Historique
Périodique
A classification of substance-dependent men on temperament and severity variables
(Une classification des hommes dépendants selon les variables de tempérament et de gravité de la dépendance)
Auteur(s) :
HENDERSON, M. J. ;
GALEN, L. W.
Année
2003
Page(s) :
741-760
Langue(s) :
Anglais
Refs biblio. :
79
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
CLASSIFICATION
;
DEPENDANCE
;
SEXE MASCULIN
;
TROUBLES DU COMPORTEMENT
;
TROUBLES DE L'HUMEUR
Thésaurus géographique
ETATS-UNIS
Note générale :
Addictive Behaviors, 2003, 28, (4), 741-760
Résumé :
This study examined the validity of classifying substance abusers based on temperament and dependence severity, and expanded the scope of typology differences to proximal determinants of use (e.g., expectancies, motives). Patients were interviewed about substance use, depression, and family history of alcohol and drug abuse. Self report instruments measuring temperament, expectancies, and motives were completed. Participants were 147 male veterans admitted to inpatient substance abuse treatment at a U.S. Department of Veterans Affairs medical center. Cluster analysis identified four types of users with two high substance problem severity and two low substance problem severity groups. Two, high problem severity, early onset groups differed only on the cluster variable of negative affectivity (NA), but showed differences on antisocial personality characteristics, hypochondriasis, and coping motives for alcohol. The two low problem severity groups were distinguished by age of onset and positive affectivity (PA). The late onset, low PA group had a higher incidence of depression, a greater tendency to use substances in solitary contexts, and lower enhancement motives for alcohol compared to the early onset, high PA cluster. The four-cluster solution yielded more distinctions on external criteria than the two-cluster solution. Such temperament variation within both high and low severity substance abusers may be important for treatment planning. (Editor's abstract.)
Affiliation :
Dept. Psychiat. Behav. Neurosciences, Wayne State Univ., Detroit, MI 48202.
Etats-Unis. United States.
Etats-Unis. United States.