Substance dependence

物质依赖
  • 文章类型: Journal Article
    虽然近年来在治疗社区(TC)和其他住宅环境中对社交网络进行了大量研究,这些主要集中在男性居民身上。本文旨在对女性TC中的人际互动进行纵向社会网络分析。
    该数据包括一个纵向定向的社交网络,该网络在611天的时间内对女性进行了16张床TC的56位居民之间的反馈。参与者的平均年龄为33.1岁,平均住院时间为133.9天,91%的参与者为女性.反馈包括亲社会行为的书面肯定和违反TC规范的书面更正。使用潜在因素纵向社交网络模型分析数据。
    居民以复杂的方式对同伴干预做出反应。居民对肯定(B=0.14,95%置信区间=0.10,0.18)和更正(B=0.20,95%CI=0.13,0.25)。控制互惠,接受肯定的参与者更有可能肯定和纠正同龄人(B=0.10,95%CI=0.06,0.15;B=0.17,95%CI=0.10,0.23),这表明肯定提供的鼓励会导致活动增加。确认和矫正均按入院时间进行同性恋(B=0.23,95%CI=0.10,0.37;B=0.51,95%CI=0.29,0.74)。
    虽然肯定和纠正是行为强化和社会学习的工具,它们还允许居民以加强社会纽带的方式互动。
    UNASSIGNED: While recent years have seen a number of studies of social networks in therapeutic communities (TCs) and other residential settings, these have primarily focused on male residents. This paper aims to conduct a longitudinal social network analysis of interpersonal interactions in a TC for women.
    UNASSIGNED: The data consists of a longitudinal directed social network of instances of feedback between 56 residents of a 16 bed TC for women over a period of 611 days. Mean age of the participants was 33.1 years, mean length of stay was 133.9 days and 91% of the participants were female. Feedback consisted of written affirmations for prosocial behavior and written corrections for contravening TC norms. Data was analyzed using a latent factor longitudinal social network model.
    UNASSIGNED: Residents react to peer intervention in complex ways. Residents reciprocated affirmations (B = 0.14, 95% confidence interval = 0.10, 0.18) and corrections (B = 0.20, 95% CI = 0.13, 0.25). Controlling for reciprocity, participants who received affirmations were more likely to affirm and correct peers (B = 0.10, 95% CI = 0.06, 0.15; B = 0.17, 95% CI = 0.10, 0.23), suggesting that the encouragement offered by affirmations leads to increased activity. Homophily by admission time occurred in both affirmations and corrections (B = 0.23, 95% CI = 0.10, 0.37; B = 0.51, 95% CI = 0.29, 0.74).
    UNASSIGNED: While affirmations and corrections serve as vehicles for behavioral reinforcement and social learning, they also allow residents to interact in ways that strengthen social bonds.
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  • 文章类型: Journal Article
    在小型神经影像学研究中,人们越来越担心通常膨胀的效应大小,然而,还没有研究解决小样本的重新校准效应大小估计。为了解决这个问题,我们提出了一个分层贝叶斯模型来调整单研究效应大小的大小,同时结合了一个定制的采样方差估计。
    我们估计了病例对照差异对依赖酒精的个体之间大脑结构特征的影响大小,尼古丁,可卡因,甲基苯丙胺,或大麻和非依赖参与者进行21项单独研究(总病例:903;总对照:996)。然后,使用分层贝叶斯方法对研究特定效应大小进行建模,在该方法中,从高阶总体分布中对研究特定效应大小分布的参数进行采样.使用Gibbs采样方法对总体参数和研究特定参数的后验分布进行了近似。
    结果显示,考虑到在个别研究中观察到的原始效应大小,研究特定估计的后验分布向总体估计的收缩。原始效果大小之间的差异(即,Cohen\'sd)和后验分布的点估计范围从0到0.97。调整幅度与样本量呈负相关(r=-0.27,p<0.001),与经验估计抽样方差呈正相关(r=0.40,p<0.001),这表明具有较小样本和较大样本方差的研究倾向于具有较大的调整。
    我们的发现证明了分层贝叶斯模型在使用类似研究的信息重新校准单研究效应大小方面的实用性。这表明,现有知识的贝叶斯利用可以是一种有效的替代方法,以提高个体研究中的效应大小估计,特别是那些样本较小的人。
    UNASSIGNED: There are growing concerns about commonly inflated effect sizes in small neuroimaging studies, yet no study has addressed recalibrating effect size estimates for small samples. To tackle this issue, we propose a hierarchical Bayesian model to adjust the magnitude of single-study effect sizes while incorporating a tailored estimation of sampling variance.
