冲动性、自我控制与戒断期药物成瘾者复吸倾向的关系研究
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摘要
目的探讨冲动性、自我控制和戒断期药物成瘾者复吸倾向的关系。方法使用巴瑞特冲动性量表BIS-11中文版问卷、自我控制量表和复吸倾向问卷对233名戒断期药物成瘾者进行调查。结果 (1)无工作的成瘾者比有工作的成瘾者认知冲动性(t=0.22,v=218,P<0.05)和无计划冲动性(t=0.28,v=218,P<0.001)更高,抵御诱惑方面更控制不足(t=-2.27,v=218,P<0.05);冰毒吸食者比海洛因吸食者行动冲动性更高(t=-3.77,v=202,P<0.01),冲动控制(t=-2.68,v=202,P<0.01)、专注工作(t=-2.58,v=202,P<0.01)、节制娱乐方面更控制不足(t=-2.11,v=202,P<0.05);(2)复吸倾向与自我控制(r=0.23,P<0. 05)、冲动性总分(r=0.16,P<0.05)均呈正相关;(3)自我控制在冲动性和复吸倾向间起完全中介作用。结论戒断期药物成瘾者的冲动性和自我控制在工作状况以及主要吸食毒品情况上有差异,冲动性、自我控制和复吸倾向之间相互影响,冲动性对复吸倾向的影响完全依赖自我控制。
Objective The aim of this study was to investigate the relationship of impulsivity and self-control with relapse tendency of drug addicts in withdrawal period. Methods An investigation was conducted using Barratt Impulsiveness Scale11 version(BIS-11), Self-control Scale and Relapse Tendency Questionnaire on 233 drug addicts in withdrawal period. Results1. Non-working addicts had higher attentional impulsivity(t=0.22, df=218, P<0.05) and non-planning impulsivity(t=0.28, df=218,P<0.001) than those with work, and less control over temptation resist(t=-2.27, df=218, P<0.05). Meth users had higher motor impulsivity than heroin users(t=-3.77, df=202, P<0.01), and had less control over impulse control(t=-2.68, df=202, P<0.01),concentration of work(t=-2.58, df=202, P<0.01) and entertainment abstinence(t=-2.11, df=202, P<0.05). 2. There was positive significant correlation in total score between relapse tendency and self-control(r=0.23, P<0.05) and impulsivity(r=0.16,P<0.01). 3 Self-control mediated entirely the relationship between impulsivity and relapse tendency. Conclusion In withdrawal period, drug addicts' impulsiveness and self-control on the working condition and major drug had differences. Impulsivity, self-control and relapsing tendency affected each other. The impact of impulsivity on relapse tendency was totally de-pendent on self-control.
Objective The aim of this study was to investigate the relationship of impulsivity and self-control with relapse tendency of drug addicts in withdrawal period. Methods An investigation was conducted using Barratt Impulsiveness Scale11 version(BIS-11), Self-control Scale and Relapse Tendency Questionnaire on 233 drug addicts in withdrawal period. Results1. Non-working addicts had higher attentional impulsivity(t=0.22, df=218, P<0.05) and non-planning impulsivity(t=0.28, df=218,P<0.001) than those with work, and less control over temptation resist(t=-2.27, df=218, P<0.05). Meth users had higher motor impulsivity than heroin users(t=-3.77, df=202, P<0.01), and had less control over impulse control(t=-2.68, df=202, P<0.01),concentration of work(t=-2.58, df=202, P<0.01) and entertainment abstinence(t=-2.11, df=202, P<0.05). 2. There was positive significant correlation in total score between relapse tendency and self-control(r=0.23, P<0.05) and impulsivity(r=0.16,P<0.01). 3 Self-control mediated entirely the relationship between impulsivity and relapse tendency. Conclusion In withdrawal period, drug addicts' impulsiveness and self-control on the working condition and major drug had differences. Impulsivity, self-control and relapsing tendency affected each other. The impact of impulsivity on relapse tendency was totally de-pendent on self-control.
引文
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[2]张晶轩,杨国愉,赵梦雪,等.正负性情绪、社会支持和冲动性对强制隔离戒毒人员复吸倾向的影响[J].第三军医大学学报,2017,39(15):1594-1598.
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[4]Tangney JP,Baumeister RF,Boone AL.High self-control predicts good adjustment,less pathology,better grades,and interpersonal success[J].Journal of Personality,2004,72(2):271-324.
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[11]谭树华,郭永玉.大学生自我控制量表的修订[J].中国临床心理学杂志,2008,1 5(5):468-470.
[12]李献云,费立鹏,徐东,等.Barratt冲动性量表中文修订版在社区和大学人群中应用的信效度[J].中国心理卫生杂志,2011,25(8):610-615.
[13]王睿.男性强制戒毒者心理健康及复吸倾向性的研究[D].上海:华东师范大学,2001.
[14]王丹.甲基苯丙胺依赖者认知、冲动特征与脑影像改变对照研究[D].长沙:中南大学,2013.
[15]杨玲,张娟娟,赵鑫.美沙酮维持治疗海洛因成瘾者的冲动性与抑制控制研究[J].中国药物依赖性杂志,2014,23(3):206-210,217.
[16]Mora F,Porras A.Effects of amphetamine on the release of excitatory amino acid neurotransmitters in the basal ganglia of the conscious rat[J].Canadian Journal of Physiology and Pharmacology,1993,71(5/6):348-351.
[17]Armstrong BD,Noguchi KK.The neurotoxic effects of 3,4-methylenedioxymethamphetamine(MDMA)and methamphetamine on serotonin,dopamine and GABA-ergic terminals:an in-vitro autoradiographic study in rats[J].Neurotoxicology,2004,25(6):905-914.
