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药物滥用者间接自毁行为的性别差异(女性和男性成瘾者的间接自毁行为)。

Gender Differentiation of Indirect Self-Destructiveness in Drug Addicted Individuals (Indirect Self-Destructiveness in Addicted Women and Men).

机构信息

Department of Psychology, The Jan Kochanowski University in Kielce, Piotrków Trybunalski Branch, 114/118 Słowackiego St, 97-300, Piotrków Trybunalski, Poland.

出版信息

Psychiatr Q. 2019 Jun;90(2):371-383. doi: 10.1007/s11126-019-09629-0.

Abstract

The use of psychoactive substances is considered to be a typical self-destructive behaviour with addiction itself regarded as one of the self-destructiveness forms. The aim of this work was to explore the gender differentiation of the indirect self-destructiveness syndrome (and its particular categories) in drug addicted individuals treated in drug addiction treatment centres. 172 drug addicted individuals (116 men and 56 women, M age = 23,5), ranged from 19 to 28 years, was recruited. In order to examine indirect self-destructiveness and its manifestations, the Polish version of the "Chronic Self-Destructiveness Scale" by Kelley (CS-DS) was administered. The statistical processing of scores used the Mann-Whitney U significance test. Women treated for drug addiction achieved significantly higher scores on indirect self-destructiveness: general score (p = 0.001), subscales of Transgression and Risk (p = 0.001), Personal and Social Neglects (p = 0.02), and Lack of Planfulness (p < 0.001). They scored lower on Poor Health Maintenance (p < 0.002) and Helplessness (p < 0.001). There is a need for specific, gender-adjusted manners of intervention and treatment in addicted women. Optimistically, after an addiction treatment, women cope and feel better psychologically and socially. They also care more about their health.

摘要

使用精神活性物质被认为是一种典型的自我毁灭行为,而成瘾本身被认为是自我毁灭形式之一。本研究旨在探讨在戒毒中心接受治疗的药物滥用者中,间接自我毁灭综合征(及其特定类别)的性别差异。研究纳入了 172 名药物滥用者(116 名男性和 56 名女性,M 年龄=23.5 岁,年龄范围为 19-28 岁)。为了评估间接自我毁灭及其表现,采用了 Kelley 的波兰版“慢性自我毁灭量表”(CS-DS)。分数的统计处理使用了曼-惠特尼 U 检验。接受药物滥用治疗的女性在间接自我毁灭方面的得分显著更高:总得分(p=0.001)、违规和冒险子量表(p=0.001)、个人和社会忽视子量表(p=0.02)以及缺乏计划性子量表(p<0.001)。她们在健康维护不佳子量表(p<0.002)和无助子量表(p<0.001)上的得分较低。需要针对女性成瘾者的特定、性别调整的干预和治疗方法。乐观地说,在接受成瘾治疗后,女性在心理和社会方面感觉更好,更有应对能力。她们也更加关注自己的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95dc/6522439/602c008ac6a6/11126_2019_9629_Fig1_HTML.jpg

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