Hosseinifard Seyed Mehdi, Kaviani Narjes
Assistant Professor, Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Department of Psychology, Comprehensive Health Center, Health Center of Baft, Kerman University of Medical Sciences, Kerman, Iran.
Addict Health. 2015 Winter-Spring;7(1-2):30-6.
Today, the society's need to find the roots of a few thousand-year old substance abuse and the drugs addiction crisis has increased to the extent that it has become a problem within our country. The problem of substance dependence is not only about drug abuse, but it is actually the interrelationship of the person and the dependency on drugs. This study aimed to compare early maladaptive schemas, attachment styles, and coping styles in men dependent on opiates and stimulants in Kerman, Iran.
This was a comparative descriptive study. The study population consisted of men dependent on opiates and stimulants who referred to addiction treatment clinics in Kerman. Therefore, 150 patients (75 opium addicted men and 75 men dependent on drugs) were selected. The participants completed the Young schema questionnaire-short form (YSQ-SF), adult attachment scale (AAS), and Young coping styles questionnaire (YCSQ). The research data were analyzed using independent t-test and SPSS software.
Mean age of patients using opium was 27.9 ± 3.35 years and mean age of patients using stimulant drugs was 25.6 ± 3.41 years (18-60 years old). The results showed that there was no difference between the early maladaptive schemas and coping styles in men dependent on opium and stimulants. However, there was a significant difference between attachment styles in men dependent on opium and stimulants. The mean score of avoidant and ambivalent styles in men dependent on stimulants was higher.
Knowledge on the distinctions of early maladaptive schemas, attachment styles, and coping styles in substance abuse patients helps the therapists to conduct more effective treatment strategies tailored to the type of substance used in order to provide behavior modification.
如今，社会对于探寻有着数千年历史的药物滥用根源以及药物成瘾危机的需求与日俱增，以至于这已成为我国的一个问题。物质依赖问题不仅关乎药物滥用，实际上还涉及人与药物依赖之间的相互关系。本研究旨在比较伊朗克尔曼地区依赖阿片类药物和兴奋剂的男性的早期适应不良图式、依恋风格和应对方式。
这是一项比较描述性研究。研究对象包括前往克尔曼地区成瘾治疗诊所就诊的依赖阿片类药物和兴奋剂的男性。因此，选取了150名患者（75名阿片成瘾男性和75名药物依赖男性）。参与者完成了青少年图式问卷简版（YSQ - SF）、成人依恋量表（AAS）和青少年应对方式问卷（YCSQ）。研究数据使用独立样本t检验和SPSS软件进行分析。
使用阿片类药物患者的平均年龄为27.9 ± 3.35岁，使用兴奋剂药物患者的平均年龄为25.6 ± 3.41岁（年龄范围为18 - 60岁）。结果表明，依赖阿片类药物和兴奋剂的男性在早期适应不良图式和应对方式上没有差异。然而，依赖阿片类药物和兴奋剂的男性在依恋风格上存在显著差异。依赖兴奋剂的男性在回避型和矛盾型风格上的平均得分更高。
了解药物滥用患者早期适应不良图式、依恋风格和应对方式的差异，有助于治疗师制定更有效的治疗策略，根据所使用药物的类型进行调整，以实现行为改变。
