Subtypes of cocaine abusers: support for a type A-type B distinction.
Subtypes of cocaine abusers: support for a type A-type B distinction.
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可卡因滥用者的亚型：支持 A 型与 B 型区分。
DOI：
10.1037//0022-006x.63.1.115
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发表时间：
1995
影响因子：
5.9
通讯作者：
Rounsaville,BJ
中科院分区：
文献类型：
--
作者：
Ball,SA;Carroll,KM;Babor,TF;Rounsaville,BJ
在 399 名住院患者、门诊患者和非寻求治疗的可卡因滥用者中系统地评估了多维酒精中毒类型系统的可复制性和普遍性。两种不同的聚类分析程序支持可卡因滥用者中 A 型与 B 型区别的构建、并发和预测有效性。与 A 型参与者（67%）相比，B 型可卡因滥用者（33%）表现出更高的病前危险因素（家族史、儿童行为问题、性格、发病年龄）、更严重的药物和酒精滥用、更多与成瘾相关的心理社会障碍、更多反社会行为和更多共病精神问题。多维类型学系统对酗酒领域产生了重大影响，并且对于其他物质使用障碍的评估、预防、治疗和理论理解可能同样重要。
The replicability and generalizability of a multidimensional alcoholism typological system was systematically assessed in 399 inpatient, outpatient, and non-treatment-seeking cocaine abusers. Two different cluster-analytic procedures supported the construct, concurrent, and predictive validity of the Type A–Type B distinction in cocaine abusers. Participants classified as Type B (33%) cocaine abusers exhibited higher rates of premorbid risk factors (family history, childhood behavior problems, personality, age of onset), more severe drug and alcohol abuse, more addiction-related psychosocial impairment, more antisocial behavior, and more comorbid psychiatric problems than Type A participants (67%). Multidimensional typological systems have had a major impact on the alcoholism field and may be equally important for the assessment, prevention, treatment, and theoretical understanding of other substance use disorders.