[18]蓝晓嫦,王达平,刘玉平,等.甲基苯丙胺依赖者脑结构的改变[J].中国药物滥用防治杂志,2017,23(5):261-263.
[19]郭念锋.国家职业资格培训教程心理咨询师[M].北京:民族出版社,2005.
[20]Kirby KN,Petry NM.Heroin and cocaine abusers have higher discount rates for delayed rewards than alcoholics or non-drug-using controls[J].Addiction,2004,99(4):461-471.
[21]苗心,朱亮,曾红.海洛因成瘾者异常的灰质体积-基于体素形态学分析的元分析[J].中国药物依赖性杂志,2018,27(1):24-30.
[22]Schoenbaum G,Roesch MR,Stalnaker TA.Orbitofrontal cortex,decision-making and drug addiction[J].Trends in Neurosciences,2006,29(2):116-124.
[23]聂衍刚,窦凯,王玉洁.冲动性与网络成瘾:自我控制的中介作用[J].宁波大学学报(教育科学版),2013,35(3):7-12.
[24]Broos N,Schmaal L,Wiskerke J,et al.The relationship between impulsive choice and impulsive action:a cross-species translational study[J].PLOS One,2012,7(5):e36781.
[2]张晶轩,杨国愉,赵梦雪,等.正负性情绪、社会支持和冲动性对强制隔离戒毒人员复吸倾向的影响[J].第三军医大学学报,2017,39(15):1594-1598.
[3]关元,何嘉梅.自我控制:内涵、理论及展望[J].心理技术与应用,2018,6(2):118-128.
[4]Tangney JP,Baumeister RF,Boone AL.High self-control predicts good adjustment,less pathology,better grades,and interpersonal success[J].Journal of Personality,2004,72(2):271-324.
[5]龚斌,朱千,肖细,等.自我控制对海洛因戒断者复吸倾向的影响[J].中国药物滥用防治杂志,2013,19(6):311-314.
[6]Moeller FG,Dougherty DM,Barratt ES,et al.The impact of impulsivity on cocaine use and retention in treatment[J].Journal of Substance Abuse Treatment,2001,21(4):193-198.
[7]Gray JR.Integrating of emotion and cognitive control[J].Current Directions in Psychological Science,2004,13(2):46-48.
[8]Lubman D,Yücel M,Pantelis C.Addiction,a condition of compulsive behaviour?Neuroimaging and neuropsychological evidence of inhibitory dysregulation[J].Addiction,2004,99(12):1491-1502.
[9]Sinha R,Fox HC,Hong KI,et al.Effects of adrenal sensitivity,stress-and cue-induced craving,and anxiety on subsequent alcohol relapse and treatment outcomes[J].Archives of General Psychiatry,2011,68(9):942-952.
[10]邹枝玲,杨志林,王永明,等.冲动性与成瘾的关系:回顾与展望[J].西南大学学报(社会科学版),2016,42(2):103-112,191.
[11]谭树华,郭永玉.大学生自我控制量表的修订[J].中国临床心理学杂志,2008,1 5(5):468-470.
[12]李献云,费立鹏,徐东,等.Barratt冲动性量表中文修订版在社区和大学人群中应用的信效度[J].中国心理卫生杂志,2011,25(8):610-615.
[13]王睿.男性强制戒毒者心理健康及复吸倾向性的研究[D].上海:华东师范大学,2001.
[14]王丹.甲基苯丙胺依赖者认知、冲动特征与脑影像改变对照研究[D].长沙:中南大学,2013.
[15]杨玲,张娟娟,赵鑫.美沙酮维持治疗海洛因成瘾者的冲动性与抑制控制研究[J].中国药物依赖性杂志,2014,23(3):206-210,217.
[16]Mora F,Porras A.Effects of amphetamine on the release of excitatory amino acid neurotransmitters in the basal ganglia of the conscious rat[J].Canadian Journal of Physiology and Pharmacology,1993,71(5/6):348-351.
[17]Armstrong BD,Noguchi KK.The neurotoxic effects of 3,4-methylenedioxymethamphetamine(MDMA)and methamphetamine on serotonin,dopamine and GABA-ergic terminals:an in-vitro autoradiographic study in rats[J].Neurotoxicology,2004,25(6):905-914.
[18]蓝晓嫦,王达平,刘玉平,等.甲基苯丙胺依赖者脑结构的改变[J].中国药物滥用防治杂志,2017,23(5):261-263.
[19]郭念锋.国家职业资格培训教程心理咨询师[M].北京:民族出版社,2005.
[20]Kirby KN,Petry NM.Heroin and cocaine abusers have higher discount rates for delayed rewards than alcoholics or non-drug-using controls[J].Addiction,2004,99(4):461-471.
[21]苗心,朱亮,曾红.海洛因成瘾者异常的灰质体积-基于体素形态学分析的元分析[J].中国药物依赖性杂志,2018,27(1):24-30.
[22]Schoenbaum G,Roesch MR,Stalnaker TA.Orbitofrontal cortex,decision-making and drug addiction[J].Trends in Neurosciences,2006,29(2):116-124.
[23]聂衍刚,窦凯,王玉洁.冲动性与网络成瘾:自我控制的中介作用[J].宁波大学学报(教育科学版),2013,35(3):7-12.
[24]Broos N,Schmaal L,Wiskerke J,et al.The relationship between impulsive choice and impulsive action:a cross-species translational study[J].PLOS One,2012,7(5):e36781.