关键词: addiction compulsive sexual behaviour substance use treatment

Mesh : Humans Adult Compulsive Behavior / epidemiology therapy Male Female Substance-Related Disorders / epidemiology therapy complications Middle Aged Adolescent Young Adult Sexual Behavior Aged Inpatients / statistics & numerical data Treatment Outcome Comorbidity Mental Disorders / epidemiology therapy complications Behavior, Addictive / therapy epidemiology Compulsive Sexual Behavior Disorder

来  源:   DOI:10.1556/2006.2024.00035

Abstract:
UNASSIGNED: Many individuals with substance use disorders (SUDs) present with co-occurring mental health disorders and other addictions, including behavioral addictions (BAs). Though several studies have investigated the relationship between SUDs and BAs, less research has focused specifically on compulsive sexual behaviour (CSB). Given that poly-addiction can hinder treatment outcomes, it is necessary to better understand the impact of co-occurring CSB and SUD. Therefore, the current study aimed to 1) determine the rate of CSB in a sample seeking treatment for SUDs, 2) identify demographic and clinical correlates of co-occurring CSB, and 3) to determine if co-occurring CSB impacts treatment outcomes for SUD.
UNASSIGNED: Participants were 793 adults (71.1% men) ranging in age from 18-77 (M = 38.73) at an inpatient treatment facility for SUDs who were assessed for CSB upon admission into treatment. Participants completed a battery of questionnaires upon admission and at discharge to assess psychological and addiction symptoms.
UNASSIGNED: Rates of CSB were 24%. Younger age and being single were associated with greater CSB. Mental distress and addiction symptoms were higher in participants with CSB. Predictors of CSB severity included greater symptoms of traumatic stress and interpersonal dysfunction. Rates of treatment completion were similar between participants with and without CSB.
UNASSIGNED: These results highlight several clinical and demographic correlates of CSB amongst individuals in treatment for SUD. However, CSB was not associated with poorer treatment outcomes. Further identifying characteristics associated with CSB can help clinicians identify individuals who may be at higher risk.
摘要:
许多患有物质使用障碍(SUDs)的人同时患有精神健康障碍和其他成瘾,包括行为成瘾(BA)。尽管有几项研究调查了SUD和BA之间的关系,很少有研究专门针对强迫性行为(CSB)。鉴于多成瘾可以阻碍治疗结果,有必要更好地了解共同发生的CSB和SUD的影响。因此,当前的研究旨在1)确定在SUDs寻求治疗的样本中CSB的比率,2)确定共同发生的CSB的人口统计学和临床相关性,和3)确定是否共同发生CSB影响SUD的治疗结果。
参与者是793名成年人(71.1%的男性),年龄在18-77岁之间(M=38.73),在接受治疗后接受CSB评估。参与者在入院和出院时完成了一系列问卷,以评估心理和成瘾症状。
CSB的比率为24%。较年轻的年龄和单身与较高的CSB相关。CSB患者的精神困扰和成瘾症状更高。CSB严重程度的预测因素包括创伤应激和人际关系功能障碍的症状。有和没有CSB的参与者之间的治疗完成率相似。
这些结果强调了在SUD治疗中的个体之间CSB的一些临床和人口统计学相关性。然而,CSB与较差的治疗结果无关。进一步识别与CSB相关的特征可以帮助临床医生识别可能处于较高风险的个体。
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