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低家庭支持感知:物质依赖的“社会标志物”?

Low family support perception: a 'social marker' of substance dependence?

机构信息

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.

出版信息

Braz J Psychiatry. 2012 Mar;34(1):52-9. doi: 10.1590/s1516-44462012000100010.

DOI:10.1590/s1516-44462012000100010
PMID:22392389
Abstract

OBJECTIVE

Simultaneously assess the relationship between the family support perception and the intensity of hopelessness, depression, and anxiety symptoms in alcohol or drug dependent (AOD) patients and in non-AOD dependent control group (CON).

METHOD

60 patients who met the DSM-IV criteria for AOD dependence and 65 individuals with similar profile, but not dependent on AOD completed the Family Support Perception Inventory (FSPI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Beck Hopelessness Scale (BHS).

RESULTS

Logistic regression analysis indicated that high scores in family autonomy (OR = 0.08), and low scores in hopelessness (OR = 0.64) were negatively correlated with AOD dependence. Individuals with high scores in BAI had higher probability (OR = 1.22) of belonging to the AOD group, as well as those who reported previous psychiatric treatment (OR = 68.91). Only in the AOD group the total FSPI scores presented significant correlation with depression, anxiety, and hopelessness.

CONCLUSIONS

Individuals with AOD dependence and low scores of family support perception also presented high scores of depression, anxiety, and hopelessness, suggesting that FSPI scores could be a useful 'social marker' of AOD dependence with psychiatric comorbidities. These data also reinforce the relevance of evaluating family support in AOD treatment planning.

摘要

目的

同时评估酒精或药物依赖(AOD)患者和非 AOD 依赖对照组(CON)中家庭支持感知与绝望、抑郁和焦虑症状强度之间的关系。

方法

60 名符合 DSM-IV 酒精或药物依赖标准的患者和 65 名具有相似特征但不依赖 AOD 的个体完成了家庭支持感知量表(FSPI)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和贝克绝望量表(BHS)。

结果

Logistic 回归分析表明,家庭自主性得分高(OR=0.08)和绝望得分低(OR=0.64)与 AOD 依赖呈负相关。BAI 得分高的个体更有可能(OR=1.22)属于 AOD 组,以及报告有既往精神科治疗的个体(OR=68.91)。只有在 AOD 组中,FSPI 总分与抑郁、焦虑和绝望呈显著相关。

结论

AOD 依赖个体和家庭支持感知得分低的个体也表现出较高的抑郁、焦虑和绝望得分,这表明 FSPI 得分可能是 AOD 依赖合并精神共病的有用“社会标志物”。这些数据还强调了在 AOD 治疗计划中评估家庭支持的重要性。

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