马来西亚有和无 Kratom(Mitragyna speciosa Korth.)使用史的甲基苯丙胺(METH)男性使用者群体中的攻击行为。

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-11-06 DOI:10.1080/02791072.2024.2424277
Yuting Yang, Christian P Müller, Darshan Singh
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引用次数: 0

摘要

甲基苯丙胺(METH)的消费与攻击性有关。在东南亚,从桔梗(Mitragyna speciosa Korth.)叶中提取的煎剂被用作甲基苯丙胺的替代品。鉴于其被认为具有的益处,我们在有和没有使用过 kratom 的 METH 使用者的治疗样本中调查了使用 kratom 与攻击性之间的关系。四百零三名男性 METH 使用者参与了这项横断面研究。研究人员进行了半结构化问卷调查和多项客观临床测量。结果表明,有和没有使用桔梗史的 METH 使用者在攻击性及其维度上没有明显差异。不过,研究人员对有使用 kratom 史的 METH 使用者进行了两个不同的分组(1 组和 2 组)研究。第 1 组使用者的特点是每天使用 kratom 的数量和频率较高,使用 kratom 的时间较长,使用 kratom 的年龄较小。第 2 组的使用者则表现出相反的特征。在第 1 组中,Kratom 依赖性和首次使用 Kratom 的年龄被认为是导致攻击行为的风险因素。在第 2 组中,每天使用 kratom 的频率似乎是防止攻击行为的保护因素。研究结果部分支持了工具性使用 kratom 的概念;较低频率(1 至 3 次)使用 kratom 有可能将轻度至中度 kratom 依赖的 METH 使用者的攻击性降到最低。
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Aggression in a Cohort of Male Methamphetamine (METH) Users With and Without Kratom (Mitragyna speciosa Korth.) Use History in Malaysia.

Methamphetamine (METH) consumption is associated with aggression. Decoction derived from the kratom (Mitragyna speciosa Korth.) leaf has been used as a METH substitute in Southeast Asia. Given its perceived benefit, we investigated the relationship between kratom use and aggression in a treatment sample of METH users with and without kratom use history. Four hundred and three male METH users participated in this cross-sectional study. A semi-structured questionnaire and several objective clinical measures were administered. Results indicate that there were no significant differences in aggression and its dimensions between METH users with and without kratom use history. However, two distinct Clusters (1 and 2) of METH users with kratom use history were studied. Users in Cluster 1 were characterized by a higher quantity and frequency of daily kratom use, longer duration of kratom use, and use of kratom at a younger age. Users in Cluster 2 exhibited the opposite characteristics. Kratom dependence and the first age of kratom use were identified as risk factors for aggression in Cluster 1. The frequency of daily kratom use appeared as a protective factor against aggression in Cluster 2. The results offer partial support to the instrumental kratom use concept; lower frequency (1 to 3 times) of kratom use may potentially minimize aggression in METH users presenting with mild to moderate kratom dependence.

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CiteScore
5.30
自引率
7.10%
发文量
62
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