RELATIONSHIP OF MARITAL STRUCTURE AND INTERACTIONS TO OPIATE ABUSE RELAPSE

RELATIONSHIP OF MARITAL STRUCTURE AND INTERACTIONS TO OPIATE ABUSE RELAPSE
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DOI:
10.3109/00952998709001523
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发表时间:
1987-01-01
影响因子:
2.7
通讯作者:
KLEBER, HD
KLEBER, HD
中科院分区:
医学3区
文献类型:
--
作者:
KOSTEN, TR;JALALI, B;KLEBER, HD

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婚姻功能的几个方面与 17 名已婚吸毒者随后再次吸食阿片类药物有关。成瘾者和配偶通过以任务为导向的访谈进行评估,并使用 Beavers Timberlawn 家庭评估工具进行评级。该工具的全球健康病理学评级表明,大多数夫妻都有严格的互动模式,而不是混乱缺乏结构或灵活的、协商的伙伴关系。在这个严格功能范围内,较高的评分与较长的禁药时间相关(最长 18 个月,平均 7 个月)。在海狸的七个分量表中,有五个与不吸毒的时间显着相关:有效而明确的领导力、配偶之间的亲密关系、非敌对情绪、同理心以及有效的谈判和解决问题。对于由七名单身前吸毒者组成的小组来说,与戒毒相关的分量表有很大不同,其中三个分量表与戒毒时间相关:父母对分离努力的反应、思想和感情的开放表达以及同理心。已婚成瘾者和单身成瘾者与戒毒相关的分量表的这种差异表明,家庭结构和相互作用的特征可能与戒毒有关。
Several aspects of marital functioning were associated with subsequent relapse to opiate abuse in 17 married addicts. The addicts and spouses were evaluated in a task-oriented interview and rated using the Beavers Timberlawn Family Assessment instrument. The global health-pathology ratings on this instrument indicated that most couples had rigid patterns of interacting, rather than a chaotic lack of structure or a flexible, negotiated partnership. Within this range of rigid functioning, higher ratings were associated with longer times drug-free (up to 18 months with a mean of 7 months). On the seven subscales of the Beavers'', five were significantly correlated with the time drug-free: effective and clear leadership, closeness between spouses, a nonhostile mood, empathy, and efficient negotiation and problem solving. The subscales associated with drug abstinence were quite different for a group of seven single ex-addicts three subscales were correlated with the time drug-free: parental reaction to separation strivings, the open expression of thoughts and feelings, and empathy. This difference in the subscales associated with abstinence for married versus single addicts suggested some specificity in the characteristics of family structure and interaction that may be related to drug abstinence.