دانلود مقاله ISI انگلیسی شماره 72569
عنوان فارسی مقاله

یک گونه شناسی از بیماران وابسته به هروئین بر اساس سابقه آنها از رفتارهای خودآزاری

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
72569 2009 9 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
A typology of heroin-dependent patients based on their history of self-injurious behaviours
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Psychiatry Research, Volume 167, Issues 1–2, 15 May 2009, Pages 169–177

کلمات کلیدی
وابستگی به هروئین؛ رفتارهای خودآزاری؛ پرخوری؛ خودکشی؛ اوردوز
پیش نمایش مقاله
پیش نمایش مقاله یک گونه شناسی از بیماران وابسته به هروئین بر اساس سابقه آنها از رفتارهای خودآزاری

چکیده انگلیسی

Self-injurious behaviours (SIB) can provide useful criteria for subtyping heroin-dependent patients, since SIB have been related to an opioid system dysfunction and they hinder patient management. The frequency of nine varieties of moderate/superficial SIB during active heroin use was assessed retrospectively in 164 heroin-dependent patients. A principal component analysis of SIB episodes revealed a four-component solution which accounted for 69.3% of the variance. The components were named as follows (percentage of variance explained by each component is enclosed in parentheses): ʽSIB with objects’ (27.3%), ʽSIB by biting/scratching/hair-pulling’ (18.2%), ʽSIB by hitting’ (12.3%), and ʽSIB by picking scabs’ (11.5%). A cluster analysis using the results of the principal component analysis enabled us to define three types of heroin-dependent patients, labelled: ʽlow-occurrence SIB cluster’ (59.8%), ʽhigh-occurrence scab-picking cluster’ (31.7%) and ʽhigh-occurrence hitting and cutting cluster’ (8.5%). SIB by hitting was the most discriminatory component among clusters: its frequency was at a minimum in the low-occurrence SIB cluster, and attained a maximum in the high-occurrence hitting and cutting cluster. However, there were no differences among clusters regarding heroin-use variables. Patients from the low-occurrence SIB cluster, compared with those from the other two clusters, reported fewer episodes of SIB or suicide attempts and were diagnosed less frequently with bulimia. Patients from the high-occurrence scab-picking cluster had a very frequent history of these SIB, while the opposite was true in patients from the high-occurrence hitting and cutting cluster. Patients from this cluster probably presented staff members with the main management problems.

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