Harrell T H, Honaker L M, Davis E
School of Psychology, Florida Institute of Technology, Melbourne 32901.
J Subst Abuse. 1991;3(4):415-26. doi: 10.1016/s0899-3289(10)80023-9.
Development of a measure of parallel dimensions of cognitive and behavioral dysfunction related to substance abuse is described. Dimensions were assessed in alcohol and polydrug abusers entering treatment and social drinkers. Dimensions included quantity/frequency of use, physiological symptoms, situational stressors, antisocial behaviors, interpersonal problems, affective dysfunction, attitude toward treatment, degree of life impact, and three use expectancies. Principal component analysis of the dimensions and expectancies yielded three factors; behavioral/physiological, social, and cognitive. Although the groups could be discriminated statistically, alcohol and polydrug abusers exhibited relatively similar patterns of dysfunction across the dimensions and expectancies, with alcohol abusers demonstrating greater intensity or degree of dysfunction in several areas on admission to treatment. Implications of the findings with respect to multidimensional models of substance abuse and use of the dimensions in treatment matching and outcome research are discussed.
本文描述了一种与药物滥用相关的认知和行为功能障碍平行维度测量方法的开发。对进入治疗的酒精和多种药物滥用者以及社交饮酒者的维度进行了评估。维度包括使用量/频率、生理症状、情境压力源、反社会行为、人际问题、情感功能障碍、对治疗的态度、生活影响程度以及三种使用预期。对这些维度和预期进行主成分分析得出了三个因素：行为/生理、社会和认知。尽管这些组在统计学上可以区分，但酒精和多种药物滥用者在各个维度和预期上表现出相对相似的功能障碍模式，酒精滥用者在入院接受治疗时在几个方面表现出更大强度或程度的功能障碍。讨论了这些发现对药物滥用多维模型以及在治疗匹配和结果研究中使用这些维度的意义。
