海洛因依赖者人格特征与性功能的研究分析
|
摘要
目的：本课题欲了解海洛因依赖者的人格特征和性功能情况，为制订心理干预措施和治疗海洛因成瘾者的性功能障碍提供依据。
方法：在1998年2月至1999年10月选择海洛因依赖者322例采用社会人口学特征、性心理、性行为、性功能等的问卷调查，美国明尼苏达多相人格测验---中国修订版(MMPI)、卡特尔16种人格因素(16PF)、症状自评量表(SCL—90)的心理人格特征的检测，血清性激素(TT、E_2、PRL、FSH、LH)水平的研究分析。
结果：海洛因依赖者的年龄较轻，他们中以个体行业、初中文化程度、未婚者居多，已婚者对婚姻的自主性强，但其婚姻满意度不高。海洛因依赖者性体验较早，其性伴侣多，性交频率高，吸毒成瘾速度快，且得性病的比例较高。
MMPI、16PF、SCL-90测验表明：海洛因依赖者心理健康水平全面下降，他们具有与常人不同的典型人格特征，并以躯体化、抑郁、焦虑、精神病性、强迫症状、敌对行为为显著。
性激素测查表明：男性海洛因依赖者TT、PRL、LH降低，FSH升高，女性海洛因依赖者TT、E_2、PRL降低，FSH、LH无显著性改变，海洛因依赖者不同吸毒方式、不同戒断时间之间激素水平无差异。
结论：从本研究提示，海洛因滥用不仅对滥用者个体造成身心两方面的损害，而且可造成其家庭的破裂，社会的不安定，因此，加强戒毒工作至关重要。
Objective: By exploring the personality's character and sexual function of heroine abuser, we hope that it could offer beneficial reference to take measure on psychological intervention and treatment.
Method:322 cases were selected during 1998.2 and 1999.10,which are heroine abuser, We have studied the social character of demography, sexual psychology, sexual behaviors, sexual function by questionnaire. With the Minnesota Multiphasic Personality Invenrory(MMPI),16 personality's factors, Symptom check-list 90, we test the personality of heroine abuser; the serum hormone levels were examined, including TT,E2,PRL,FSH and LH.
Results: the average age of heroine abuser is 25.73 ?.42, most of them are unmarried, middle-school education, individual occupation. The married had very strong marital independence, but the satisfaction degree of them is low. The sexual experience of heroine abuser brought out earlier, they have many sexual partners and more frequencies of coitus, the speed of addiction is rapid. After Heroine abuse ,their sexual fantasy decreased, the libido decent and sexual dysfunction. There are the high ratio of sexually transmitted disease of heroine abuser.
MMPU6PF and SCL-90 have manifested that the psychological health levels of heroine abuser decrease, they have typically different personal character with normal people, particulary displaying somatization, depression, anxiety, psychosis, compulsion and rivalry.
Depending upon the testing of hormones , we find that the serum TT, PRL, LH level in male sample group is decreased, but the serum FSH level rises. In the female sample group, TT, E2, PRL also decreased. Their serum hormone level are no difference among the different style of drug abuse, and different withdrawal period.
Conclusion:Thestudymanifestedthattheheroineabuser's psychological covers most part of psychological metamorphosis. The heroine abuse not onlydoharmtothe abuser's sexualfunction, but also can leadtothefamilydiscruptionand social unsafely.
方法：在1998年2月至1999年10月选择海洛因依赖者322例采用社会人口学特征、性心理、性行为、性功能等的问卷调查，美国明尼苏达多相人格测验---中国修订版(MMPI)、卡特尔16种人格因素(16PF)、症状自评量表(SCL—90)的心理人格特征的检测，血清性激素(TT、E_2、PRL、FSH、LH)水平的研究分析。
结果：海洛因依赖者的年龄较轻，他们中以个体行业、初中文化程度、未婚者居多，已婚者对婚姻的自主性强，但其婚姻满意度不高。海洛因依赖者性体验较早，其性伴侣多，性交频率高，吸毒成瘾速度快，且得性病的比例较高。
MMPI、16PF、SCL-90测验表明：海洛因依赖者心理健康水平全面下降，他们具有与常人不同的典型人格特征，并以躯体化、抑郁、焦虑、精神病性、强迫症状、敌对行为为显著。
性激素测查表明：男性海洛因依赖者TT、PRL、LH降低，FSH升高，女性海洛因依赖者TT、E_2、PRL降低，FSH、LH无显著性改变，海洛因依赖者不同吸毒方式、不同戒断时间之间激素水平无差异。
结论：从本研究提示，海洛因滥用不仅对滥用者个体造成身心两方面的损害，而且可造成其家庭的破裂，社会的不安定，因此，加强戒毒工作至关重要。
Objective: By exploring the personality's character and sexual function of heroine abuser, we hope that it could offer beneficial reference to take measure on psychological intervention and treatment.
