伴有和不伴有人格障碍的药物滥用者的药物使用情况及戒断预测

Substance-use situations and abstinence predictions in substance abusers with and without personality disorders.

作者信息

Van Horn D H, Frank A F

机构信息

Department of Psychiatry, Allegheny University of the Health Sciences, Philadelphia, Pennsylvania, USA.

出版信息

Am J Drug Alcohol Abuse. 1998 Aug;24(3):395-404. doi: 10.3109/00952999809016905.

DOI:10.3109/00952999809016905

PMID:9741942

Abstract

Rates of personality disorders (PDs) in substance abusers are higher than in the general population. Comorbid PDs are believed to complicate the treatment of addicted patients: in addition to having more severe substance-use disorders and life problems, personality-disordered patients may use substances differently than their peers without Axis II diagnoses. In a sample of 339 adults receiving inpatient treatment for alcohol or drug abuse/dependence, 71.7% received Axis II diagnoses, and they presented a more severe clinical picture. They also had more self-reported "impulsive" substance use and use of drugs or alcohol in positive situations. Different groups of personality-disordered patients had different patterns of self-efficacy for abstinence for hypothetical future situations.

摘要

物质滥用者中人格障碍（PDs）的发生率高于普通人群。共病的人格障碍被认为会使成瘾患者的治疗复杂化：人格障碍患者除了有更严重的物质使用障碍和生活问题外，其使用物质的方式可能与未被诊断为轴II障碍的同龄人不同。在339名接受酒精或药物滥用/依赖住院治疗的成年人样本中，71.7%被诊断为轴II障碍，且他们呈现出更严重的临床症状。他们在自我报告中也有更多“冲动性”物质使用情况，以及在积极情境下使用药物或酒精的情况。不同组的人格障碍患者在假设未来情境下的戒酒自我效能模式也有所不同。