Implications of Impulsivity on Criminal Behavior in Individuals With Substance Use Disorder.

IF 1.5 4区医学 Q3 PSYCHIATRY Journal of Dual Diagnosis Pub Date : 2024-06-27 DOI:10.1080/15504263.2024.2370411

Esther Hernández Fantin, Daniela Benzano, Felipe Ornell, Andressa Goldman Ruwel, Lisia von Diemen, Felix Henrique Paim Kessler, Jaqueline Bohrer Schuch

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Abstract

Objective: Our aim was to analyze the association between criminal behavior and impulsivity in individuals with drug addiction and investigate whether impulsiveness mediates the relationship between drug use severity and legal problems.

Methods: This cross-sectional study included 773 men diagnosed with addiction (295 alcohol users and 478 users of crack/polysubstance) while undergoing addiction treatment. The BIS-11 and ASI-6 were applied to assess impulsivity, criminal behavior, and drug use.

Results: The prevalence of criminal behavior was 41.7% (n = 123) in alcohol users and 64.9% (n = 310) in users of crack/polysubstance. Earlier use of different substances and higher impulsivity scores were observed in individuals with criminal history. Mediation analyses revealed that impulsiveness acts as a mediator factor between substance use and criminal behavior, enhancing the severity of legal problems.

Conclusion: Our findings can help in deciding on tailored treatment strategies, focusing not only on substance use, but also on the prevention of social problems, criminality, and impulsivity.

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冲动对药物使用障碍患者犯罪行为的影响。

目的我们的目的是分析吸毒成瘾者的犯罪行为与冲动性之间的关系，并研究冲动性是否能调节吸毒严重程度与法律问题之间的关系：这项横断面研究包括 773 名正在接受戒毒治疗的被诊断为吸毒成瘾的男性（295 名酒精使用者和 478 名快克/聚合毒品使用者）。采用 BIS-11 和 ASI-6 评估冲动、犯罪行为和毒品使用情况：结果：在酒精使用者中，犯罪行为的发生率为 41.7%（n = 123），在快克/多元醇使用者中，犯罪行为的发生率为 64.9%（n = 310）。有犯罪史的人使用不同物质的时间更早，冲动性得分更高。中介分析表明，冲动是药物使用和犯罪行为之间的中介因素，会加剧法律问题的严重性：我们的研究结果有助于制定有针对性的治疗策略，不仅关注药物使用，还关注预防社会问题、犯罪和冲动。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.