以藥物濫用程度、人格特質、心理健康預測海洛因濫用者海洛因渴求行為意向

Predicting Heroin Craving Intent of Heroin Abusers with Drug Abuse Degree、 Personality Character and Mental Health

曾聖閔(Tseng Sheng-Min)

指導教授 ： 黃英家

亞洲大學/健康學院/健康管理研究所/碩士(2009年)

摘要

中文摘要
背景：
藥物濫用導致之成癮行為會長期伴隨不顧後果的強迫性求藥行為，尤其，很少人能夠戒斷海洛因。海洛因濫用造成個人和社會問題，也花費鉅大的社會成本。
目的：
渴求是海洛因成癮與復發的主要因素，本研究藉由問卷調查來了解海洛因濫用者的藥物濫用程度、人格特質、心理健康，並進而預測海洛因渴求行為意向，希望能提供政府政策執行上的參考，以及在宣導教育、藥物濫用治療、諮商和心理復健的參考。
方法：
本研究選擇雲林地區監獄的海洛因濫用者為施測對象。在其自由意志下簽署同意書後，進行分批團體問卷施測，採用中國人健康問卷(CHQ)、海洛因渴求問卷(DDQ)、三向度人格問卷(TPQ)。分析方法採用描述性統計與推論性分析。
結果：
本研究共有266位受試者同意且完成這項調查活動，包含男性245人，女性21人。教育程度以國中和高中教育程度235人(88.3%)居大多數。居住地在雲林縣市有128人，有200人有使用過安非他命的經驗，安非他命初用平均年齡20.7歲；海洛因初用平均年齡25.5歲。261人(98%)有抽菸的習慣。居住地、心理健康、尼古丁依賴程度、人格特質中的尋求刺激，都能預測海洛因渴求行為意向。酒精、安非他命、海洛因使用年數並不能預測海洛因渴求行為意向。
結論：
對於藥物濫用應該多加宣導教育。海洛因渴求意向高的人，在心理治療應該多花時間輔導復健，才能降低海洛因渴求預防復發再犯。

關鍵字

海洛因濫用者 ； 海洛因渴求 ； 心理健康 ； 人格特質

並列摘要

Abstract
Background:
Drug abuse usually makes addiction accompanied with compulsive craving behavior, and especially it is almost unable to quit heroin. Heroin abuse not only causes individual and social problems, but also expenses huge social resources.
Purpose:
Heroin craving is the primary factor that causes addiction and recurrence. Investigating through survey, we tried to check the abusers’ level of drug abuse, personality character, mental health status, intention of heroin craving and then analyzed the relationship among them. The results may provide some information to the authority for formulating policies such as education promotion, drug abuse treatment, counseling, and mental rehabilitation.
Method:
In this study, heroin abusers were enrolled from the prisons in Yunlin region. After signing the informed consent under free will, the abuser received self-filling questionnaires conducted by groups, and interviewing questionnaires by individuals. The results of Chinese Health Questionnaire(CHQ), Desires for Drug Questionnaire(DDQ), Tri-dimensional Personality Questionnaire(TPQ) were adopted for descriptive and inferential statistic analysis.
Results:
There were 266 abusers enrolled, including 245 males and 21 females. There were 235 subjects reported junior and senior high school education level, 128 living in Yunlin county, and 200 using amphetamine. The average age of initial drug use was 20.7 years old for amphetamine, and 25.5 years old for heroin. Near all of the subjects (261, 98%) consumed tobacco. Mental health, level of dependence on nicotine, novelty-seeking personality were all highly associated with the intention of heroin craving, but the durations of using alcohol, amphetamine or heroin were all not associated with the intention of heroin craving.
Conclusion：
It is necessary to promote more education on prevention of drug abuse. Those who reported high intention of heroin craving require more mental rehabilitation to keep them away from heroin recurrence.

並列關鍵字

heroin abuser ； heroin craving ； mental health ； personality

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