Marinier R L, Pihl R O, Wilford C, Lapp J E
Drug Intell Clin Pharm. 1985 Jan;19(1):40-5. doi: 10.1177/106002808501900111.
From initial telephone interviews with a random population of 1187 francophone women, 179 women participated in a further three-hour person-to-person interview focusing on the use of psychotropic medications. Psychotrope users typically were older, in poorer health, and had a lower level of education than abstainers. They showed an increased prevalence of nervousness, anxiety, depression, and restlessness. Initial contact with psychotrope use was through their general practitioners after presentation of vague and ill-defined symptoms. Psychotropic drug use was found among housewives, especially those with children, and among those unemployed but desiring work. Personality profiles of psychotrope users showed that they think of themselves as failures and are more distressed, with significantly greater life changes. Users scored higher on "femininity" subscales, apparently reflecting dependent and nondefensive personality types. In addition, personality measures defined psychotrope users as precise, methodical, cautious, serious, unassertive, and modest. The incompleteness of present unidirectional models of psychotropic drug use are discussed. Suggestions for future research include encompassing the cognitive organization of the psychotrope user within the context of social, affective, and physician influences on this form of coping style.
在对1187名说法语的女性进行的随机电话访谈中，有179名女性参与了进一步为时三小时的面对面访谈，访谈重点是精神药物的使用情况。与未使用精神药物者相比，精神药物使用者通常年龄更大、健康状况更差且受教育程度更低。她们表现出紧张、焦虑、抑郁和烦躁不安的患病率更高。她们最初接触精神药物使用是在出现模糊且不明确的症状后通过全科医生进行的。在家庭主妇中发现了精神药物的使用情况，尤其是有孩子的家庭主妇，以及失业但渴望工作的人群中也存在这种情况。精神药物使用者的性格特征表明，她们认为自己是失败者，更痛苦，生活变化也明显更大。使用者在“女性气质”子量表上得分更高，这显然反映出依赖型和非防御型人格类型。此外，性格测试将精神药物使用者定义为精确、有条理、谨慎、严肃、不自信和谦虚。文中讨论了目前精神药物使用单向模型的不完整性。对未来研究的建议包括，在社会、情感和医生对这种应对方式的影响背景下，纳入精神药物使用者的认知结构。
