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致癌性和致畸性与心理源性:在寻求药物滥用治疗的越南退伍军人中,与自我报告的橙剂接触相关的心理特征。

Carcinogenicity and teratogenicity vs. psychogenicity: psychological characteristics associated with self-reported Agent Orange exposure among Vietnam combat veterans who seek treatment for substance abuse.

作者信息

Robinowitz R, Roberts W R, Dolan M P, Patterson E T, Charles H L, Atkins H G, Penk W E

机构信息

University of Texas Health Science Center, Dallas.

出版信息

J Clin Psychol. 1989 Sep;45(5):718-28. doi: 10.1002/1097-4679(198909)45:5<718::aid-jclp2270450506>3.0.co;2-o.

Abstract

This study asked, "What are the psychological characteristics of Vietnam combat veterans who claim Agent Orange exposure when compared with combat-experienced cohorts who do not report such contamination?" The question was researched among 153 heroin addicts, polydrug abusers, and chronic alcoholics who were seeking treatment: 58 reported moderate to high defoliant exposure while in combat; 95 reported minimal to no exposure while in Vietnam. The null hypothesis was accepted for measures of childhood and present family social climate, premilitary backgrounds, reasons for seeking treatment, patterns and types of illicit drug and alcohol use, interpersonal problems, intellectual functioning, and short-term memory. The null hypothesis was rejected for personality differences, however, those who self-reported high Agent Orange exposure scored significantly higher on MMPI scales F, Hypochondriasis, Depression, Paranoia, Psychasthenia, Schizophrenia, Mania, and Social interoversion. The results suggest that clinicians carefully assess attributional processing of those who report traumatic experience.

摘要

本研究提出的问题是

“与未报告受此类污染物影响的有战斗经历的同龄人相比,声称接触过橙剂的越南退伍军人的心理特征是什么?”该问题在153名寻求治疗的海洛因成瘾者、多种药物滥用者和慢性酒精中毒者中进行了研究:58人报告在战斗期间接触过中度至高剂量的落叶剂;95人报告在越南期间接触极少或未接触。关于童年和当前家庭社会环境、入伍前背景、寻求治疗的原因、非法药物和酒精使用的模式及类型、人际问题、智力功能和短期记忆的测量结果接受了原假设。然而,关于人格差异的原假设被拒绝,那些自我报告高剂量接触橙剂的人在明尼苏达多相人格调查表(MMPI)的F量表、疑病量表、抑郁量表、偏执量表、精神衰弱量表、精神分裂症量表、躁狂量表和社会内倾量表上的得分显著更高。结果表明,临床医生应仔细评估报告创伤经历者的归因过程。

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