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丧亲的物质使用者中的自杀风险及人格功能失调模式。

Risk of Suicide and Dysfunctional Patterns of Personality among Bereaved Substance Users.

作者信息

Masferrer Laura, Caparrós Beatriz

机构信息

Public Drug Centre, Cas Teresa Ferrer-CAS Ripoll, Institut d'Assistència Sanitària (IAS), 17003 Girona, Spain.

Department of Psychology, University of Girona, 17071 Girona, Spain.

出版信息

Int J Environ Res Public Health. 2017 Mar 20;14(3):316. doi: 10.3390/ijerph14030316.

Abstract

: Research has shown that suicide is a phenomenon highly present among the drug dependent population. Different studies have demonstrated an upraised level of comorbidity between personality disorders (PD) and substance use disorders (SUD). This study aimed to describe which PDs are more frequent among those patients with a risk of suicide. : The study was based on a consecutive non-probabilistic convenience sample of 196 bereaved patients attended to in a Public Addiction Center in Girona (Spain). Sociodemographic data, as well as suicide and drug related characteristics were recorded. The risk of suicide was assessed with the Spanish version of "Risk of suicide". Personality disorders were measured with the Spanish version of Millon Multiaxial Clinical Inventory. : The PDs more associated with the presence of risk of suicide were depressive, avoidant, schizotypal and borderline disorders. However, the histrionic, narcissistic and compulsive PDs are inversely associated with risk of suicide even though the narcissistic scale had no statistical correlation. : The risk of suicide is a significant factor to take into account related to patients with SUD and especially with the presence of specific PDs. These findings underline the importance of diagnosing and treating rigorously patients with SUD.

摘要

研究表明,自杀是药物依赖人群中极为常见的一种现象。不同研究已证实,人格障碍(PD)与物质使用障碍(SUD)之间的共病率有所上升。本研究旨在描述哪些人格障碍在有自杀风险的患者中更为常见。

该研究基于在西班牙赫罗纳的一家公共成瘾中心连续选取的196名丧亲患者组成的非概率便利样本。记录了社会人口统计学数据以及与自杀和药物相关的特征。使用西班牙语版的“自杀风险”评估自杀风险。使用西班牙语版的米隆多轴临床量表测量人格障碍。

与自杀风险存在更密切关联的人格障碍类型为抑郁型、回避型、分裂型和边缘型障碍。然而,表演型、自恋型和强迫型人格障碍与自杀风险呈负相关,尽管自恋量表无统计学相关性。

自杀风险是一个与物质使用障碍患者相关的、尤其与特定人格障碍的存在相关的重要因素。这些发现凸显了对物质使用障碍患者进行严格诊断和治疗的重要性。

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本文引用的文献

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World Psychiatry. 2015 Feb;14(1):27-9. doi: 10.1002/wps.20175.
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Psychiatry Res. 2014 Jun 30;217(1-2):121-3. doi: 10.1016/j.psychres.2014.03.007. Epub 2014 Mar 11.

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