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药物成瘾中的暴力行为:有暴力问题和无暴力问题的药物成瘾患者的差异特征。

Violent behaviors in drug addiction: differential profiles of drug-addicted patients with and without violence problems.

机构信息

Universidad Pública de Navarra, Pamplona, Spain.

出版信息

J Interpers Violence. 2012 Jan;27(1):142-57. doi: 10.1177/0886260511416475. Epub 2011 Aug 1.

DOI:10.1177/0886260511416475
PMID:21810787
Abstract

This study explored the prevalence of violent behaviors in patients who are addicted to drugs. A sample of 252 addicted patients (203 male and 49 female) who sought outpatient treatment was assessed. Information on violent behaviors, sociodemographic factors, consumption factors (assessed by the European version of the Addiction Severity Index [EuropASI]), psychopathological factors (assessed by Symptom Checklist-90-Revised [SCL-90-R]), and personality variables (assessed by Millon Clinical Multiaxial Inventory [MCMI-II]) was collected. Drug-addicted patients who were associated with violent behaviors were compared on all variables with patients who were not associated with violent behaviors. The rate of drug-addicted patients with violent behaviors in this sample was 39.68% (n = 100). There were significant differences between the numbers of patients who did and did not demonstrate violence on some variables. Patients with violence problems were younger than those without violence problems and were more likely to report having been a victim of abuse. Moreover, they were significantly more likely to have experienced an overdose and showed a significantly higher score on several EuropASI, SCL-90-R and MCMI-II variables. According to these results, patients with violence control problems present with both a more severe addiction and several comorbid problems. The implications of these results for further research and clinical practice are discussed.

摘要

本研究探讨了吸毒成瘾患者中暴力行为的流行情况。评估了 252 名寻求门诊治疗的成瘾患者(203 名男性和 49 名女性)的信息。暴力行为、社会人口学因素、消费因素(欧洲成瘾严重程度指数[EuropASI]评估)、精神病理因素(症状清单-90 修订版[SCL-90-R]评估)和人格变量(米隆临床多轴量表[MCMI-II]评估)。对与暴力行为相关的吸毒成瘾患者与与暴力行为不相关的患者进行了所有变量的比较。该样本中具有暴力行为的吸毒成瘾患者的比例为 39.68%(n=100)。在一些变量上,有暴力问题的患者与没有暴力问题的患者之间存在显著差异。有暴力问题的患者比没有暴力问题的患者年轻,更有可能报告曾遭受虐待。此外,他们更有可能经历过药物过量,并且在几个 EuropASI、SCL-90-R 和 MCMI-II 变量上的得分明显更高。根据这些结果,有暴力控制问题的患者表现出更严重的成瘾和几种共病问题。这些结果对进一步的研究和临床实践的意义进行了讨论。

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