物质依赖患者中的重度抑郁症与危险性行为：痛苦耐受力和性别的调节作用
Major Depression and Risky Sexual Behavior among Substance Dependent Patients: The Moderating Roles of Distress Tolerance and Gender.
作者信息
Tull Matthew T, Gratz Kim L
机构信息
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, Mississippi, USA.
出版信息
Cognit Ther Res. 2013 Jun 1;37(3):483-497. doi: 10.1007/s10608-012-9490-3.
Abstract
The goal of the present study was to examine the main and interactive effects of major depressive disorder (MDD), distress tolerance (DT), and gender on multiple indices of risky sexual behavior (RSB) within a sample of 185 substance dependent patients in residential substance abuse treatment. Participants were interviewed to establish current MDD (as well as other Axis I and II diagnoses) and completed a behavioral measure of DT, the Paced Auditory Serial Addition Task - Computerized Version. Results provided evidence of a MDD × DT interaction for number of different past year commercial and casual sexual partners with which penetrative sex occurred. Post-hoc analyses demonstrated that participants with current MDD and low DT reported the greatest number of commercial and casual sexual partners. Results highlight one psychological vulnerability (DT) that may improve our understanding of the complex relationship between depression and RSB. Treatment implications of findings are discussed.
摘要
本研究的目的是在185名接受住院药物滥用治疗的药物依赖患者样本中，考察重度抑郁症（MDD）、痛苦耐受（DT）和性别对危险性行为（RSB）多个指标的主效应和交互效应。对参与者进行访谈以确定当前是否患有MDD（以及其他轴I和轴II诊断），并完成一项DT行为测量，即听觉连续加法任务计算机化版本。结果为过去一年中发生过插入式性行为的不同商业性伴侣和临时性伴侣数量提供了MDD×DT交互作用的证据。事后分析表明，当前患有MDD且DT较低的参与者报告的商业性伴侣和临时性伴侣数量最多。结果突出了一个心理脆弱因素（DT），这可能有助于我们更好地理解抑郁症与RSB之间的复杂关系。讨论了研究结果对治疗的启示。
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