Rhoads D L
Int J Addict. 1983 Feb;18(2):195-222. doi: 10.3109/10826088309027352.
A longitudinal study was conducted with 49 clients recently discharged from heroin detoxification programs. Interviews were conducted at monthly intervals for 3 months, and information was gathered on drug use, stressful life events experienced, the availability of social support, and the presence of psychiatric symptomatology. Clients who reentered treatment (i.e., methadone maintenance) reported increasing social support over the 3-month period, decreased their use of heroin and several other drugs, and evidenced decreased depression and anxiety. The remainder of the sample evidenced no significant changes over time. Cross-correlation analysis was applied to the data for males and females, separately. The results suggest that women addicts are especially sensitive to the effects of life stressors and tend to lack the support systems which are available to the males. As a means of coping with stressors, in the absence of support, the female addict appears to "self-medicate" with illegal drugs.
对49名近期从海洛因戒毒项目出院的客户进行了一项纵向研究。在3个月内每月进行一次访谈,收集有关药物使用、经历的压力性生活事件、社会支持的可获得性以及精神症状的信息。重新接受治疗(即美沙酮维持治疗)的客户报告称,在3个月期间社会支持增加,海洛因和其他几种药物的使用减少,抑郁和焦虑症状减轻。样本中的其余部分未显示随时间有显著变化。对男性和女性的数据分别进行了交叉相关分析。结果表明,女性成瘾者对生活压力源的影响特别敏感,并且往往缺乏男性可获得的支持系统。作为应对压力源的一种方式,在缺乏支持的情况下,女性成瘾者似乎会用非法药物进行“自我治疗”。