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男性海洛因自愿戒毒者心瘾与人格、家庭环境相关性研究

The Study of Correlation between Addiction, Personality and Family Environment of Male Voluntary Addicts of Heroin

作者: 专业:社会医学与卫生事业管理 导师:沈家宏 年度:2015 学位:硕士  院校: 广州中医药大学

Keywords

Heroin, Voluntary addicts, Drug craving, Personality, Family environment

        目的:本研究通过比较男性海洛因自愿戒毒者与正常人群人格、家庭环境的差异,了解其人格、家庭环境的特点;并进一步探讨人格、家庭环境与心瘾之间的关系,从而探索心瘾预测变量,为临床防复吸工作提供一定的理论依据,丰富成瘾行为心理学的内容。方法:综合运用(1)文献研究法:从中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、Pud Med数据库等查阅相关文献,了解最近10年国内外关于海洛因自愿戒毒者药物渴求、人格和家庭环境的研究概况;(2)问卷法:运用卡特尔16种人格因素问卷(16PF)、家庭环境量表中文版(FES-CV)和海洛因渴求问卷(HCQ)对被试进行施测;(3)访谈法:在研究前的准备阶段,通过对住院期间海洛因自愿戒毒者及相关医务人员进行访谈,收集和整理访谈资料,确定具有代表性的人口统计学及相关行为变量;(4)统计分析法:建立数据库并进行描述性统计、信度分析、t检验、卡方检验、相关分析、回归分析等相应的统计分析。结果:本研究结果显示:(1)在人格方面,男性海洛因自愿戒毒者在聪慧性、稳定性、兴奋性、责任性和自律性水平上的得分显著低于正常人群(P<0.01),怀疑性、忧虑性、独立性、紧张性得分显著高于正常人群(P<0.01);(2)在家庭环境方面,男性海洛因自愿戒毒者的亲密度、情感表达、独立性、成功性、知识性、道德宗教性、组织性得分均显著低于正常人群(P<0.01),矛盾性得分显著高于正常人群(P<0.01);(3)药物渴求与人格存在显著相关性,具体表现为药物渴求总分与忧虑性、用药倾向与聪慧性、怀疑性、紧张性、用药渴望与忧虑性、效果期待与稳定性、忧虑性、自我控制与支配性、敢为性均存在显著正相关(P<0.05),药物渴求总分与开放性、用药倾向与责任性、效果期待与合群性、敏感性、自我控制与紧张性均存在显著的负相关(P<0.05)。(4)药物渴求与家庭环境存在显著的相关性,具体变现为药物渴求总分与亲密度、用药倾向与知识性、用物渴望与亲密度、娱乐性、效果期待与娱乐性均存在显著的负相关(P<0.05)(5)逐步回归结果显示,亲密度和娱乐性对药物渴求总分具有预测作用(R2=0.127,F(2,112)=8.179,P<0.01);知识性、紧张性和责任性对用药倾向具有预测作用(R20=.214,F(3,111)=10.048,P<0.01);娱乐性、亲密度和控制性对用药渴望具有预测作用(R2=0.136,F(3,111)=5.806,P<0.01);娱乐性、敏感性、忧虑性、合群性、稳定性、道德宗教观对效果期待具有预测作用(R2=0.235,F(6,109)=5.542,P<0.01);支配性对自我控制具有预测作用(R2=0.054,F(1,113)=6.404,P<0.05)。结论:(1)男性海洛因自愿戒毒者在人格上存在思维较为迟钝、情绪易激动、冷漠寡言、缺乏责任感和奉公守法精神、对外界怀疑性高、忧虑抑郁、特立独行、容易紧张等特点。(2)男性海洛因自愿戒毒者来自家庭的支持与帮助程度不足,成员间缺乏对情绪的直接表达,家庭内矛盾冲突较多,对价值观和成就感重视程度不够,家庭缺乏组织性,成员自主性不强,很少共同参与社交活动。(3)男性海洛因自愿戒毒者的人格和家庭环境与药物渴求具有相关性,其部分维度对药物渴求总体及各维度具有显著的预测作用。
    ObjectiveTo find out the characteristics of personality and family environment of male voluntary addicts of heroin by comparing to the normal, and try to further understand the relationship among personality, family environment and addiction in order to find out the forecast factors to provide a theoretical basis for clinical drug workers, rich content addictive behavioral psychology.MethodsIntegrated use of:(1) literature research:access to relevant literature from Chinese Biomedical Literature Database(CBM), Chinese Journal Full-text Database (CNKI)and Pud Med, reading research survey about drug addicts, personality and family environment. (2)the questionnaire:using Cartel 16 Personality factor Questionnaire, family Environment Scale Chinese version and heroin craving questionnaire. (3)interview:interviewing heroin addicts and related medical staff to determine the basic information. (4) statistical analysis:establishing a database and use chi-square test, t-test, correlation analysis, regression analysis and other appropriate statistical analysis approaches.Results(1)In terms of personality, the male voluntary addicts of heroin have lower score on intelligence, stability, excitement, responsibility and self-discipline than the normal population (P<0.01), and they have a higher score on suspicion, anxiety, independence, tension than the normal population (P<0.01); (2) In terms of the home environment, comparing with the normal, the male voluntary addicts of heroin have lower score on intimacy, emotional expression, conflict, independence, success, knowledge sexual, religious ethics, organizational than the normal population (P<0.01), while have higher score on Contradiction(P<0.01). (3) There is a significant correlation between drug craving and personality. It shows that there is significantly positive correlation among drug craving and anxiety, drug tendency and intelligent, skeptical and tension, drug desire and anxiety, effect expectation and stabi-lity, anxiety, self-control and dominance, brave (P<0.05);and it also shows that there is significantly negative correlation among drug craving and openness, drug tendency and responsibility, effect expectation and self-cont-rol, sensitivity, the sense of self-control and tension. (P<0.05)。(4) There is a significant correlation between drug craving and family environment. It shows there is significantly negative correlation among drug caving and Cohesion, drug tendency and Intellectual-Cultural Orientation, drug desire and Cohesion, active-recreational orientation, effect expectation and active-recreational orientation. (P<0.05) (5) Regression results show that cohesion and active-recreational orientation can forecast drug caving (R2=0.127, F (2,112)=8.179, P<0.01); intellectual-cultural orientation, anxiety and responsibility can forecast drug tendency(R2=0.214,F(3,111)=10.048,P<0.01); active-recreational orientation, cohesion and control can forecast drug desire (R2=0.136,F(3,111)=5.806, P<0.01); active-recreational orientation, sensitivity, anxiety, gregariousness, stability moral and religious views can forecast effect expectation (R2=0.235, F(6,109)=5.542, P<0.01); control can forecast self-control (R2=0.054, F (1,113)=6.404, P<0.05)Conclusion(1)In terms of personality, male heroin addicts have a relatively slow thinking, emotional irritability, apathy reticent, lack of accountability and law-abiding spirit, to the outside world with high suspicion, anxiety, depre-ssion, maverick, nervous and so on. (2) Male heroin addicts lack support and help from their family. Direct expression of emotions and conflicts between family members is deficiency for male heroin addicts. They seldom participate in social activities together. In addition, male heroin addicts have inade-quate attention to values and the sense of accomplishment. (3)Drug craving of male voluntary addicts of heroin are correlated between Personality and family environment, and some Factors of them can forecast drug craving.
        

