522625
PMID:17891663
Abstract

The aim of this study was to compare temperamental profiles of patients who completed inpatient treatment of drug dependence with those who failed to complete the program. One hundred forty four opiate addicts, all resident in therapeutic communities and screened to exclude Axis I disorders, were assessed using the Temperament and Character Inventory (TCI). After one year, the TCI scores were compared between those who were still resident and those who had dropped out. Significant differences between groups were found in Reward Dependence, Persistence, Cooperativeness, Self-Transcendence. Temperament and character features may have an influence on motivation and on the adherence to treatment and community rules, as they modulate the maintenance of ongoing behaviors and the sensitivity to social rewards. The findings suggest that personality assessment with TCI in opiate addicts may be helpful in screening procedures to increase the efficiency of treatment and rehabilitative strategies.

摘要

本研究的目的是比较完成药物依赖住院治疗的患者与未完成该项目的患者的气质特征。144名阿片类成瘾者均居住在治疗社区,经过筛查以排除轴I障碍,使用气质与性格问卷(TCI)进行评估。一年后,比较了仍居住在社区的患者与已退出患者的TCI得分。发现两组在奖励依赖、坚持性、合作性、自我超越方面存在显著差异。气质和性格特征可能会对动机以及对治疗和社区规则的遵守产生影响,因为它们调节着持续行为的维持以及对社会奖励的敏感性。研究结果表明,对阿片类成瘾者进行TCI人格评估可能有助于筛查程序,以提高治疗和康复策略的效率。

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