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接受治疗的成瘾患者中的心理、身体和性虐待。

Psychological, physical, and sexual abuse in addicted patients who undergo treatment.

作者信息

Fernández-Montalvo Javier, López-Goñi José J, Arteaga Alfonso

机构信息

Universidad Pública de Navarra, Pamplona, Spain

Universidad Pública de Navarra, Pamplona, Spain.

出版信息

J Interpers Violence. 2015 May;30(8):1279-98. doi: 10.1177/0886260514539843. Epub 2014 Jul 3.

DOI:10.1177/0886260514539843
PMID:24992952
Abstract

This study explored the prevalence of a history as victims of abuse among patients who sought outpatient treatment for drug addiction. A sample of 252 addicted patients was assessed. Information was collected on the patients' lifetime history of abuse (psychological, physical, and/or sexual abuse), sociodemographic factors, consumption factors, psychopathological factors, and personality variables. Drug-addicted patients who present a lifelong history of abuse were compared with patients who were not abused. Of the total sample, 46% of the patients (n = 115) who were addicted to drugs had been victims of abuse. There was a statistically significant difference between the victimization rates of men (37.8%) and women (79.6%). Moreover, for some variables, significant differences were observed between patients who had been abused and those who had not. Compared with patients who had not been abused, the addicted patients with a history of victimization scored significantly higher on several European Addiction Severity Index, Millon Clinical Multiaxial Inventory-II, and maladjustment variables but not on the Symptom Checklist-90-Revised. The current results indicate that patients who present a lifelong history of abuse exhibit both a more severe addiction than patients who were not abused and several comorbidities. The implications of these results for further research and clinical practice are discussed.

摘要

本研究探讨了在寻求药物成瘾门诊治疗的患者中曾遭受虐待的病史的普遍性。对252名成瘾患者进行了抽样评估。收集了有关患者终身虐待史(心理、身体和/或性虐待)、社会人口统计学因素、消费因素、心理病理学因素和人格变量的信息。将有终身虐待史的药物成瘾患者与未遭受虐待的患者进行比较。在总样本中,46%(n = 115)的药物成瘾患者曾是虐待的受害者。男性(37.8%)和女性(79.6%)的受害率存在统计学上的显著差异。此外,对于一些变量,在曾遭受虐待的患者和未遭受虐待的患者之间观察到显著差异。与未遭受虐待的患者相比,有受害史的成瘾患者在几个欧洲成瘾严重程度指数、米隆临床多轴量表-II和适应不良变量上的得分显著更高,但在症状自评量表-90修订版上则不然。目前的结果表明,有终身虐待史的患者比未遭受虐待的患者表现出更严重的成瘾以及几种共病情况。讨论了这些结果对进一步研究和临床实践的意义。

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