人格障碍、麻醉药品和兴奋剂；伊朗男性物质依赖人群中的关系

Personality Disorders, Narcotics, and Stimulants; Relationship in Iranian Male Substance Dependents Population.

作者信息

Noorbakhsh Simasadat, Zeinodini Zahra, Khanjani Zeynab, Poorsharifi Hamid, Rajezi Esfahani Sepideh

机构信息

Behavioral Sciences Research Center, Imam Hoseyn Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.

Department of Psychology, Tabriz University, Tabriz, IR Iran.

出版信息

Iran Red Crescent Med J. 2015 Jun 23;17(6):e23038. doi: 10.5812/ircmj.23038v2. eCollection 2015 Jun.

DOI:10.5812/ircmj.23038v2

PMID:26328064

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4553170/

Abstract

BACKGROUND

Individuals with certain personality disorders, especially the antisocial and borderline personality disorders, are more prone to substance use disorders.

OBJECTIVES

Regarding the importance of substance use disorders, this study aimed to explore the association between personality disorders and types of used drugs (narcotics and stimulants) in Iranian male substance users.

PATIENTS AND METHODS

The current study was a correlation study. We evaluated 285 male substance users and excluded 25 according to exclusion criteria. A total of 130 narcotic users and 130 stimulant users were recruited randomly in several phases from January 2013 to October 2013. All participants were referred to Substance Dependency Treatment Clinics in Tehran, Iran. Data collection process was accomplished by means of clinical interview based on DSM-V criteria for substance use disorders, Iranian version of addiction severity index (ASI), and Millon clinical multi-axial inventory-III (MCMI-III). Data were analyzed by SPSS 21 using Pearson correlation coefficient and regression, the.

RESULTS

There was a significant correlation between stimulant use and histrionic personality disorder (P < 0.001) and antisocial and narcissistic personality disorders (P < 0.05). In addition, correlation between avoidant, histrionic, and narcissistic personality disorders (P < 0.05) and depressed, antisocial, and borderline personality disorders (P < 0.001) with narcotics consumption were significant. In clusters, there was a significant correlation between cluster B personality disorders, and narcotic and stimulants consumption (P < 0.001). In addition, this association was explored between cluster C personality disorder and narcotics (P < 0.001).

CONCLUSIONS

The results of this study in terms of personality disorders and types of used drugs were in accordance with the previous studies results. It is necessary to design appropriate treatment plans for medical treatment of those with personality disorders.

摘要

背景

患有某些人格障碍的个体，尤其是反社会型和边缘型人格障碍患者，更容易出现物质使用障碍。

目的

鉴于物质使用障碍的重要性，本研究旨在探讨伊朗男性物质使用者中人格障碍与使用药物类型（麻醉药品和兴奋剂）之间的关联。

患者与方法

本研究为相关性研究。我们评估了285名男性物质使用者，并根据排除标准排除了25人。2013年1月至2013年10月分几个阶段随机招募了130名麻醉药品使用者和130名兴奋剂使用者。所有参与者均被转介至伊朗德黑兰的物质依赖治疗诊所。数据收集过程通过基于《精神疾病诊断与统计手册》第五版物质使用障碍标准的临床访谈、伊朗版成瘾严重程度指数（ASI）和米隆临床多轴问卷-III（MCMI-III）来完成。使用SPSS 21通过Pearson相关系数和回归分析数据。

结果

兴奋剂使用与表演型人格障碍（P < 0.001）、反社会型和自恋型人格障碍（P < 0.05）之间存在显著相关性。此外，回避型、表演型和自恋型人格障碍（P < 0.05）以及抑郁型、反社会型和边缘型人格障碍（P < 0.001）与麻醉药品消费之间的相关性显著。在人格障碍集群方面，B类人格障碍与麻醉药品和兴奋剂消费之间存在显著相关性（P < 0.001）。此外，还探讨了C类人格障碍与麻醉药品之间的这种关联（P < 0.001）。