中华脑科疾病与康复杂志(电子版)
中華腦科疾病與康複雜誌(電子版)
중화뇌과질병여강복잡지(전자판)
CHINESE JOURNAL OF BRAIN DI8SEASES AND REHABILITATIN(ELECTRONIC EDITION)
2014年
4期
229-232
,共4页
自我伤害行为%海洛因依赖%心理健康
自我傷害行為%海洛因依賴%心理健康
자아상해행위%해락인의뢰%심리건강
Self-injurious behavior%Heroin dependence%Psychological health
目的:探讨有无自杀意念男性海洛因依赖者( MHDP)心理状况的差异。方法采用自编一般情况问卷、症状自评量表(SCL-90)、多伦多述情障碍量表(TAS)、渴求问卷(HCQ)、抑郁自评量表( SDS)与焦虑自评量表( SAS)对218例康复期MHDP进行评定,有194例MHDP纳入研究。组间各评分比较采用t检验,单因素分析采用 Pearson相关分析,多因素分析采用Logistic回归分析。结果有自杀意念者88例(45.4%)。有自杀意念组SDS、SAS、SCL-90、TAS 、HCQ总分高于无自杀意念组(t值分别为5.94、6.92、9.03、3.33、2.32,P<0.05或P<0.01)。 MHDP自杀意念与海洛因使用年限、戒毒次数、强制戒毒次数、吸烟年限、饮酒年限呈显著正相关( r值分别为0.346、0.197、0.230、0.720、0.333,均P<0.01);SCL-90与SDS总分依次进入自杀意念的回归方程。结论有自杀意念较无自杀意念MHDP存在更为严重的心身症状、述情障碍、心理渴求与负性情绪。不良的心身健康状况及抑郁情绪是MHDP自杀意念产生的重要因素。
目的:探討有無自殺意唸男性海洛因依賴者( MHDP)心理狀況的差異。方法採用自編一般情況問捲、癥狀自評量錶(SCL-90)、多倫多述情障礙量錶(TAS)、渴求問捲(HCQ)、抑鬱自評量錶( SDS)與焦慮自評量錶( SAS)對218例康複期MHDP進行評定,有194例MHDP納入研究。組間各評分比較採用t檢驗,單因素分析採用 Pearson相關分析,多因素分析採用Logistic迴歸分析。結果有自殺意唸者88例(45.4%)。有自殺意唸組SDS、SAS、SCL-90、TAS 、HCQ總分高于無自殺意唸組(t值分彆為5.94、6.92、9.03、3.33、2.32,P<0.05或P<0.01)。 MHDP自殺意唸與海洛因使用年限、戒毒次數、彊製戒毒次數、吸煙年限、飲酒年限呈顯著正相關( r值分彆為0.346、0.197、0.230、0.720、0.333,均P<0.01);SCL-90與SDS總分依次進入自殺意唸的迴歸方程。結論有自殺意唸較無自殺意唸MHDP存在更為嚴重的心身癥狀、述情障礙、心理渴求與負性情緒。不良的心身健康狀況及抑鬱情緒是MHDP自殺意唸產生的重要因素。
목적:탐토유무자살의념남성해락인의뢰자( MHDP)심리상황적차이。방법채용자편일반정황문권、증상자평량표(SCL-90)、다륜다술정장애량표(TAS)、갈구문권(HCQ)、억욱자평량표( SDS)여초필자평량표( SAS)대218례강복기MHDP진행평정,유194례MHDP납입연구。조간각평분비교채용t검험,단인소분석채용 Pearson상관분석,다인소분석채용Logistic회귀분석。결과유자살의념자88례(45.4%)。유자살의념조SDS、SAS、SCL-90、TAS 、HCQ총분고우무자살의념조(t치분별위5.94、6.92、9.03、3.33、2.32,P<0.05혹P<0.01)。 MHDP자살의념여해락인사용년한、계독차수、강제계독차수、흡연년한、음주년한정현저정상관( r치분별위0.346、0.197、0.230、0.720、0.333,균P<0.01);SCL-90여SDS총분의차진입자살의념적회귀방정。결론유자살의념교무자살의념MHDP존재경위엄중적심신증상、술정장애、심리갈구여부성정서。불량적심신건강상황급억욱정서시MHDP자살의념산생적중요인소。
Objective To study the difference on psychological status in male heroin dependence patients(MHDP)with and without suicide ideation.Methods A total of 218 MHDP were assessed with a self-designed questionnaire,symptom checklist 90(SCL-90),Toronto alexithymia scale(TAS),heroin craving questionnaire(HCQ),self-rating depression scale(SDS)and self-rating anxiety scale(SAS),and there were 194 MHDP finished the test effectively .The scores between the two groups were compared by t test,univariate analysis were studied by Pearson correlation analysis ,multivariate analysis were studied by Logistic regression analysis.Results Compared with MHDP without suicide ideation , the patients with suicide ideation had significant higher total scores of SDS,SAS,SCL-90,TAS and HCQ(t=5.94,6.92,9.03,3.33,2.32,P<0.05 or P<0.01 ) .The suicide ideation showed significant positive correlation to the use age , number of times of detoxification ,number of times of compelling detoxification ,smoking age and drinking age in MHDP (r=0.346,0.197,0.230,0.720,0.333,all P<0.01).The total scores of SCL-90 and SDS entered the regression equation of SCL-90 in turn.Conclusions Compared with MHDP without suicide ideation ,MHDP with suicide ideation have severe psychosomatic symptoms ,alexithymia ,craving and negative mood .The worse psychosomatic status and depressive mood are responsible for suicide ideation in MHDP .