    UNASSIGNED: We estimated the effect sizes of case-control differences on brain structural features between individuals who were dependent on alcohol, nicotine, cocaine, methamphetamine, or cannabis and non-dependent participants for 21 individual studies (Total cases: 903; Total controls: 996). Then, the study-specific effect sizes were modeled using a hierarchical Bayesian approach in which the parameters of the study-specific effect size distributions were sampled from a higher-order overarching distribution. The posterior distribution of the overarching and study-specific parameters was approximated using the Gibbs sampling method.
    UNASSIGNED: The results showed shrinkage of the posterior distribution of the study-specific estimates toward the overarching estimates given the original effect sizes observed in individual studies. Differences between the original effect sizes (i.e., Cohen\'s d) and the point estimate of the posterior distribution ranged from 0 to 0.97. The magnitude of adjustment was negatively correlated with the sample size (r = -0.27, p < 0.001) and positively correlated with empirically estimated sampling variance (r = 0.40, p < 0.001), suggesting studies with smaller samples and larger sampling variance tended to have greater adjustments.
    UNASSIGNED: Our findings demonstrate the utility of the hierarchical Bayesian model in recalibrating single-study effect sizes using information from similar studies. This suggests that Bayesian utilization of existing knowledge can be an effective alternative approach to improve the effect size estimation in individual studies, particularly for those with smaller samples.
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  • 文章类型: Journal Article
    进行了回归分析,以检查国内流离失所者(IDP)的某些社会人口特征与物质使用之间的关联。使用改编版的药物使用障碍鉴定测试(DUDIT)仪器,横断面调查数据来自生活在迈杜古里三个营地的520名国内流离失所者,尼日利亚博尔诺州。使用社会科学统计软件包软件版本21.0分析数据。具体来说,本文提供了有关参与者的人口统计学特征的数据,他们使用的物质类型,使用这些物质的原因,以及药物使用的普遍性。这个数据集可以为未来的研究议程提供有价值的多变量信息,或密切相关的研究人群。这个横截面数据集对于正在寻求干预物质使用问题的政策制定者也很有价值,以及其他相关的社会恶习,影响国内流离失所者的弱势群体。
    Regression analysis was carried out to examine the association between certain socio-demographic characteristics and substance use among internally displaced persons (IDPs). Using an adapted version of the Drug Use Disorder Identification Test (DUDIT) instrument, cross-sectional survey data were obtained from 520 IDPs living in three camps located in Maiduguri, Borno state of Nigeria. The data were analyzed using Statistical Package for Social Sciences software version 21.0. Specifically, this article provides data about the participants\' demographic characteristics, the types of substances they use, reasons for using such substances, and the prevalence of substance use. This dataset can offer valuable multivariate information for future research agendas in similar, or closely related study populations. This cross-sectional dataset is also valuable for policymakers who are seeking ways to intervene in the substance use problem, as well as other associated social vices, affecting the vulnerable population of IDPs.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    这项荟萃分析的目的是将心理动力学与物质成瘾研究中的其他治疗方法进行比较。文献检索使用PubMed进行,WebofScience,Cohcrane图书馆,Scopus,和Onesearch数据库。所有将心理动力疗法与其他类型的心理干预措施进行比较的研究都符合资格。考虑了三个结果来比较干预效果:物质使用,参与治疗和其他症状(OSC)。对冲G用于测量效应大小。用于随机试验的修订Cochrane偏差风险工具用于评估证据质量和可能的偏差,发表偏倚的Egger回归分析,并使用Q和I平方统计来评估异质性。酒精组在三种结果上的治疗之间没有差异。可卡因组在两种结果中没有显着差异,而对于OSC来说,现有数据不足。阿片类药物组在参与非心理动力学干预方面表现出微小但显著的差异,对于其他结果没有显著结果。根据本荟萃分析中考虑的三种恢复措施,在治疗物质依赖方面,心理动力学干预被证明与其他心理治疗一样有效,并且被证明是对上述成瘾的经验支持的治疗。
    The aim of this meta-analysis was to compare psychodynamic with other treatments in studies of substance addiction. The literature search was conducted using the PubMed, Web of Science, Cohcrane library, SCOPUS, and Onesearch databases. All studies comparing psychodynamic therapy with other types of psychological interventions for Substance Use Disorder were eligible. Three outcomes were considered to compare intervention performance: substance use, participation in treatment and other symptomatic conditions (OSCs). Hedges\' G was used to measure effect size. The Revised Cochrane Risk of Bias tool for randomized trials was used to assess quality of evidence and possible bias, Egger regression analyses for publication bias, and Q and I-square statistics were used to assess heterogeneity. The alcohol group showed no differences between treatments on the three outcomes. The cocaine group showed no significant differences in the two outcomes, while for OSCs, available data was insufficient. The opioids group showed small but significant differences regarding participation in favor of non-psychodynamic interventions and no significant results for other outcomes. Based on the three measures of recovery considered in this meta-analysis, psychodynamic interventions were shown to be as effective as other psychological treatments in treating substance dependence and proved to be an empirically-supported treatment for the above addictions.
