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題名：Substance Uses Mediate Differently in Relation between ADHD and Suicidality: Study among New Soldiers in Taiwan
書刊名：Taiwanese Journal of Psychiatry
作者：戴月明／楊立光／楊蕙年
作者(外文)：Tai, Yueh-ming／Yang, Li-kung／Yang, Hui-nien
出版日期：2016
卷期：30:2
頁次：頁111-119+a7
主題關鍵詞：注意力不足過動症；軍中自殺；物質使用；鎮定安眠劑；Attention deficit/hyperactivity disorder；ADHD；Military suicide；Substance use；Hypnotics
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:2
  • 點閱點閱:5
目的：注意力不足過動症及物質濫用長久來已被認為與憂鬱、對立性疾患及自殺相關行為—自殺意念、自殺傾向及自我傷害—有關。然而針對軍人族群，不同物質濫用之中介效果差異為何，則尚未有文獻比較。方法：本研究收集1,120 名新訓中心新兵，並取得同意書後完成自填問卷。填答內含包括SNAP-IV 過動量表、成人自填健康量表 (ASRI-4) 及貝克憂鬱量表。結果：不同物質（包含檳榔）使用者均有較高之三種自殺相關行為危險及機率 (p ＜0.001)。路徑分析結果，「過動—憂鬱—自殺」及「過動—對立反抗—自殺」兩路徑較其他路徑顯著 (p ＜ 0.05)。針對不同使用物質而言，過去使用「鎮定安眠劑」有顯著中介於「過動—自殺意念」路徑及「過動—自我傷害」路徑的效果 (p ＜ 0.05)。討論：本研究呼應其他相關研究結果，確定物質使用在過動症狀與自殺之間有顯著中介效果。本研究之發現顯示對於新兵自殺防治作為中，篩檢過去過動症症狀、憂鬱、對立反抗及物質使用史- 尤其是鎮定安眠劑—亦是重要一環。
Background: Attention deficit/hyperactivity disorder and substance use have been considered as strong predictors for depression, opposition, and suicidal behavior-suicidal ideation (SI), suicide attempt (SA) and deliberate self-harm. The details in associations among various substance use are still unknown in military population. Methods: Totally, 1,120 new soldiers participated and completed copies of self-report questionnaire including demographic data, Swanson, Nolan, and Pelham, Version IV Scale-Chinese version (SNAP-IV); the Adult Self-report Scale Inventory-4-Chinese version (ASRI-4); and Beck Depression Inventory, 2nd edition (BDI-II). Results: The uses of substance, including betel nut, significantly raised the risks of all three suicidal behaviors (all p ＜ 0.001). The paths of ADHDdepression- suicidal behaviors and ADHD-opposition-depression-suicidal behaviors were significantly superior to other paths (all p ＜ 0.05). Past use of hypnotics was significantly superior to other types of used substances for its highest indirect effects on SI and SH (all p ＜ 0.05). Conclusion: In line with other studies, this study confirms the mediation effects of substance use, especially hypnotics, in the associations between ADHD and SI, SA, and DSH behaviors. Our findings indicate that screening for suicidal tendency among those new soldiers with substances use, depression, opposition, and recalling either ADHD symptoms are all essential.
