Department of Psychology, University ofTennessee, 1404 Circle Drive, Austin Peay Building, 311 Knoxville, TN 37996, USA.
J Subst Abuse Treat. 2012 Apr;42(3):271-8. doi: 10.1016/j.jsat.2011.08.004. Epub 2011 Oct 19.
Opioid dependence is an increasingly prevalent problem throughout the world, particularly for young adults (e.g., ages 17-25 years). Opioid dependence is associated with a wealth of negative consequences and is often a chronic, relapsing condition. Research on factors that may contribute to the etiology of opioid dependence could result in improved treatment outcomes. Using preexisting patient records, the current study examined early maladaptive schemas among young adult opioid-dependent residential treatment patients (N = 169), as it is theorized that early maladaptive schemas may underlie or maintain substance use. Results showed that all 18 early maladaptive schemas were endorsed at various levels among male and female patients, with insufficient self-control being the most prevalent schema. In addition, females scored significantly higher than males on 11 of the 18 schemas. Findings from the current study are discussed in terms of future research and implications for the treatment of opioid dependence.
阿片类药物依赖是一个在全球范围内日益普遍的问题，特别是在年轻人中（例如，17-25 岁）。阿片类药物依赖与许多负面后果有关，并且通常是一种慢性、复发性疾病。对可能导致阿片类药物依赖病因的因素进行研究，可能会带来改善治疗效果的结果。本研究使用现有的患者记录，检查了年轻的阿片类药物依赖住院治疗患者（N=169）的早期适应不良模式，因为理论上认为早期适应不良模式可能是导致或维持物质使用的基础。结果表明，所有 18 种早期适应不良模式在男性和女性患者中都有不同程度的认可，其中自我控制不足是最普遍的模式。此外，在 18 种模式中的 11 种模式上，女性的得分明显高于男性。本研究的结果从未来研究和阿片类药物依赖治疗的角度进行了讨论。
