Reevaluating the self-medication hypothesis among the dually diagnosed
Reevaluating the self-medication hypothesis among the dually diagnosed
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DOI：
10.1080/10550490701375368
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发表时间：
2007-01-01
影响因子：
3.7
通讯作者：
Padgett, Deborah K.
中科院分区：
文献类型：
--
作者：
Henwood, Benjamin;Padgett, Deborah K.
自我药疗假说（SMH）是对物质使用的一个直观的解释。然而，从概念上讲，这一假设的含义并不总是很清楚，特别是在适用于精神和物质使用障碍者时。这使得SMH的经验支持难以评估。通过对33名NIMH资助的双重诊断和无家可归定性研究参与者自我报告的药物使用原因进行分类，本研究旨在评估SMH的适用性。如何概念化SMH将决定SMH是否得到经验支持。当SMH指的是严格使用物质来科普精神障碍症状时，72个归因中只有11个支持它。当SMH指的是使用物质来科普一般的痛苦感受时，超过一半的归因支持SMH。讨论了正确理解人们使用物质的各种原因的重要性。
The self-medication hypothesis (SMH) is an intuitively appealing explanation for substance use. Conceptually, however, it is not always clear what the hypothesis entails, particularly when applied to persons with mental and substance use disorders. This makes empirical support for SMH difficult to evaluate. By classifying the self-reported reasons for substance use from 33 participants in a NIMH-funded qualitative study of dual diagnosis and homelessness, this study aims to evaluate the applicability of SMH. How one conceptualizes SMH will determine whether SMH is empirically supported. When SMH refers to using substances strictly to cope with symptoms of mental disorders, only 11 out of 72 attributions support it. When SMH refers to using substances to cope with painful feelings in general, more than half of all attributions support SMH. significance of accurately understanding the various reasons people give for why they use substances is discussed.