脱毒后阿片类依赖者人格特征及人格障碍倾向

Personality characteristics and personality disorders inclinations of opioid addicts after detoxification

目的探讨脱毒后阿片类依赖者人格维度、特质层面的特点以及人格障碍的类型特征。方法采用大五人格个性调查表(NEO-PI-R)及人格诊断问卷(PDQ+4)对52例(最后纳入分析为45例)首次住院,符合中国精神疾病分类与诊断标准第二版修订版中关于阿片类依赖的诊断标准,且阿片类戒断2周以上的阿片类依赖者的人格特征和人格障碍倾向进行评定,并与正常人(n=45)进行比较。结果脱毒后阿片类依赖者在NEO-PI-R上呈现高神经质(103.18±21.43)和低严谨性分(115.09±14.27),与正常人比较,差异有显著性意义(F=9.931,0.126;P=0.002,0.051);在焦虑(16.47±4.93)、抑郁(19.22±5.34)、冲动性(16.49±4.25)、脆弱性(17.77±5.19)、自我肯定性(12.31±4.70)、兴奋追寻(19.69±5.75)、行动(12.91±3.00)、观念(16.31±6.39)、自律性(19.49±4.34)特质层面与正常人比较,差异有显著性意义(F=2.121～19.818,P=0.000～0.082);在PDQ+4的边缘型(4.71±1.95)、反社会型(3.20±1.69)、回避型(5.18±1.97)、被动攻击型(5.18±1.97)、抑郁型(3.76±1.81)、分裂性(3.22±1.88)人格障碍类型方面与正常人比较,差异有显著性意义(F=5.014～32.580;P=0.000～0.028);人格障碍阳性率较高的为反社会型(60%)、边缘型(53%)、回避型(47%)。结论脱毒后阿片类?

AIM:To explore the features of dimension and characteristics and to study the characteristics of the personality disorder types of opium addicts after detoxification.METHODS:The inclinations of personality characteristics and personality disorders were evaluated in 52 opium addicts,who were in hospital for the first time and in accordance with the diagnostic criteria of the revised Chinese Classification of Mental Diseases(second edition,CCMD II) by using the revised NEO personality inventory(NEO P R) and personality diagnostic questionnaire(PDQ+4) more than 2 weeks after detoxification.At last,only 45 of them were involved and compared with 45 normal controls.RESULTS:After detoxification,there were higher score of neuroticism(103.18±21.43) and lower score of conscientiousness(115.09±14.27) on NEO PI R in opium addicts,significantly different from those in the normal controls(F=9.931,0.126;P=0.002,0.051).The scores of anxiety(16.47±4.93),depression(19.22±5.34),impulsion(16.49±4.25),vulnerability(17.77±5.19),self assertion(12.31±4.70),excitement and seeking(19.69±5.75),actions(12.91±3.00),ideas(16.31±6.39) and self discipline(19.49±4.34) in the opium addicts were significantly different from those in the normal controls(F=2.121-19.818,P=0.000-0.082).There were significant differences in the scores of borderline personality disorder(BDL,4.71±1.95),antisocial personality disorder(ATS, 3.20±1.69),avoidance personality disorder(AVD,5.18±1.97),passive aggressive personality disorder(PAG,5.18±1.97),depressive personality disorder(DEP,3.76±1.81) and schizoid personality disorder(SZD,3.22±1.88) between opium addicts and normal controls(F=5.014-32.580;P=0.000-0.028).The higher positive rates of personality disorders were ATS(60%),BDL(53%) and AVD(47%).CONCLUSION:The personality characteristics of the opium addicts after detoxification are different from those of the normal controls.ATS and BDL are more common.