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  • 文章类型: Multicenter Study
    目标:2022年,超过109,000名美国人死于药物过量,其中81,231例过量死亡涉及阿片类药物。美沙酮,丁丙诺啡和纳曲酮是阿片类药物使用障碍(MOUD)使用最广泛的药物,也是预防过量死亡的最有效干预措施.然而,有人担心美沙酮会导致长QT综合征,这增加了致命的心律失常的风险。目前,很少有研究系统地评估MOUD之间心脏和死亡率结果的短期和长期差异。
    目的:为了比较心律失常的风险,服用美沙酮的阿片类药物使用障碍(OUD)患者之间的长QT综合征和总死亡率,丁丙诺啡或纳曲酮。
    方法:基于美国多中心和全国性电子健康记录(EHRs)数据库的回顾性队列研究。研究人群由144,141名患者组成,他们在2016-2022年因OUD就诊,在进行OUD诊断后1个月内接受了MOUD处方,并且在任何MOUD处方之前均未诊断出心律失常或长QT综合征。研究人群分为三个队列:(1)美沙酮队列(n=40,938)-仅服用美沙酮。(2)丁丙诺啡队列(n=80,055)-仅服用丁丙诺啡。(3)纳曲酮队列(n=5,738)-仅服用纳曲酮。
    方法:美沙酮,丁丙诺啡,或者纳曲酮.
    方法:心律失常,长QT综合征,和死亡。在六个不同的随访时间框架(1个月,3个月,6个月,1年,3年,和5年),通过使用Kaplan-Meier生存分析比较倾向评分匹配的队列。
    结果:服用美沙酮的OUD患者发生心律失常的风险明显较高,与使用丁丙诺啡或纳曲酮的OUD患者的倾向评分相匹配的患者相比,长QT综合征和死亡。对于1个月的随访,在美沙酮队列中,心律失常的总体风险为1.03%,高于匹配的丁丙诺啡队列中的0.87%(HR:1.20,95%CI:1.04-1.39);美沙酮队列中长QT综合征的总体风险为0.35%,高于匹配的丁丙诺啡队列中的0.15%(HR:2.40,95%CI:1.75-3.28);美沙酮队列中的总死亡率为0.59%,高于匹配的丁丙诺啡队列中的0.41%(HR:1.48,95%CI:1.21-1.81)。增加的风险持续5年:心律失常(HR:1.31,95%CI:1.23-1.38),长QT综合征(HR:3.14,95%CI:2.76-3.58),死亡(HR:1.50,95%CI:1.41-1.59)。
    结论:与丁丙诺啡和纳曲酮相比,美沙酮与心脏病和死亡结局的风险显著相关。这些发现与启动MOUD治疗时药物选择指南的制定有关,并为OUD的未来药物开发提供信息,以最大限度地降低风险,同时最大限度地提高收益。
    More than 109,000 Americans died of drug overdose in 2022, with 81,231 overdose deaths involving opioids. Methadone, buprenorphine and naltrexone are the most widely used medications for opioid use disorders (MOUD) and the most effective intervention for preventing overdose deaths. However, there is a concern that methadone results in long QT syndrome, which increases the risk for fatal cardiac arrythmias. Currently few studies have systematically evaluated both the short-term and long-term differences in cardiac and mortality outcomes between MOUD.
    To compare the risks of cardiac arrythmias, long QT syndrome and overall mortality between patients with opioid use disorders (OUD) who were prescribed methadone, buprenorphine or naltrexone.
