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題名 | 衝動與決策功能對海洛因的使用、渴求、使用天數與治療效果的影響=Influence of Impulsivity and Decision-making Function on Heroin Use, Craving, Days of Use, and Treatment Effects |
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作者 | 鄭育成; 黃軍義; | 書刊名 | 玄奘社會科學學報 |
卷期 | 14 2024.01[民113.01] |
頁次 | 頁1-24 |
分類號 | 548.82 |
關鍵詞 | 決策功能; 海洛因成癮; 維持療法; 復發; 衝動; Decision-making function; Heroin addiction; Impulsivity; Maintenance therapy; Relapse; |
語文 | 中文(Chinese) |
中文摘要 | 本研究探討衝動、決策功能對海洛因使用、渴求程度、使用天數、與治療效 果的影響。研究樣本是以回應者引介抽樣法於民國 105 年至 108 年間招募男性海 洛因使用者 410 名,以及健康控制組 117 名,共計 527 位。研究工具方面,以巴 氏衝動量表第十一版測量衝動、愛荷華賭博測驗與劍橋賭博測驗測量模糊與危險 情境下的決策功能、以視覺化類比評量表測量渴求程度、時光回溯法調查使用海 洛因天數。經由 t 檢定、二元羅吉斯迴歸、皮爾森相關分析與迴歸分析資料。研 究結果顯示:(一)海洛因使用組在衝動總分顯著高於健康控制組,決策功能顯 著低於健康控制組;(二)治療組與未治療組在衝動、決策功能、渴求程度與使 用海洛因的天數未出現顯著差異;(三)海洛因使用組的衝動與渴求程度具顯著 正相關,戒斷症狀與衝動能正向預測渴求程度。由本研究可知衝動是海洛因使用 者穩定的傾向並影響對海洛因的渴求程度,建議未來可針對衝動性建立因應方式,以降低渴求與提升治療效果。 |
英文摘要 | The purposes of this study was to investigate the influence of impulsivity and decision-making function on heroin use, craving, days of heroin use, and treatment effect. Participants were recruited by respondent-driven sampling (RDS) in 2016 to 2019. Heroin-addicts (HA) (n=410) and health-controlled (HC) (n=117) were recruited in this study. By using Barratt Impulsivity Scale(BIS-11), Iowa Gambling Task(IGT), Cambridge Gambling Task(CGT), Visual Analogue Scale(VAS) and TimeLine FollowBack(TLFB) to measure impulsivity, decision-making function, craving and use of days, respectively. We employ t-test, logistic regression, Pearson’s correlation, and linear regression to analyze data. The results showed that (1) HA exhibited higher impulsivity and lower decision-making than HC. After controlling age and years of education, HA remained higher impulsivity than HC; (2) Treatment and non-Treatment groups did not revealed significant differences in impulsivity, decision-making function, craving and use of days; (3) Impulsivity and craving were significantly positively correlated in the heroin use group, and withdrawal symptoms and impulsiveness could positively predict craving. This study shows that impulsivity is a stable tendency of heroin users and affects the craving for heroin. It is suggested that coping methods can be established for impulsiveness for heroin-addicts to reduce craving and improve treatment effect. |
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