Ergelen Mine, Yalçın Murat, Bilici Rabia
Practise and Research Center for Fight Againist Addiction, University of Health Sciences,
The Psychotheraphy Center, Erenköy Training and Research Hospital for Psychiatry and Neurology, Istanbul, Turkey.
Neuropsychiatr Dis Treat. 2018 Nov 23;14:3169-3178. doi: 10.2147/NDT.S173604. eCollection 2018.
The objectives of this study are, first, to explore the prevalence of lifetime violent and criminal behaviors among alcohol, opioid, and synthetic cannabinoid (SC) users in the treatment program; second, to examine and compare sociodemographic characteristics, childhood traumatic experiences, and impulsivity of these groups.
This cross-sectional cohort study includes 110 male patients who received inpatient treatment in AMATEM (Alcohol and Substance Addiction Treatment Center) Clinic of Erenköy Training and Research Hospital for Psychiatry and Neurology between October 2014 and May 2015, diagnosed with alcohol, opioid, SC use disorder. The patients who were included in the study were given Data Collection Form, APIsoft (Addiction Profile Index), Childhood Trauma Questionnaire (CTQ-28), and Barratt Impulsiveness Scale (BIS-11). Statistical analysis was performed with SPSS 15.0 statistic software package.
We found that resorting to verbal and physical violence was more frequent in SC group in comparison with alcohol and opiate groups (for verbal violence 88.5%, 60%, 70%; = 0.02; for physical violence (82%, 40%, 60%; = 0.001). Criminal involvement was also higher for SC users than alcohol and opioid users (94%, 85%, 68.5%; = 0.01). The average CTQ-28 scores for SC group ( = 0.017) were high whereas there was no difference in the average BIS-11 scores ( = 0.073) between groups. There was no difference between the groups in terms of severity of addiction ( = 0.2). Our study ascertained that the patients exhibited mild and moderate addiction.
Although creating a treatment for addiction, we think that a holistic treatment that will take into consideration the used substance and the individual's childhood traumatic events along with his/her impulsive and aggressive behaviors could make a significant contribution to the prevention of the patient's possible violent and criminal behaviors in the future.
本研究的目的，其一，是探究在治疗项目中酒精、阿片类药物及合成大麻素（SC）使用者一生中暴力及犯罪行为的发生率；其二，是检验并比较这些群体的社会人口学特征、童年创伤经历及冲动性。
这项横断面队列研究纳入了110名男性患者，他们于2014年10月至2015年5月期间在埃伦柯伊精神病学与神经病学培训及研究医院的AMATEM（酒精与物质成瘾治疗中心）诊所接受住院治疗，被诊断为酒精、阿片类药物、SC使用障碍。纳入研究的患者被给予了数据收集表、APISoft（成瘾概况指数）、童年创伤问卷（CTQ - 28）及巴拉特冲动性量表（BIS - 11）。使用SPSS 15.0统计软件包进行统计分析。
我们发现，与酒精和阿片类药物组相比，SC组诉诸言语和身体暴力的情况更为频繁（言语暴力方面分别为88.5%、60%、70%；P = 0.02；身体暴力方面分别为82%、40%、60%；P = 0.001）。SC使用者的犯罪参与情况也高于酒精和阿片类药物使用者（分别为94%、85%、68.5%；P = 0.01）。SC组的平均CTQ - 28得分较高（P = 0.017），而各组间平均BIS - 11得分无差异（P = 0.073）。各组在成瘾严重程度方面无差异（P = 0.2）。我们的研究确定这些患者表现为轻度和中度成瘾。
尽管要制定成瘾治疗方案，但我们认为，一种综合治疗方案，即考虑到所使用的物质、个体的童年创伤事件以及其冲动和攻击性行为，可能会对预防患者未来可能出现的暴力和犯罪行为做出重大贡献。
