Development of substance abuse problems among drug-involved offenders - Evidence for the telescoping effect
Development of substance abuse problems among drug-involved offenders - Evidence for the telescoping effect
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DOI：
10.1016/s0899-3289(00)00053-5
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发表时间：
2000-01-01
期刊：
影响因子：
--
通讯作者：
Peters, RH
中科院分区：
文献类型：
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作者：
Haas, AL;Peters, RH
目的：本研究旨在评估吸毒罪犯中药物滥用障碍发展的性别差异，并确定这一人群中的女性是否表现出在其他环境中观察到的伸缩效应（即从药物使用到药物滥用的加速进展）。方法：参与者包括160名多种药物滥用者（118名男性，42名女性），他们被佛罗里达州两个毒品法庭项目录取。数据来自成瘾严重程度指数、摄入访谈和档案法庭记录。结果：女性和男性罪犯的成瘾发展轨迹存在显著差异。女性罪犯开始使用酒精和大麻的年龄明显晚于她们的男性同伙，但在成瘾过程中开始使用可卡因的时间更早。女性也报告了更多与可卡因使用有关的问题，并且明显更多的先前治疗事件。研究发现，女性从首次使用可卡因到滥用可卡因的潜伏期较短。这一发现与先前关于接受药物滥用治疗的个体性别差异的研究结果一致。讨论了未来的研究方向和对治疗计划的影响。(C) 2001爱思唯尔科学公司版权所有。
Purpose: The present study was designed to evaluate gender differences in the development of substance abuse disorders among drug-involved offenders and to determine whether women in this population exhibit a telescoping effect (i.e., acceleration in the progression from substance use to substance abuse), which has been observed in other settings. Method: Participants consisted of 160 polysubstance-abusing individuals (118 men, 42 women) who were admitted to two Florida drug court programs. Data were obtained from the Addiction Severity Index, intake interviews, and archival court records. Results: Female and male offenders differed significantly in the developmental trajectory of their addiction. Women offenders initiated alcohol and marijuana use significantly later in life than their male cohorts but began using cocaine earlier in the course of their addiction. Women also reported more problems related to cocaine use and significantly more prior treatment episodes. Women were found to have a shorter latency from first use of cocaine to cocaine abuse. Findings are consistent with those of previous studies examining gender differences among individuals referred for substance abuse treatment. Future directions for research and implications for treatment planning are discussed. (C) 2001 Elsevier Science Inc. All rights reserved.