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苯丙胺类兴奋剂依赖者攻击性与家庭因素相关性研究

Study on the Relationship Among Aggression, Family Environment and Parenting Style of Amphetamine Type Stimulants Addicts

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

Amphetamine type stimulants addicts, Aggression, Family environment, Parenting style

        目的:本研究通过对苯丙胺类兴奋剂(Amphetamine type stimulants, ATS)依赖者和正常人群的对照研究,了解ATS依赖者的攻击性、家庭环境和父母教养方式的现状,分别探讨家庭环境和父母教养方式对ATS依赖者攻击性的影响,探究家庭环境和父母教养方式对ATS依赖者攻击性的预测水平,再根据研究结果,给相应的部门和工作人员提出具体的建议以供参考。方法:前期运用文献分析法了解国内外ATS滥用、攻击性、家庭环境和父母教养的研究概况。以138名恢复期的ATS依赖者和139名性别、年龄、居住地相匹配的健康人群为对照作为研究对象,采用攻击性量表评估攻击性、家庭环境量表评估不同类型的家庭及社会环境的特征,父母教养方式量表评估父母教养态度和行为。对收集的数据输入SPSS17.0统计软件进行描述性分析、差异分析、相关分析和逐步多元回归分析。结果:(1)ATS依赖者与对照人群在人口学变量上有显著差异(P<0.001),具体表现在父亲文化程度、父母职业和与父母一起生活的平均年龄。(2)ATS依赖者复吸率63.8%,初吸滥用年龄段在13~23岁的占50.7%,滥用累计时长在1-5年占63%,滥用后犯罪行为增加;受教育程度集中在初中及以下、职业个体户者多、婚姻完整及未婚者多。(3)ATS依赖者家庭环境的矛盾性、成功性和娱乐性显著高于对照组(P<0.01或0.05),独立性显著低于对照组(P<0.001)。与全国常模相比,ATS依赖者的亲密度、情感表达、独立性、成功性、知识性、娱乐性、组织性均显著低于常模(P<0.001),矛盾性、控制性和道德宗教观则显著高于全国常模(P<0.001)。(4)ATS依赖者父亲的情感温暖、理解、拒绝、否认得分显著低于对照组(P<0.001或0.05);父亲惩罚、严厉、过分干涉、偏爱、过度保护得分显著高于对照组(P<0.001)。母亲情感温暖、理解得分显著低于对照组(P<0.001),母亲过干涉、过保护、拒绝、否认、惩罚严厉和偏爱被试得分显著高于对照组(P<0.001)。父母亲在情感温暖、偏爱被试上一致(P>0.05)。(5)ATS依赖者总的攻击性和各类攻击行为的得分显著高于对照组(P<0.001),ATS依赖者中非独生子女的愤怒显著高于独生子女(P<0.05),初中及以下受教育程度者的攻击性显著高于高中及以上者(P<0.001),复吸者总的攻击性、身体攻击、愤怒和指向自我的攻击高于初吸者(P<0.001或0.05),父母婚姻完整者的愤怒显著高于父母离异者的得分(P<0.05),母亲文化程度为小学及以下的被试的总的攻击性、言语攻击和指向指我的攻击显著高于母亲文化程度为高中者(P<0.05)。(6)ATS依赖者家庭环境的亲密度与其总的攻击性、躯体攻击、愤怒以及敌意显著负相关(P<0.01或0.05);情感表达及愤怒显著负相关(P<0.05);矛盾性与躯体攻击显著负相关(P<0.01),与总的攻击性、敌意和言语性攻击显著正相关(P<0.01或0.05);成功性则与总的攻击性、躯体攻击、愤怒和敌意显著正相关(P<0.05),与言语性攻击显著负相关(P<0.05)。(7)父母亲的严厉、惩罚、过分干涉、拒绝、否认对ATS依赖者各类攻击性显著正相关(P<0.01),父亲的过度保护对ATS依赖者总的攻击性和躯体攻击显著正相关(P<0.05或0.01),母亲偏爱被试对ATS依赖者总的攻击性、愤怒和自我攻击显著正相关(P<0.05)。(8)家庭环境和父母教养方式中父亲的严厉、惩罚,母亲的拒绝、否认、偏爱被试、矛盾性和亲密度可预测ATS依赖者总的攻击性(P<0.001,R2=0.284);亲密度、矛盾性和父亲过分干涉可预测ATS依赖者的躯体攻击(P<0.001,R2=0.245);父亲严厉惩罚可预测ATS依赖者的愤怒(P<0.001,R2=0.145);母亲惩罚、严厉、亲密度和矛盾性可预测ATS依赖者的敌意(P<0.001,R2=0.200);父亲严厉、惩罚和矛盾性可预测ATS依赖者的言语攻击(P<0.001,R2=0.170);父亲拒绝、否认可预测ATS依赖者的自我攻击(P<0.001,R2=0.100)。结论:(1)ATS依赖者以受教育程度偏低的青壮年男性、非独生子女、居住在城市、职业为个体户者多,且初次滥用年龄低、累计滥用时长为1到5年者居多、滥用后犯罪行为增加。(2)家庭环境高矛盾性、高成功性、高娱乐性、高控制性、高道德宗教观、低独立性、低亲密度、低情感表达、低知识性、低组织性。(3)ATS依赖者父母存在消极教养方式现象严重,ATS依赖者普遍难以感受到来自父母的情感温暖和理解,反倒是父母惩罚、严厉、过分干涉、偏爱和母亲拒绝、否认的感受深刻。(4)ATS依赖者的攻击性高于一般人群,攻击性与家庭环境和父母教养方式显著相关,家庭环境和父母教养方式的部分条目可以显著地预测ATS依赖者的攻击性和各类攻击行为。
    ObjectiveIn this study, we adopted questionnaire survey method to explore the characteristics of the aggression, family environment and parenting style of the amphetamine type stimulants(ATS) addicts and the relationship among the ATS addicts’ aggressive behaviors, family environment and parenting style. And according to the conclusion, providing some advices to the related apart-ment and the clinical psychological workers for reference.MethodsAt the earlier stage, understanding the general research situation of ATS abuse, aggression, and family environment and parenting style by literature analysis. Then we tested 138 ATS addicts and 139 healthy controls to measure their aggression, different style of families characteristics, parental attitudes and behavior by Chinese version of Buss & Perry aggression question-naire, family environment scale-Chinese version and Egma Minnen av Bardndos-nauppforstran.All data is analyzed by the statistic software of SPSS17.0, including descriptives, variance analysis, correlation and stepwise multiple regression analysis.Results(1)The marital status, occupations, education, father’s education, par-ents’occupation, the average age lived with parent are significant differences between ATS addicts and the control group (P<0.001).