Clinical correlates of self-mutilation in Turkish male substance-dependent inpatients
Clinical correlates of self-mutilation in Turkish male substance-dependent inpatients
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DOI：
10.1159/000094722
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发表时间：
2006-01-01
期刊：
影响因子：
3.6
通讯作者：
Cakmak, Duran
中科院分区：
文献类型：
--
作者：
Evren, Cuneyt;Kural, Sevil;Cakmak, Duran
目的：了解男性药物依赖住院患者自残的发生率，并探讨自残与儿童虐待忽视、I轴障碍和人格障碍的关系。方法：112例男性物质依赖者（酒精56例，药物56例）。通过DSM-IV （SCID-I，土耳其版）的结构化临床访谈诊断物质依赖。采用儿童虐待与忽视问卷、SCID-I、SCID-II、Beck抑郁量表和Beck焦虑量表对患者进行评估。结果：药物依赖患者中有33% （SM组）存在SM。SM组的平均年龄和受教育程度较低。此外，单身、儿童时期身体和精神虐待和忽视史、自杀未遂史和人格障碍的比例更高。SM组的平均抑郁和焦虑得分也更高。人格障碍、身体虐待、自杀未遂史和药物依赖是SM的预测因素。结论：SM在药物依赖者中比在酒精依赖者中更常见。本研究结果还表明，在土耳其物质依赖者中，SM可能与人格障碍、儿童时期身体虐待和自杀企图的存在有关。版权所有(c) 2006 S. Karger AG，巴塞尔。
Objective: The aim of this study was to evaluate the prevalence of self-mutilation (SM) in male substance-dependent inpatients, and to investigate the relationship of SM with childhood abuse and neglect, axis I disorders and personality disorders. Methods: Participants were 112 consecutively admitted male substance dependents (56 alcohol and 56 drug). Substance dependence was diagnosed by means of the Structured Clinical Interview for DSM-IV (SCID-I, Turkish version). Patients were evaluated by the Childhood Abuse and Neglect Questionnaire, SCID-I, SCID-II, Beck Depression Inventory and Beck Anxiety Inventory. Results: Among substance-dependent patients, SM was found to be present in 33% (SM group). Mean age and educational status were lower in the SM group. Moreover rates of being single, history of childhood physical and emotional abuse and neglect, suicide attempt history and personality disorder were higher. Mean depression and anxiety scores were also higher in the SM group. Personality disorder, physical abuse, suicide attempt history and drug dependency were predictors for SM. Conclusions: SM is more common in drug dependents than alcohol dependents. Also results of this study suggest that among Turkish substance dependents SM might be related to the presence of personality disorder and childhood physical abuse and suicide attempts. Copyright (c) 2006 S. Karger AG, Basel.