    Retrospective cohort study based on a multicenter and nationwide database of electronic health records (EHRs) in the United States. The study population was comprised of 144,141 patients who had medical encounters for OUD in 2016-2022, were prescribed MOUD within 1 month following a medical encounter for OUD diagnosis and had no diagnosis of cardiac arrythmias or long QT syndrome before any MOUD prescription. The study population was divided into three cohorts: (1) Methadone cohort (n = 40,938)-who were only prescribed methadone. (2) Buprenorphine cohort (n = 80,055)-who were only prescribed buprenorphine. (3) Naltrexone cohort (n = 5,738)-who were only prescribed naltrexone.
    methadone, buprenorphine, or naltrexone.
    Cardiac arrythmias, long QT syndrome, and death. Hazard ratio (HR) and 95% confidence interval (CI) of outcomes at six different follow-up time frames (1-month, 3-month, 6-month, 1-year, 3-year, and 5-year) by comparing propensity-score matched cohorts using Kaplan-Meier survival analysis.
    Patients with OUD who were prescribed methadone had significantly higher risks of cardiac arrhythmias, long QT syndrome and death compared with propensity-score matched patients with OUD who were prescribed buprenorphine or naltrexone. For the 1-month follow-up, the overall risk for cardiac arrythmias was 1.03% in the Methadone cohort, higher than the 0.87% in the matched Buprenorphine cohort (HR: 1.20, 95% CI: 1.04-1.39); The overall risk for long QT syndrome was 0.35% in the Methadone cohort, higher than the 0.15% in the matched Buprenorphine cohort (HR: 2.40, 95% CI: 1.75-3.28); The overall mortality was 0.59% in the Methadone cohort, higher than the 0.41% in the matched Buprenorphine cohort (HR: 1.48, 95% CI: 1.21-1.81). The increased risk persisted for 5 years: cardiac arrhythmias (HR: 1.31, 95% CI: 1.23-1.38), long QT syndrome (HR: 3.14, 95% CI: 2.76-3.58), death (HR: 1.50, 95% CI: 1.41-1.59).
    Methadone was associated with a significantly higher risk for cardiac and mortality outcomes than buprenorphine and naltrexone. These findings are relevant to the development of guidelines for medication selection when initiating MOUD treatment and inform future medication development for OUD that minimizes risks while maximizing benefits.
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  • 文章类型: Meta-Analysis
    本荟萃分析研究检查了述情障碍与精神活性物质使用之间的关系。通过系统搜索确定了1988年至2022年8月20日发表的研究,并在5项荟萃分析中纳入了168项符合条件的研究。结果表明:(1)物质使用与述情障碍之间的相关性很小,但显着(r=0.177);(2)物质使用者的述情障碍明显高于非使用者(g=0.545);(3)述情参与者的物质使用水平显着,但略高于非述情者(g=0.242);(4)物质使用者显着,但非述情者的可能性仅略高于3。在诊断为物质使用障碍(SUD)的样本中观察到较大的影响,以及抑制剂的使用,酒精,阿片类药物,非法兴奋剂与述情障碍有更强的关系。与其他指标相比,我们发现与有问题的使用存在更大关联的趋势(例如,频率和持续时间)的物质使用。在述情障碍的组成部分中,识别情感的困难与物质使用有最强烈的联系。我们的发现通过建议改善SUD的情绪调节来支持临床实践。
    The present meta-analytic study examined the association between alexithymia and psychoactive substance use. Studies published from 1988 to August 20, 2022 were identified by a systematic search and 168 eligible studies were included in five meta-analyses. Results showed that (1) the correlation between substance use and alexithymia is small but significant (r = 0.177); (2) substance users have substantially higher alexithymia than nonusers (g = 0.545); (3) alexithymic participants have significantly but slightly higher levels of substance use than non-alexithymics (g = 0.242); (4) substance users are significantly but only slightly more likely to be alexithymic than nonusers (OR = 2.392); and (5) alexithymic individuals are not more likely to be substance users than non-alexithymics. Larger effects were observed among samples diagnosed with substance use disorder (SUD), and the use of depressants, alcohol, opiates, and illicit stimulants had stronger relation to alexithymia. We found a tendency for a larger association with problematic use as compared to other indicators (e.g., frequency and duration) of substance use. Among the components of alexithymia, difficulties in identifying feelings has the strongest association with substance use. Our findings support clinical practice by suggesting the improvement of emotion regulation in SUD.