期刊論文
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6.Rhemtulla, M.、Brosseau-Liard, P. E.、Savalei, V.(2012)。When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions。Psychological Methods，17，354-373。  new window
7.Swanson, J. M.、Kraemer, H. C.、Hinshaw, S. P.、Arnold, L. E.、Conners, C. K.、Abikoff, H. B.(2001)。Clinical relevance of the primary findings of the MTA: Success rates based on severity of ADHD and ODD symptoms at the end of treatment。Journal of American Academy of Child and Adolescent Psychiatry，40(2)，168-179。  new window
8.Fayyad, J.、De Graaf, R.、Kessler, R.(2007)。Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder。Br J Psychiatry，190，402-409。  new window
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10.Gau, S. S. F.、Ni, H. C.、Shang, C. Y.(2010)。Psychiatric comorbidity among children and adolescents with and without persistent attention-deficit hyperactivity disorder。Australian and New Zealand journal of psychiatry，44(2)，135-143。  new window
11.Vitola, E. S.、Salgado, C. A.、Silva, K. L.(2012)。The role of a lifetime history of oppositional defiant and conduct disorders in adults with adhd: Implications for clinical practice。CNS spectr，17(2)，94-99。  new window
12.Impey, M.、Heun, R.(2012)。Completed suicide, ideation and attempt in attention deficit hyperactivity disorder。Acta Psychiatr Scand，125，93-102。  new window
13.Levin, A.(2009)。Combat just one cause of army suicide crisis。Psychiatr News，44。  new window
14.Hawton, K.、Houston, K.、Haw, C.(2014)。Comorbidity of axis I and axis II disorders in patients who attempted suicide。Am J Psychiatry，160，1494-1500。  new window
15.Nock, M. K.、Hwang, I.、Sampson, N. A.(2010)。Mental disorders, comorbidity and suicidal behavior: results from the National Comorbidity Survey Replication。Mol Psychiatry，15，868-76。  new window
16.Chao, C.-Y.、Gau, S. S. F.、Mao, W.-C.、Shyu, J.-F.、Chen, Y.-C.、Yeh, C.-B.(2008)。Relationship of attention-deficit–hyperactivity disorder symptoms, depressive/anxiety symptoms, and life quality in young men。Psychiatry and Clinical Neurosciences，62，421-426。  new window
17.Goodman, G.、Gerstadt, C.、Pfeffer, C. R.(2008)。ADHD and aggression as correlates of suicidal behavior in assaultive prepubertal psychiatric inpatients。Suicide Life Threat Behav，38，46-59。  new window
18.Lam, L.(2002)。Attention deficit disorder and hospitalization due to injury among older adolescents in New South Wales, Australia。J Atten Disord，6，77-82。  new window
19.Hurtig, T.、Taanila, A.、Moilanen, I.(2012)。Suicidal and self-harm behaviour associated with adolescent attention deficit hyperactivity disorder-a study in the Northern Finland Birth Cohort 1986。Nord J Psychiatry，66(5)，320-328。  new window
20.楊皓名、戴月明(2015)。The Association between Sleep Problems and Suicidality of Military Recruits: Focusing on Mediation Effects of Anxiety and Depression。Taiwan Journal of Psychiatry，29(2)，109-118+a8。new window  new window
21.Murphy, P.、Schachar, R.(2000)。Use of self-ratings in the as sessment of symptoms of attention deficit hyperac tivity disorder in adults。Am J Psychiatry，157，1156-1159。  new window
22.Lucas, M.、O'reilly, E. J.、Mirzaei, F.(2013)。Cigarette smoking and completed suicide: results from 3 prospective cohorts of American adults。J Affect Disord，151，1053-1058。  new window
23.Rigg, K. K.、Ibañez, G. E.(2010)。Motivations for non-medical prescription drug use: A mixed methods analysis。J Subst Abuse Treat，39，236-247。  new window
24.Lin, Y. J.、Lo, K. W.、Yang, L. K.(2015)。Validation of DSM-5 age-of-onset criterion of attention deficit/hyperac tivity disorder (ADHD) in adults: comparison of life quality, functional impairment, and family function。Res Dev Disabil，47，48-60。  new window
25.Nock, M. K.、Stein, M. B.、Heeringa, S. G.(2014)。Prevalence and correlates of suicidal behavior among soldiers: results from the army study to assess risk and resil ience in service members (Army STARRS)。JAMA Psychiatry，71，514-522。  new window
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圖書
1.Gadow, K.、Sprafkin, J.、Weiss, M.(2004)。Adult Self-Report Inventory 4 manual。Stony Brook, NY：Checkmate Plus。  new window
 
 
 
 
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