"我可以将这些东西结合起来成为一个超级英雄"高风险多种物质使用动机的定性研究
Amanda M Bunting1, Adetayo Fawole1, Brittany Griffin1
1Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA.
Journal of drug issues
|August 29, 2025
概括
了解高风险多物质使用的动机是有效干预的关键. 人们使用多种药物来增强效果,自我治疗,应对痛苦,控制渴望,以及应对社会因素.
科学领域:
- 关于成的研究
- 心理学
- 公共卫生
背景情况:
- 多种物质的使用,定义为同时或连续使用多种精神活性物质,构成重大公共卫生挑战.
- 了解这种行为背后的动机对于制定有针对性的干预措施和减少危害的策略至关重要.
研究的目的:
- 探索和识别纽约市中高风险多种物质使用的主要动机.
- 对影响多种物质消费模式的因素的复杂相互作用获得定性见解.
主要方法:
- 进行了半结构化的采访,对20名报告近期频繁使用多种物质的人进行了采访.
- 使用两个独立的编码器进行定性内容分析,实现高级别的可靠性 (κ = 93.97).
主要成果:
- 确定了激励多种物质使用的五个关键主题: (1) 平衡/延长/增强效果, (2) 自治身体疾病 (包括戒断和疼痛), (3) 应对情绪困扰, (4) 管理毒品引起的渴望, (5) 应对社会环境 (情境和经济因素).
- 参与者报告同时或顺序使用物质以达到所需的效果,减轻身体和情绪上的不适,以及响应环境提示和可用性.
结论:
- 多种物质使用的动机是多方面的,包括药物,心理和社会方面.
- 这些发现为定制减少危害的方法提供了关键的见解,并为参与多种物质使用的个人制定了基于证据的治疗策略.
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