Svikis D S, Gorenstein S, Paluzzi P, Fingerhood M
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Addict Dis. 1998;17(3):91-111. doi: 10.1300/J069v17n03_08.
Pregnant, drug dependent women present for treatment with a variety of medical and psychosocial issues. When medical sequelae include HIV infection, effective medical and psychosocial management is essential for both mother and fetus/infant. To better understand and characterize this high-risk population, the present study examined personality features and psychopathology in a sample of HIV+, pregnant, drug dependent women. Personality was assessed using the Minnesota Multiphasic Personality Inventory--Revised (MMPI-2). The mean MMPI-2 codetype, (6-8), although relatively rare in standard drug treatment settings, characterized nearly one-fifth of study participants. The 6-8 codetype is typically associated with unusual thought processes, feelings of hostility and suspiciousness as well as apathy, which may mask symptoms of nervousness, anxiety and depression. Treatment implications of study findings are discussed.
怀孕且依赖药物的女性前来接受治疗时，会面临各种医学和心理社会问题。当医学后遗症包括艾滋病毒感染时，有效的医学和心理社会管理对母亲和胎儿/婴儿都至关重要。为了更好地了解和描述这一高危人群，本研究调查了感染艾滋病毒、怀孕且依赖药物的女性样本的人格特征和精神病理学情况。使用明尼苏达多相人格问卷第二版（MMPI-2）评估人格。MMPI-2的平均编码类型（6-8）在标准药物治疗环境中相对少见，但近五分之一的研究参与者具有该特征。6-8编码类型通常与异常的思维过程、敌意和猜疑感以及冷漠有关，而冷漠可能掩盖紧张、焦虑和抑郁症状。文中讨论了研究结果对治疗的启示。