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  • 文章类型: Journal Article
    背景:西班牙耶鲁儿童食物成瘾量表(S-YFAS-C)量表是第一个适用于西班牙的工具,用于评估儿科人群的食物成瘾(FA)。这项研究的目的是初步评估非临床试点儿科人群的FA程度。
    方法:对由9至12岁(小学4至6年)的男孩和女孩组成的便利样本进行了横向观察性研究。主要结局指标为FA评估(S-YFAS-C量表),儿童喂养态度(ChEAT量表)和身体图像评价(CDRS量表)。此外,收集社会人口统计学和人体测量数据。对受试者的主要特征和结局指标进行了描述性和双变量分析。
    结果:对21名男孩和24名女孩进行了初步评估,得出的最小值和最大值为年龄(9.48-12.33),公斤体重(26.6-64.5),身高,厘米(131-163),BMI(14.2-27.9)和BMIZ评分(-1.36-2.66)。用S-YFAS-C量表测量的FA症状的平均数为1.67±1.45(范围0-7)。总共有20%的样本表现出三种或更多的FA症状,发生食物紊乱和身体形象扭曲的风险。此外,男孩和女孩期望的身体形象之间存在统计学上的显着差异(P=0.001)。
    结论:S-YFAS-C量表可以评估说西班牙语的男孩和女孩的食物成瘾。与原始量表相比,在量化症状方面获得的数据相似(S-YFAS-C:1.67±1.45vs.YFAS-C:2±1.81)。对症状计数进行评分是评估亚临床食物行为的最敏感措施。西班牙耶鲁儿童食品成瘾量表(S-YFAS-C)是第一个适用于西班牙语的工具,用于评估儿科人群的食品成瘾(FA)。这项研究的目的是初步评估非临床试点儿科人群的FA程度。对21名男孩和24名女孩进行了初步评估,其中20%的样本显示出FA的三种或三种以上症状,发生食物紊乱和身体形象扭曲的风险。S-YFAS-C量表可以评估说西班牙语的男孩和女孩的食物成瘾。与原始量表相比,关于量化症状获得的数据相似。
    BACKGROUND: The Spanish Yale Food Addiction Scale for Children (S-YFAS-C) scale is the first tool adapted to Spanish to evaluate food addiction (FA) in the paediatric population. The aim of this study is to preliminarily evaluate the degree of FA in a non-clinical pilot paediatric population.
    METHODS: A transversal observational study was performed on a convenience sample comprised of boys and girls aged 9 to 12 (4th to 6th year primary school). The main outcome measures were evaluation of FA (S-YFAS-C scale), child feeding attitudes (ChEAT scale) and evaluation of body image (CDRS scale). Moreover, sociodemographic and anthropometric data were collected. A descriptive and bivariate analysis of the main characteristics of subjects and outcome measures was performed.
    RESULTS: A total of 21 boys and 24 girls were preliminarily evaluated and the minimum and maximum values obtained were for age (9.48-12.33), weight in kilograms (26.6-64.5), height in centimetres (131-163), BMI (14.2-27.9) and BMI Z-score (-1.36-2.66). The average number of FA symptoms measured with the S-YFAS-C scale is 1.67 ± 1.45 (range 0-7). A total of 20% of the sample shows three or more symptoms for FA, risk of developing a food disorder and distortion of the body image. Moreover, statistically significant differences were observed between desired body image in boys and girls (P = 0.001).
    CONCLUSIONS: The S-YFAS-C scale enables evaluating food addiction in Spanish-speaking boys and girls. The data obtained in regard to quantifying symptoms are similar compared to the original scale (S-YFAS-C: 1.67 ± 1.45 vs. YFAS-C: 2 ± 1.81). The option to score the counting of symptoms is the most sensitive measure to evaluate subclinical food behaviours.
    The Spanish Yale Food Addiction Scale for Children (S-YFAS-C) scale is the first tool adapted to Spanish to evaluate food addiction (FA) in the paediatric population. The aim of this study is to preliminarily evaluate the degree of FA in a non-clinical pilot paediatric population. A total of 21 boys and 24 girls were preliminarily evaluated and 20% of the sample shows three or more symptoms for FA, risk of developing a food disorder and distortion of the body image. The S-YFAS-C scale enables evaluating food addiction in Spanish-speaking boys and girls. The data obtained in regard to quantifying symptoms are similar compared to the original scale.
