Gomez M B, Primm A B, Tzolova-Iontchev I, Perry W, Vu H T, Crum R M
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Community Ment Health J. 2000 Aug;36(4):351-62. doi: 10.1023/a:1001904811379.
In this report, we describe patients' perceptions of the chronological occurrence of their mental illness and substance abuse. The patients were enrolled in a community mental health center and received dual diagnosis treatment from an affiliated psychiatric rehabilitation program. Using a questionnaire designed to address this issue, we assessed patients' perceptions of support currently being received at the treatment program and how beneficial they perceived this support to be. In addition, we assessed why substance use was a coping strategy in times of perceived stress early in life and whether this behavior has changed to date. Assessing the perception of the sequence of co-occurring disorders among patients enables us to better understand the factors that precipitate substance use and exacerbate mental illness. This knowledge may aid in the design of effective treatment strategies for this population of patients.
在本报告中，我们描述了患者对其精神疾病和药物滥用按时间顺序发生情况的认知。这些患者在社区心理健康中心登记，并接受了附属精神康复项目的双重诊断治疗。我们使用一份旨在解决该问题的问卷，评估了患者对当前在治疗项目中所获得支持的认知，以及他们认为这种支持有多大益处。此外，我们评估了为何在生命早期感知到压力时物质使用会成为一种应对策略，以及这种行为至今是否发生了变化。评估患者对共病障碍发生顺序的认知，能使我们更好地理解促使物质使用及加重精神疾病的因素。这些知识可能有助于为这类患者群体设计有效的治疗策略。
