Majer John M, Jason Leonard A, Ferrari Joseph R, North Carol S
Department of Psychology, DePaul University, Chicago, IL 60614, USA.
Addict Behav. 2002 Sep-Oct;27(5):837-45. doi: 10.1016/s0306-4603(01)00214-3.
This study used a structured diagnostic interview to investigate the prevalence of psychiatric comorbidity among 29 men and 23 women substance abusers residing in 1 of 11 Oxford House communities located within a Midwestern metropolitan area. The Diagnostic Interview Schedule (DIS) was used to measure current and lifetime DSM-III-R diagnosis in addition to sociodemographic and substance abuse information. Considerable psychiatric comorbidity was present. Antisocial personality (ASP) disorder, affective disorders, and anxiety disorders were the most frequently observed comorbid disorders among these substance abusers, whose drugs of choice were cocaine, alcohol, and cannabis. Chi-square and t tests revealed diverse psychiatric diagnoses and variability of client characteristics, demonstrating heterogeneity within this sample of substance abusers. Gender differences were identified on several client characteristics as well. Peer social support was the most common reason why participants entered an Oxford House. Outcome measures at 6 months found that 42% of participants was still residing in an Oxford House while 27% left on good terms, demonstrating a 69% overall success rate among participants in this study. Implications of this study suggest that substance abusers with psychiatric comorbidity are heterogeneous groups that benefit from living in an Oxford House.
本研究采用结构化诊断访谈，对居住在中西部大都市地区11个牛津之家社区之一的29名男性和23名女性药物滥用者的精神疾病共病患病率进行了调查。除社会人口统计学和药物滥用信息外，还使用诊断访谈表（DIS）来测量当前和终生的DSM-III-R诊断。存在相当多的精神疾病共病情况。反社会人格（ASP）障碍、情感障碍和焦虑障碍是这些药物滥用者中最常观察到的共病障碍，他们选择的药物是可卡因、酒精和大麻。卡方检验和t检验揭示了不同的精神疾病诊断和客户特征的变异性，表明该药物滥用者样本具有异质性。在几个客户特征上也发现了性别差异。同伴社会支持是参与者进入牛津之家的最常见原因。6个月时的结果测量发现，42%的参与者仍居住在牛津之家，而27%的人友好离开，表明本研究中参与者的总体成功率为69%。本研究的意义表明，患有精神疾病共病的药物滥用者是异质群体，他们从居住在牛津之家中受益。
