Crack Cocaine Users Seeking Treatment in Brasília

ABSTRACT Aiming to identify the profile of outpatients seeking treatment for crack cocaine-related problems in Brasília, 132 clients receiving psychological services completed the Profile of Crack Consumption Questionnaire and the Cocaine Craving Questionnaire-Brief. Most participants were male (83.6%), single (38.8%), and housed (100%). First use was motivated predominantly by curiosity (65.9%), peer influence (58.3%), and easy access (50.8%). Most (65.2%) reported polysubstance use. The longest period of abstinence attained was four years (1.5%), and most (46.2%) reported less than 30 days of abstinence. The stereotypes of extreme social vulnerability of crack users and high lethal and addiction potential of the crack were challenged by this study. Efforts are needed to better serve those missed by the treatment system.

摘要：本研究旨在明确巴西利亚地区因快克可卡因（crack cocaine）相关问题寻求治疗的门诊患者特征。共有132名接受心理服务的服务对象完成了《快克可卡因使用概况问卷（Profile of Crack Consumption Questionnaire）》与《可卡因渴求简明量表（Cocaine Craving Questionnaire-Brief）》。多数受访者为男性（83.6%）、未婚（38.8%）且拥有固定居所（100%）。首次使用快克可卡因的主要动机依次为好奇心驱使（65.9%）、同伴影响（58.3%）以及获取途径便捷（50.8%）。多数受访者（65.2%）报告存在多物质滥用行为。本次研究中，受访者达到的最长戒断时长为4年（占比1.5%），而近半数（46.2%）报告戒断时长不足30天。本研究驳斥了“快克可卡因使用者普遍处于极端社会弱势地位”以及“快克可卡因具有高成瘾性与高致死风险”的刻板印象。当前仍需付出更多努力，以更好地服务于未被现有治疗体系覆盖的人群。