辽宁省甲基苯丙胺成瘾者暴力攻击行为影响因素分析
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摘要
目的了解辽宁省甲基苯丙胺成瘾者暴力攻击行为影响因素,为相关部门采取有针对性的预防和综合干预措施提供科学依据。方法于2016年1—9月通过辽宁省吸毒人员动态管控系统在沈阳、鞍山、抚顺、丹东、营口、辽阳6个市抽取因吸食甲基苯丙胺被初次抓获的1 734例≤40岁甲基苯丙胺成瘾者进行问卷调查,并采用修改版外显攻击行为量表(MOAS)对甲基苯丙胺成瘾者进行攻击行为评估,将其分为暴力攻击组(n=408)和非暴力攻击组(n=1 326),应用多因素非条件logistic回归模型分析甲基苯丙胺成瘾者暴力攻击行为的相关影响因素。结果多因素非条件logistic回归分析结果显示,父母吸毒/酗酒(OR=4.03,95%CI=3.18~4.89)、有同伴暴力(OR=7.50,95%CI=6.86~8.13)、兴奋性人格特质(OR=1.11,95%CI=1.01~1.22)、不信任人格特质(OR=3.97,95%CI=2.74~5.19)、父亲教养方式为拒绝/否认(OR=2.52,95%CI=2.12~2.91)是辽宁省甲基苯丙胺成瘾者暴力攻击行为发生的危险因素;社会支持总分较高(OR=0.54,95%CI=0.45~0.63)是辽宁省甲基苯丙胺成瘾者暴力攻击行为发生的保护因素。结论辽宁省甲基苯丙胺成瘾者暴力行为的发生同时受到家庭、社会、应激等诸多因素的共同影响,应采取有针对性的综合干预措施。
Objective To investigate influencing factors of aggressive behaviors among methamphetamine addicts in Liaoning province and to provide evidences for implementing effective prevention and intervention measures by relevant agencies. Methods Using the data for Dynamic Management System for Drug Addicts in Liaoning Province,a total of1 734 first identified methamphetamine addicts( aged≤40 years) were recruited in Shenyang,Anshan,Fushun,Dandong,Yingkou, and Liaoyang municipalities from January 2016 through September 2016. Aggressive behaviors among the methamphetamine addicts were evaluated with Modified Overt Aggression Scale( MOAS) and then the addicts were assigned into an aggression group( n = 408) and a non-aggression group( n = 1 326) based on the results of the assessment.Multivariate non-conditional logistic regression model was used to analyze the related factors of aggressive behaviors among the methamphetamine addicts. Results The results of multivariate non-conditional logistic regression showed that parental drug or alcohol abuse( odds ratio[OR]= 4. 03, 95% confidence interval[95%CI]: 3. 18-4. 89),partner violence( OR = 7. 50, 95%CI: 6. 86-8. 13), excitatory personality traits( OR = 1. 11, 95% CI: 1. 01-1. 22),distrust personality traits( OR = 3. 97, 95%CI: 2. 74-5. 19),father's refused or denied rearing style( OR = 2. 52, 95% CI: 2. 12-2. 91) were the risk factors of aggressive behaviors among methamphetamine addicts; whereas overall high social support score( OR = 0. 54,95% CI: 0. 45-0. 63) was a protective factor. Conclusion Violent aggressive behaviors among methamphetamine addicts are influenced by stress,f amilial and social factors; the results suggest comprehensive intervention measures are warranted to deal with the problem.
Objective To investigate influencing factors of aggressive behaviors among methamphetamine addicts in Liaoning province and to provide evidences for implementing effective prevention and intervention measures by relevant agencies. Methods Using the data for Dynamic Management System for Drug Addicts in Liaoning Province,a total of1 734 first identified methamphetamine addicts( aged≤40 years) were recruited in Shenyang,Anshan,Fushun,Dandong,Yingkou, and Liaoyang municipalities from January 2016 through September 2016. Aggressive behaviors among the methamphetamine addicts were evaluated with Modified Overt Aggression Scale( MOAS) and then the addicts were assigned into an aggression group( n = 408) and a non-aggression group( n = 1 326) based on the results of the assessment.Multivariate non-conditional logistic regression model was used to analyze the related factors of aggressive behaviors among the methamphetamine addicts. Results The results of multivariate non-conditional logistic regression showed that parental drug or alcohol abuse( odds ratio[OR]= 4. 03, 95% confidence interval[95%CI]: 3. 18-4. 89),partner violence( OR = 7. 50, 95%CI: 6. 86-8. 13), excitatory personality traits( OR = 1. 11, 95% CI: 1. 01-1. 22),distrust personality traits( OR = 3. 97, 95%CI: 2. 74-5. 19),father's refused or denied rearing style( OR = 2. 52, 95% CI: 2. 12-2. 91) were the risk factors of aggressive behaviors among methamphetamine addicts; whereas overall high social support score( OR = 0. 54,95% CI: 0. 45-0. 63) was a protective factor. Conclusion Violent aggressive behaviors among methamphetamine addicts are influenced by stress,f amilial and social factors; the results suggest comprehensive intervention measures are warranted to deal with the problem.
引文
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[2]国家禁毒委员会办公室.2016中国毒品形势报告[R].北京:国家禁毒委员会办公室,2016.
[3]王玮,任桂秋,肇恒伟,等.新型毒品滥用者艾滋病相关知识及行为调查[J].中国公共卫生,2012,28(8):1073-1075.
[4]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2010:137-139.
[5]The American Psychiatric Association.Diagnostic criteria from DSM-IV-TR[M]//Diagnostic criteria from DSM-IV.The American Psychiatric Association,1994:1353.
[6]范肖东,汪向东,于欣,等.ICD-10精神与行为障碍分类[M].北京:人民卫生出版社,1993:38-57.
[7]邵阳,谢斌,乔屹,等.瑞典大学人格量表在男性青少年暴力违法者中的应用[J].中国心理卫生杂志,2010,24(11):849-853.
[8]张明园,何燕玲.精神科评定量表手册[M].长沙:湖南科学技术出版社,2015:384-386.
[9]高永明,曲琳,杨景元,等.传统和新型毒品吸食者艾滋病相关知识行为分析[J].中国公共卫生,2016,32(6):756-759.
[10]任其欢,赵敏.甲基苯丙胺滥用对执行功能影响的研究进展[J].精神医学杂志,2013,26(1):68-71.
[11]Scott JP.Posttraumatic stress disorder symptoms,emotion dysregulation,and aggressive behavior among incarcerated methamphetamine users[J].J Dual Diagn,2015,11(2):118-127.
[12]Brecht ML,Herbeck D.Methamphetamine u Use and violent behavior:user perceptions and predictors[J].Journal of Drug Issues,2013,43(4):468-482.
[13]Mc Ketin R,Lubman DI,Najman JM,et al.Does methamphetamine use increase violent behaviour?Evidence from a prospective longitudinal study[J].Addiction,2014,109(5):798-806.
[14]刘玉路,李新影.父母教养方式对青少年问题行为及性别差异影响[J].中国公共卫生,2015,31(12):1655-1657.