Method:322 cases were selected during 1998.2 and 1999.10,which are heroine abuser, We have studied the social character of demography, sexual psychology, sexual behaviors, sexual function by questionnaire. With the Minnesota Multiphasic Personality Invenrory(MMPI),16 personality's factors, Symptom check-list 90, we test the personality of heroine abuser; the serum hormone levels were examined, including TT,E2,PRL,FSH and LH.
Results: the average age of heroine abuser is 25.73 ?.42, most of them are unmarried, middle-school education, individual occupation. The married had very strong marital independence, but the satisfaction degree of them is low. The sexual experience of heroine abuser brought out earlier, they have many sexual partners and more frequencies of coitus, the speed of addiction is rapid. After Heroine abuse ,their sexual fantasy decreased, the libido decent and sexual dysfunction. There are the high ratio of sexually transmitted disease of heroine abuser.
MMPU6PF and SCL-90 have manifested that the psychological health levels of heroine abuser decrease, they have typically different personal character with normal people, particulary displaying somatization, depression, anxiety, psychosis, compulsion and rivalry.
Depending upon the testing of hormones , we find that the serum TT, PRL, LH level in male sample group is decreased, but the serum FSH level rises. In the female sample group, TT, E2, PRL also decreased. Their serum hormone level are no difference among the different style of drug abuse, and different withdrawal period.
Conclusion:Thestudymanifestedthattheheroineabuser's psychological covers most part of psychological metamorphosis. The heroine abuse not onlydoharmtothe abuser's sexualfunction, but also can leadtothefamilydiscruptionand social unsafely.
引文
1．杨良主编．海洛因的毒性及危害．中国医药科技出版社．1998；6
2．杨良，李红，吴亚维等。女姓海洛因依赖者性机能和性心理研究。中国临床心理学杂志1994；2(4)；217
3. Rosenthel—TL;Edwards-NB;Ackerman-BJ;Knott-DH;Rosenthal-RH;Substance Abuse Patterns Reveal Contrasting Personal Trait. J-Subst-Abuse. 1990:2(2):255
4．心理学百科全书．浙江教育出版社．1995；1757
5．MMPI全国协作组．明尼苏达多相个性测查表使用指导书．北京：中国科学院心理所1989
6. Sinlia,-B-K;Watson,-D-C.Personality Disorder in University Students. A Maltitrait -Multimethod Matrix Study. J-personal-Disord. 2001;(513):235-244
7. Johnson,-J-s; Mowren-R-R.. Mail Surveys among college Students; DO Initial Responders Score Differently form Nonresponders On the 16PF Psychol-rep.2000 Jun: 86[3pt1];901-8.
8. Grude,-T;Vaglum,-P:One-year follow-up of patients with clustar C personality disord;a prospective study eomparing patients with "pure"and comorbid conditions within cluster C,and "pure" C with "pure" cluster A or B conditions. J-personal-disord.2001 Jun; 15(3):216-28.
9．李伟民，吴宗宪，张少波等．男性心理学．知识出版社出版社1989；10：75
10．金渝主编，心理测量．华东师范大学出版社出版社．2001：6：128
11．许毅主编，性的奥秘．人民卫生出版社．2001；4：299-300
12．薛兆英，许又新，马晓军．现代性医学．人民军医出版社会性1995；1：217
13．杨良，李红，吴亚维等．海洛因依赖者性心理和性机能改变及临床意义，中国药物滥用防治杂志1996；1(4)：15
14．张媚，陈季员，陈彰惠等合著．人类发展之概念与实务．科学技术文献出版社．2001；4：5
15．孔燕、江立成、兰文敏、郑汉华等大学生心理健康教育；1998，12
16. Catell R B. Personlity and Mood by Questionaire.
17. Catell R B. 1965. The Scientific Analysis of Personality. Battimore;Penguim Books.
18. Catell R B. and Scherger J M. 1978. Personality Theory Inaction Coampatgn. Institute for Personality and Ability Testing.
