曲马多依赖患者情绪失调和故意自残的性别差异

Noha Shamseldin, Abdelrahman Asal, D. Enaba, Mohamed A. Khalil, Somaya H. Shaheen
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摘要

目的:在包括情绪失调和故意自残(DSH)在内的许多领域中,物质依赖的性别差异尚未得到广泛研究。曲马多依赖性是最缺乏关于这些差异的实证研究和证据;因此,我们的目的是检测曲马多依赖患者在情绪失调和DSH方面的性别差异。材料与方法:本研究纳入曲马多依赖患者各30例(男、女各30例)[诊断采用DSM-IV-TR I轴障碍(SCID-I)结构化临床访谈法]。采用《情绪失调困难量表》、《故意自残短版》评定情绪失调和DSH。结果:女性曲马多依赖患者情绪失调程度较高,诱发DSH明显高于男性曲马多依赖患者。两组患者总体情绪失调与总体DSH呈正相关。结论:本研究结果对曲马多依赖患者的治疗有一定的临床指导意义。
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Gender Differences in Emotional Dysregulation and Deliberate Self-harm in Patients With Tramadol Dependence
Objectives: Gender differences in substance dependence across many domains including emotional dysregulation and deliberate self-harm (DSH) has not been studied widely. Tramadol dependence is themost one lacking empirical research and evidence regarding these differences; therefore, our aim is to detect gender differences in patients with tramadol dependence as regards emotional dysregulation and DSH. Materials and Methods: The study included 30 male and 30 female patients with tramadol dependence [diagnosis was made by Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID-I)]. Assessment of emotional dysregulation and DSH was done by the Difficulties in Emotion Dysregulation Scale, the Deliberate SelfHarm Inventory—Short Version. Results: Female patients are higher in emotional dysregulation and induce DSH more evidently than male patients with tramadol dependence. There was a statistically significant positive correlation between overall emotional dysregulation and overall DSH in both groups. Conclusion: The results will be useful in clinical practice for the management of patients with tramadol dependence.
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期刊介绍: Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.
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