(2)The relapse rate of ATS addicts is 63.8%,50.7% abuser is aged at 13-23 for the first time using drugs,63% is accounted for drugs cumulative time at 1-5 years. The number of crime is increased after abusing.(3)Compared to the control group, The ATS addicts’family shows higher conflict, active-recreational orientation and achievement orientation(P< 0.01 or 0.05), however, lower independence (P<0.001). Compared to national norm,ATS addicts’family shows lower cohesion, expressiveness, independence, achievement orientation, intellectual-cultural orientation, Activerecrea-tional and organization (P<0.001), however, higher conflict, control and moral-religious emphasis (P<0.001).(4) ATS addicts feel less emotional warmth, understanding, rejection but much more punishment, strictness, preference and over protection from their father(P< 0.001 or 0.05).They feel less emotional warmth, understanding but much more excessive interference, over-protective, rejection,punishment and preference from their mother (P<0.001).(5)ATS addicts got higher aggression than the healthy controls (P< 0.001).And whether they are single-child, different cultural degree, replase or not, parents’marital status, mothers’cultural degree affected their aggression and all kinds aggressive behavior(P<0.001 or 0.05).(6)Cohesion in the ATS addicts’family is negative correlate with their aggression, physical aggression, anger and hostility(P<0.001 or 0.05), and the expressiveness is negative correlate with anger (P<0.05). Conflict is significant negative correlate with physical aggression, but positive correlate with aggression, hostility, verbal aggression(P<0.001 or 0.05). Ach-ievement orientation is positive correlate with aggression, physical aggression, anger and hostility but negative correlate with verbal aggression (P<0.05).(7)Parents’strictness, punishment, excessive interference, rejection and deny are positive correlate with all kinds of aggressive behavior of ATS addicts (P<0.01). Father’s over protection is positive correlate with ATS addicts’aggression and physical aggression(P< 0.05 or 0.01). Mother’s preference is positive correlate with ATS addicts’aggression, anger and self-aggression (P<0.05).(8)The strictness and punishment by father, the rejection, deny, preference and conflict, cohension by mother can predict ATS addicts; aggression (P< 0.001, R2=0.284). Cohesion, conflict and father’s excessive interference can predicts ATS addicts’anger (P<0.001, R2=0.145). Mother’s punishment, strict-ness, cohesion and conflict can predict ATS addicts’hostility(P<0.001, R2=0.200).Father’s strictness, punishment and conflict can predict ATS addicts’verbal aggression(P<0.001, R2=0.170). Father’s rejection and deny can predict ATS addicts’self-aggression(P<0.001, R2=0.100).ConclusionFirstly, most of the ATS addicts are young, low educated and non-only-child men who lived for doing business in city. And the age is low when they began to abuse drugs. Most of them have abused drugs for one to five years and the crime is increasing after abused. Secondly, their family shows high conflict, achievement orientation, active-recreational orientation, control, moral-religious emphasis. And low independence, cohension, ecpressiveness, intellectual-cultural orientation and organization. Thirdly, there is something wrong with the ATS addicts’parenting style. They felt less emotional warmth and understanding but more punishment, stictness, excessive interference, preference from their parents and mothers’rejection. Lastly, the aggression of the ATS addicts’is higher than the healthy people. There are correlation between the aggression and their family environment and parenting style. Part of the family and parenting style can predict the ATS addicts’aggression and different kinds of aggressive behavior.
        

