Department of Drug Dependence Research, National Institute of Mental Health National Center of Neurology and Psychiatry, Tokyo, Japan.
Faculty of Core Research, Ochanomizu University, Tokyo, Japan.
Neuropsychopharmacol Rep. 2023 Dec;43(4):561-569. doi: 10.1002/npr2.12357. Epub 2023 Jun 20.
We analyzed the results of a nationwide questionnaire administered to 699 stimulant offenders and examined sex differences in the association between various psychosocial problems and treatment history for substance use disorder. Based on their attributes, we predominantly evaluated the treatment and support provided to women with substance use disorder. The rates of childhood (before the age of 18) traumatic experiences (physical, psychological, and sexual abuse and neglect) and lifetime intimate partner violence were significantly higher in women than in men. The history of treatment for substance use disorder was also significantly higher in women than in men, at 15.8% for men and 42.4% for women [χ (1) = 41.223, p < 0.001]. Logistic regression analysis was performed using the treatment history of substance use disorder as the dependent variable. The results showed that treatment history was significantly associated with the total drug abuse screening test-20 score and suicidal ideation in men and with survivors of child abuse and eating disorders in women. A comprehensive assessment is required for several issues, such as child abuse, domestic violence, trauma symptoms, eating disorders, and drug problems. Moreover, an integrated treatment for substance use disorder, trauma, and eating disorders is required for female stimulant offenders.
我们分析了对 699 名兴奋剂罪犯进行的全国性问卷调查结果，并研究了各种心理社会问题与物质使用障碍治疗史之间的性别差异。根据他们的特点，我们主要评估了对患有物质使用障碍的女性提供的治疗和支持。与男性相比，女性童年（18 岁之前）经历创伤（身体、心理和性虐待以及忽视）和终身亲密伴侣暴力的发生率明显更高。物质使用障碍治疗史也明显高于男性，男性为 15.8%，女性为 42.4%[χ(1)=41.223，p<0.001]。使用物质使用障碍的治疗史作为因变量进行了逻辑回归分析。结果表明，治疗史与男性的总药物滥用筛查测试-20 评分和自杀意念以及女性的虐待儿童幸存者和饮食失调显著相关。需要对儿童虐待、家庭暴力、创伤症状、饮食失调和药物问题等几个问题进行全面评估。此外，还需要对女性兴奋剂罪犯进行物质使用障碍、创伤和饮食失调的综合治疗。