19. Krug S.E 1984. Interpreting 16PF Profile Patterns London;NFFR-Nelson
20. Ragni G,De cauretis L,Besterio,Sghedoni D,Gambaro V Gonadial Function in Male Heroine and Methadone Addicts Iat-androl 1998;11:93
21. Celanic MF, Carani C.Further Studies On the Hypothalanic-pituitary-gonady Function in Man Pharmacol Res Conmum 1984; 16:1193-1203
22．杨发莲，史长俊，陈光．东乡族及回族吸毒人群性激素水平变化．男性学杂志1995；9(1)：18
23．杨良，李红，徐仕文等．海洛因依赖者性机能和性心理研究．中国药物依赖性通报1993；2(1)：42-47
24．黄平治、吴永海主编．男性不育．科学技术文献出版社出版发行．1990 9
25．吴明章，曾超文，张君慧主编．男性生殖病理学．上海科学普及出版社．1997年第一版．
26. Bairy,-I; Shivananda,-D-G.Seroprevalence of HIV in Manipal Indian-J-Med-Sai.2001 May;55(5):257-62.
27．陈珊梅，王福清，劳裕昌等．重庆市药物依赖的流行学调查报告．中国药物滥用防治杂志．2001；1：36
2．杨良，李红，吴亚维等。女姓海洛因依赖者性机能和性心理研究。中国临床心理学杂志1994；2(4)；217
3. Rosenthel—TL;Edwards-NB;Ackerman-BJ;Knott-DH;Rosenthal-RH;Substance Abuse Patterns Reveal Contrasting Personal Trait. J-Subst-Abuse. 1990:2(2):255
4．心理学百科全书．浙江教育出版社．1995；1757
5．MMPI全国协作组．明尼苏达多相个性测查表使用指导书．北京：中国科学院心理所1989
6. Sinlia,-B-K;Watson,-D-C.Personality Disorder in University Students. A Maltitrait -Multimethod Matrix Study. J-personal-Disord. 2001;(513):235-244
7. Johnson,-J-s; Mowren-R-R.. Mail Surveys among college Students; DO Initial Responders Score Differently form Nonresponders On the 16PF Psychol-rep.2000 Jun: 86[3pt1];901-8.
8. Grude,-T;Vaglum,-P:One-year follow-up of patients with clustar C personality disord;a prospective study eomparing patients with "pure"and comorbid conditions within cluster C,and "pure" C with "pure" cluster A or B conditions. J-personal-disord.2001 Jun; 15(3):216-28.
9．李伟民，吴宗宪，张少波等．男性心理学．知识出版社出版社1989；10：75
10．金渝主编，心理测量．华东师范大学出版社出版社．2001：6：128
11．许毅主编，性的奥秘．人民卫生出版社．2001；4：299-300
12．薛兆英，许又新，马晓军．现代性医学．人民军医出版社会性1995；1：217
13．杨良，李红，吴亚维等．海洛因依赖者性心理和性机能改变及临床意义，中国药物滥用防治杂志1996；1(4)：15
14．张媚，陈季员，陈彰惠等合著．人类发展之概念与实务．科学技术文献出版社．2001；4：5
15．孔燕、江立成、兰文敏、郑汉华等大学生心理健康教育；1998，12
16. Catell R B. Personlity and Mood by Questionaire.
17. Catell R B. 1965. The Scientific Analysis of Personality. Battimore;Penguim Books.
18. Catell R B. and Scherger J M. 1978. Personality Theory Inaction Coampatgn. Institute for Personality and Ability Testing.
19. Krug S.E 1984. Interpreting 16PF Profile Patterns London;NFFR-Nelson
20. Ragni G,De cauretis L,Besterio,Sghedoni D,Gambaro V Gonadial Function in Male Heroine and Methadone Addicts Iat-androl 1998;11:93
21. Celanic MF, Carani C.Further Studies On the Hypothalanic-pituitary-gonady Function in Man Pharmacol Res Conmum 1984; 16:1193-1203
22．杨发莲，史长俊，陈光．东乡族及回族吸毒人群性激素水平变化．男性学杂志1995；9(1)：18
23．杨良，李红，徐仕文等．海洛因依赖者性机能和性心理研究．中国药物依赖性通报1993；2(1)：42-47
24．黄平治、吴永海主编．男性不育．科学技术文献出版社出版发行．1990 9
25．吴明章，曾超文，张君慧主编．男性生殖病理学．上海科学普及出版社．1997年第一版．
26. Bairy,-I; Shivananda,-D-G.Seroprevalence of HIV in Manipal Indian-J-Med-Sai.2001 May;55(5):257-62.
27．陈珊梅，王福清，劳裕昌等．重庆市药物依赖的流行学调查报告．中国药物滥用防治杂志．2001；1：36