苯丙胺类兴奋剂依赖者攻击性与家庭因素相关性研究

摘要3-5
Abstract5-7
引言10-11
第一章 绪论11-17
    第一节 研究背景11-16
        一、苯丙胺类兴奋剂流行性滥用现状11
        二、攻击行为的相关研究11-16
    第二节 研究目的与意义16-17
        一、研究目的16
        二、研究意义16-17
第二章 研究方法与对象17-21
    第一节 研究对象17
        一、入组标准17
        二、入组情况17
    第二节 研究工具17-19
        一、自编基本资料调查表17-18
        二、攻击行为量表(AQ-CV)18
        三、家庭环境量表(FES-CV)18-19
        四、父母教养方式评价量表(EMBU)19
    第三节 施测程序19
    第四节 数据处理方法19-21
第三章 研究结果21-33
    第一节 ATS依赖者人口学特征21-23
        一、两组被试基本情况差异比较21
        二、两组被试家庭背景差异比较21-22
        三、ATS依赖者药物滥用及相关个人情况22-23
    第二节 ATS依赖者攻击性现状23-27
        一、ATS依赖组与对照组的攻击性差异比较23-24
        二、ATS依赖组攻击性的一般特点24-27
    第三节 ATS依赖者家庭环境现状27-28
    第四节 ATS依赖者父母教养方式现状28-29
        一、ATS依赖组与对照组父母教养方式的比较28
        二、ATS依赖组父母教养方式一致性比较28-29
    第五节 ATS依赖者攻击性与家庭环境、父母教养方式的关系29-33
        一、ATS依赖者攻击性与家庭环境、父母教养方式的相关分析29-30
        二、ATS依赖者攻击性与家庭环境、父母教养方式的回归分析30-33
第四章 分析与讨论33-41
    第一节 ATS依赖者的人口学特征及药物滥用情况33-34
        一、ATS依赖者人口学特征分析33
        二、ATS依赖者药物滥用情况分析33-34
    第二节 ATS依赖者攻击性现状分析34-36
    第三节 ATS依赖者家庭环境及父母教养方式的特点36-38
        一、ATS依赖者家庭环境特点36-38
        二、ATS依赖者父母教养方式的特点38
    第四节 ATS依赖者攻击性与家庭环境、父母教养方式的关系38-41
        一、ATS依赖者攻击性与家庭环境的关系分析38-39
        二、ATS依赖者攻击性与父母教养方式的关系分析39-40
        三、ATS依赖者攻击性与家庭环境、父母教养方式的回归分析40-41
第五章 研究结论及建议41-44
    第一节 研究结论41
    第二节 建议41-43
    第三节 本研究存在的不足及展望43-44
结语44-45
参考文献45-50
附录50-58
在校期间发表论文情况58-59
致谢59-60
附件60
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