冲动性与物质使用障碍的共病关系评述

Related Studies Review of Co-occuring Disorders of Personality Trait of Impulsivity and Substance Use Disorders

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

贵州师范大学 ;

摘要
物质使用障碍共病是指物质使用障碍共患其他精神类障碍。在共病患者的身上,至少存在一种物质使用障碍和至少一种其他精神障碍。冲动型人格特质被认为与药物成瘾所致的精神障碍、新型毒品滥用、初次药物体验、药物连续使用与复吸等有着紧密的联系。研究者提出了解释物质使用障碍共病的三种假设:(1)精神障碍促使物质使用障碍的形成;(2)物质使用障碍促进精神障碍的形成;(3)物质使用障碍或精神障碍由其他共同因素导致。这三种假设又可归纳为“因果说”和“共同因素说”。“因果说”得到了动物实验和人群实验的支持,“共同因素说”中主要探讨了个人经验和生活环境两大因素的影响。目前,研究者认为,物质使用障碍共病现象是物质使用障碍、精神障碍及其他影响两者的共同因素交互作用下产生的结果。未来研究应拓展多药物滥用、新型毒品成瘾、交叉研究条件下的物质使用障碍共病的研究,以期得到更完整的研究结论。
Abstract
Co-occurring disorders is defined as substance use disorders occuring with psychiatric disorders.In patients with co-occurring disorders,there should be at least one sort of substance use disorders and at least one sort of psychiatric disorders simultaneously.Its causes are very complicated,involving Individual factors, biological factors and environmental factors.Among them,the role of individual factors is crucial.Personality trait of impulsivity is considered closely linked with psychiatric disorders due to drug addiction,club-drug use,initial drug experimentation,continuing drug use and relapses and so on.Among all of the co-occurring disorders,imulsivity is a factor,which is common and pivotal.Impulsivity related to the substance addiction can mainly be divided into two dimensions:"reward drive"and"rash impulsivity",according to reinforcement sensitivity theory of Gary,"reward drive" refers to the situation when individuals obtain or get close to their preferred stimulus,there may be differences about their sensitivity, "rash impulsivity" means that individuals can not evaluate the value of stimulus properly before they make a decision.The researchers summarize three kinds of assumptions:(1)Psychiatric disorders have prompted the formation of substance use disorders;(2)Substance use disorders lead to the formation of Psychiatric disorders;(3)Substance use disorders or psychiatric disorders are caused by other common factors.This three assumptions can be summarized as "theory of causality" and "theory of common factor"."Theory of causality" gets supports from experiments on animals and human,and "theory of common factor" Mainly discusses the influence of the two factors of personal experience and living environment.At present, researchers deem that co-occurring disorders are the results of interaction of substance use disorders,psychiatric disorders and other common factor that impact both of them.In further studies,we should pay attention to the advancement of polydrug abuse,club-drug abuse and cross-sectional studies on co-occurring disorders to promote practicability and accuracy of experiments,hoping to get a more complete research conclusion.
关键词
关键词:共病;物质使用障碍;冲动性;因果说;共同因素说
KeyWord
Key words:co-occurring disorders;substance use disorders;impulsivity;theory of causality;theory of common factor
基金项目
页码 16-19
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息晓龙*. 冲动性与物质使用障碍的共病关系评述 [J]. 国际精神病学杂志. 2017; 44; (1). 16 - 19.

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