Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, United States.
Addict Behav. 2012 Apr;37(4):373-8. doi: 10.1016/j.addbeh.2011.11.014. Epub 2011 Nov 23.
Identification of the motives for drug use is critical to the development of effective interventions. Furthermore, consideration of the differences in motives for drug use across substance dependent populations may assist in tailoring interventions. To date, few studies have systematically compared motives for substance use across drug classes. The current study examined motives for drug use between non-treatment seeking individuals with current prescription opioid, marijuana, or cocaine dependence. Participants (N=227) completed the Inventory of Drug-Taking Situations (IDTS; Annis, Turner & Sklar,1997), which contains eight subscales assessing motives for drug use. The findings revealed that prescription opioid dependent individuals scored significantly higher than all other groups on the Physical Discomfort, Testing Personal Control and Conflict with Others subscales. Both the prescription opioid and cocaine dependent groups scored significantly higher than the marijuana group on the Urges or a Temptation to Use subscale. In contrast, marijuana dependent individuals scored highest on the Pleasant Emotions and Pleasant Times with Others subscales. The marked differences revealed in motives for drug use could be used in the development and implementation of specific treatment interventions for prescription opioid, marijuana and cocaine dependent individuals.
确定药物使用的动机对于制定有效的干预措施至关重要。此外，考虑到不同物质依赖人群的药物使用动机的差异，可能有助于定制干预措施。迄今为止，很少有研究系统地比较了不同药物类别之间的药物使用动机。本研究比较了未接受治疗的当前处方类阿片、大麻或可卡因依赖者的药物使用动机。参与者（N=227）完成了药物使用情况清单（IDTS；Annis、Turner 和 Sklar，1997），该清单包含八个子量表，用于评估药物使用的动机。研究结果表明，与其他所有群体相比，处方类阿片依赖者在身体不适、测试个人控制和与他人冲突子量表上的得分显著更高。处方类阿片和可卡因依赖者在使用冲动或诱惑子量表上的得分均显著高于大麻组。相比之下，大麻依赖者在愉快情绪和与他人共度愉快时光子量表上的得分最高。药物使用动机方面的显著差异可用于为处方类阿片、大麻和可卡因依赖者制定和实施特定的治疗干预措施。
