苯丙胺类兴奋剂滥用者心理健康状况及应对方式分析

ANALYSIS OF METAL HEALTH AND COPING STYLE OF AMPHETAMINE TYPE STIMULANTS ABUSERS

目的:探讨苯丙胺类兴奋剂滥用者心理健康状况及其应对方式。方法:对2011年7月-2013年12月自愿在青岛市精神卫生中心门诊及住院治疗的52例苯丙胺类兴奋剂滥用者采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、简易应对方式问卷(SCSQ)和自编的基本情况调查问卷,进行心理健康状况评定及应对方式调查。结果:苯丙胺类兴奋剂滥用者SCL-90总分、躯体化、抑郁、焦虑与精神病、SDS得分(51.17±s10.87)、SAS(46.69±s 6.72)得分均高于常模,差异有统计学意义;应对方式以消极为主,苯丙胺类兴奋剂滥用者消极应对分与SCL-90总分及躯体化、强迫症状、人际敏感、焦虑、抑郁及敌对因子分呈显著正相关。结论:苯丙胺类兴奋剂滥用者焦虑、抑郁状况高于常模,应对方式以消极为主。其心理健康水平可能与应对方式密切相关,应加强心理健康教育。

Objective：To investigate the mental health and coping style among the amphetamine type stimulants（ ATS） abusers.Methods：Totally 52 ATS abusers receiving treatment in in- patient and out- patient from Qingdao Mental Health Center were recruited from July 2011 to December 2013. The subjects were investigated by Self- reporting Inventory（ SCL- 90）,Self- Rating Anxiety Scale（ SAS）,Self- rating Depression Scale（ SDS）,Simplified Coping Style Questionnaire（ SCSQ） and self- made questionnaire.Results：The total scores and the subscale scores of somatization,depression,anxiety and psychosis of SCL- 90,score of SDS（51. 17 ± s 10. 87） and score of SAS（46. 69 ± s 6. 72） among ATS abusers were higher than normal population,and the difference was statistically significant. Their coping style was negative. Negative coping score of ATS abusers was positively correlated with total score of SCL-90,somatization symptoms,obsessive symptoms,interpersonal sensitivity,anxiety,depression and hostility factor.Conclusion： Anxiety and depression status of ATS abuses were higher than normal population. Their coping style was negative. The mental health status may be closely associated with coping styles and we should strengthen psychological health education for AST abusers.