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  • 文章类型: Journal Article
    RhoGTPases家族被认为是调节各种细胞过程的分子开关,包括细胞骨架重塑,细胞极性,突触发育和维持。越来越多的证据表明,RhoGTPases参与神经元发育和脑疾病,包括物质依赖。然而,RhoGTPases在物质依赖性中的功能是不同的,并且是脑核依赖性的。因此,迫切需要全面整合他们的角色和相关机制。在这次审查中,综述了RhoGTP酶及其调节因子如GTP酶激活蛋白(GAP)和鸟嘌呤核苷酸交换因子(GEF)在物质依赖中的分子功能和调节机制。这对于了解它们在不同成瘾物质诱导的成瘾中以及在物质依赖的不同阶段的时空作用具有重要意义。
    Rho GTPases family are considered to be molecular switches that regulate various cellular processes, including cytoskeleton remodeling, cell polarity, synaptic development and maintenance. Accumulating evidence shows that Rho GTPases are involved in neuronal development and brain diseases, including substance dependence. However, the functions of Rho GTPases in substance dependence are divergent and cerebral nuclei-dependent. Thereby, comprehensive integration of their roles and correlated mechanisms are urgently needed. In this review, the molecular functions and regulatory mechanisms of Rho GTPases and their regulators such as GTPase-activating proteins (GAPs) and guanine nucleotide exchange factors (GEFs) in substance dependence have been reviewed, and this is of great significance for understanding their spatiotemporal roles in addictions induced by different addictive substances and in different stages of substance dependence.
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  • 文章类型: Journal Article
    背景:童工通常被定义为剥夺儿童童年的工作,他们的潜力和尊严,这对身心发展都是有害的。童工是家庭暴力中最脆弱的群体之一。家庭暴力严重影响身心健康,并因此影响这些儿童的物质依赖和自杀能力。因此,审查家庭暴力至关重要,物质依赖,和工作儿童的自杀意念。
    目的:本研究旨在调查伊朗童工中家庭暴力暴露与物质依赖和自杀韧性之间的关系。
    方法:本研究采用横断面研究。通过便利和雪球采样从伊朗西部的一个康复和福利中心和三个慈善组织协会选出了600名童工,2022年1月至8月。他们完成了调查问卷。数据通过SPSS软件版本22进行分析,并使用描述性统计(频率,百分比,平均值和标准偏差)和方差分析,独立t检验和带向后策略的多元线性回归模型。
    结果:研究结果表明,接触家庭暴力与物质依赖有很强的直接相关性(r=0.94,p<0.001),与自杀弹性有很强的间接相关性(r=-0.91,p<0.001)。此外,物质依赖性与童工的自杀弹性(r=-0.87,p<0.001)具有很强的直接相关性。物质依赖的变量,自杀复原力,性别,监护人的疾病状态,生活状态和年龄可以预测这些儿童的家庭暴力差异的76.51%。
    结论:童工经历了很多家庭暴力,这严重影响了他们的自杀能力和物质依赖。因此,迫切需要有内容的系统支持计划(教导自护行为,压力管理,避免紧张和暴力的环境),以支持这些儿童并减少对他们的家庭暴力,并随后减少物质,从而提高这些儿童的自杀能力。
    Child laborers are often defined as work that deprives children of their childhood, their potential and their dignity, and that is harmful to physical and mental development. Child laborers are one of the most vulnerable groups in domestic violence. Domestic violence severely affects the physical and mental health, and consequently affects substance dependence and resilience to suicide of these children. Accordingly, it is essential to examine domestic violence, substance dependence, and suicidal ideation in working children.
    the present study aimed to investigate the relationship between exposure to domestic violence and substance dependence and suicide resilience on the other among child laborers in Iran.
    This study employed cross-sectional research. 600 child laborers were selected via convenience and snow ball sampling from one rehabilitation and welfare center and three charity organization societies in the west of Iran, from January to August 2022. They completed questionnaires. Data were analyzed by SPSS software version 22 and with using descriptive statistics (frequency, percentage, mean and standard deviation) and ANOVA, independent t-test and the multiple linear regression model with a backward strategy.
    Findings showed that exposure to domestic violence has a strong and direct correlation with substance dependence (r = 0.94, p < 0.001) and strong and indirect correlation with suicide resilience (r =- 0.91, p < 0.001). Also substance dependence has a strong and direct correlation with suicide resilience (r = -0.87, p < 0.001) in child laborers. Variables of substance dependence, suicide resilience, gender, guardian\'s disease status, living status and age can predict 76.51% of the variance in domestic violence in these children.
    Child laborers experience a lot of domestic violence, which severely affects their suicide resilience and substance dependence in them. Therefore, there is an urgent need for systematic support programs with content (teaching self-care behaviors, stress management, avoiding tense and violent environments) in order to support of these children and reduce domestic violence against them and subsequently reduce substance improve abuse resilience to suicide in these children.
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