Gilan Nader Rajabi, Zakiei Ali, Reshadat Sohyla, Komasi Saeid, Ghasemi Seyed Ramin
Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences. Kermanshah, Iran.
Korean J Fam Med. 2015 Sep;36(5):210-5. doi: 10.4082/kjfm.2015.36.5.210. Epub 2015 Sep 18.
The harmful effects of sedative medications and substances in conjunction with limited research regarding predictive psychological constructs of drug abuse necessitate further investigation of associated factors. Therefore, the present study aimed to elucidate the roles of perceived stress, alexithymia, and psychological health as predictors of sedative abuse in medical students.
In this cross-sectional study, 548 students at Kermanshah University of Medical Sciences, Iran, were selected using stratified random sampling. The data were obtained using the Perceived Stress Scale, an alexithymia scale (Farsi version of the Toronto Alexithymia Scale-20), and a General Health Questionnaire to assess psychological health. Data were analyzed using discriminant analyses.
The results demonstrated that the user and non-user of sedative substances groups had significantly different predictive variables (except for social function disorder) (P>0.05). Physical complaints, alexithymia, and perceived stress, which had standard coefficients of 0.80, 0.60, and -0.27, respectively, predicted sedative drug use.
The results of the present study indicate that perceived stress, alexithymia, physical complaints, anxiety, and depression are associated with sedative drug abuse.
镇静药物和物质的有害影响，以及关于药物滥用预测性心理结构的研究有限，这就需要对相关因素进行进一步调查。因此，本研究旨在阐明感知压力、述情障碍和心理健康作为医学生镇静药物滥用预测因素的作用。
在这项横断面研究中，采用分层随机抽样的方法，选取了伊朗克尔曼沙赫医科大学的548名学生。使用感知压力量表、述情障碍量表（多伦多述情障碍量表-20的波斯语版本）和一般健康问卷来获取数据，以评估心理健康状况。使用判别分析对数据进行分析。
结果表明，镇静药物使用者组和非使用者组的预测变量存在显著差异（社交功能障碍除外）（P>0.05）。身体不适、述情障碍和感知压力，其标准系数分别为0.80、0.60和-0.27，可预测镇静药物的使用情况。
本研究结果表明感知压力、述情障碍、身体不适、焦虑和抑郁与镇静药物滥用有关。
