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美沙酮患者反社会行为的类型学

A typology of antisociality in methadone patients.

作者信息

Alterman A I, McDermott P A, Cacciola J S, Rutherford M J, Boardman C R, McKay J R, Cook T G

机构信息

Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA.

出版信息

J Abnorm Psychol. 1998 Aug;107(3):412-22. doi: 10.1037//0021-843x.107.3.412.

DOI:10.1037//0021-843x.107.3.412
PMID:9715576
Abstract

Multistage cluster analyses with replications were used to sort score profiles of 252 methadone maintained men on 4 continuous measures of antisociality--childhood conduct disorder and adult antisocial personality disorder symptoms, the revised Psychopathy Checklist, and the Socialization scale of the California Psychological Inventory. The analysis yielded 6 replicable and temporally stable cluster groups varying in degree and pattern of antisociality. The groups were statistically compared on sets of external criterion variables--Addiction Severity Index measures of past and recent substance abuse and functioning and lifetime criminal history. Axis I and II symptomatology, anxiety and depression, object relations and reality testing, hostility, guilt, and machiavellianism. The expression of antisociality in the 6 groups and differences found among them on the external variables supported the validity of a more complex conceptualization of antisociality than is provided by antisocial personality disorder.

摘要

采用带有重复的多阶段聚类分析方法,对252名接受美沙酮维持治疗的男性在4项反社会性连续测量指标上的得分概况进行分类,这些指标包括儿童期品行障碍和成人反社会人格障碍症状、修订版心理变态检查表以及加利福尼亚心理调查表的社会化量表。分析得出6个可重复且时间上稳定的聚类组,它们在反社会性的程度和模式上各不相同。对这些组在一系列外部标准变量上进行统计学比较,这些变量包括成瘾严重程度指数中过去和近期药物滥用及功能情况的测量指标以及终生犯罪史。轴I和轴II症状学、焦虑和抑郁、客体关系和现实检验、敌意、内疚以及权谋主义。6个组中反社会性的表现以及在外部变量上发现的它们之间的差异,支持了一种比对反社会人格障碍所提供的更为复杂的反社会性概念化的有效性。

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