男性海洛因自愿戒毒者心瘾与人格、家庭环境相关性研究

中文摘要3-5
Abstract5-6
引言9-10
第一章 绪论10-20
    第一节 研究背景10-18
        一、海洛因相关研究10-11
        二、药物渴求的研究11-13
        三、药物依赖者人格特征的研究13-15
        四、药物依赖者家庭特征的研究15-18
    第二节 研究目的与意义18-20
        一、研究目的18
        二、研究意义18-20
第二章 研究对象和方法20-27
    第一节 研究对象20-21
        一、实验组20
        二、对照组20-21
    第二节 研究方法21
        一、文献研究法21
        二、量表和问卷测量法21
        三、访谈法21
        四、统计分析法21
    第三节 研究工具21-23
        一、一般情况调查表21
        二、卡特尔16种人格因素问卷(16PF)21-22
        三、家庭环境量表中文版(FES-CV)22
        四、海洛因渴求问卷(HCQ)22-23
    第四节 研究步骤23-25
        一、确定研究方案23
        二、施测前访谈23
        三、资料准备23
        四、正式施测23-24
        五、数据处理24
        六、数据统计分析24
        七、完成论文撰写工作24
        八、研究路线24-25
    第五节 统计方法25-27
第三章 研究结果27-35
    第一节 入组情况27-28
    第二节 实验组药物渴求情况28-29
    第三节 实验组与对照组人格测试结果比较29
    第四节 实验组与对照组家庭环境测试结果比较29-30
    第五节 实验组药物渴求与人格及家庭环境的相关分析30-31
        一、实验组药物渴求与人格的相关分析30-31
        二、实验组药物渴求与家庭环境的相关分析31
    第六节 实验组药物渴求的回归分析31-35
        一、实验组药物渴求总分的回归分析31-32
        二、实验组用药倾向的回归分析32
        三、实验组用药渴望的回归分析32-33
        四、实验组效果期待的回归分析33
        五、实验组自我控制的回归分析33-35
第四章 分析与讨论35-44
    第一节 男性海洛因自愿戒毒者人格特点分析35-37
    第二节 男性海洛因自愿戒毒者家庭环境分析37-38
    第三节 男性海洛因自愿戒毒者药物渴求相关性分析38-44
        一、药物渴求的生理基础38-39
        二、药物渴求总分与人格和家庭环境的相关分析39-40
        三、用药倾向与人格和家庭环境的相关分析40-41
        四、用药渴望与人格和家庭环境的相关分析41-42
        五、效果期待与人格和家庭环境的相关分析42
        六、自我控制与人格和家庭环境的相关分析42-44
第五章 结论与展望44-46
    第一节 结论44
    第二节 展望44-46
结语46-47
参考文献47-50
附录50-63
致谢63-64
统计学审核证明64
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