Stowell R J, Estroff T W
Adolescent Program, Tidewater Psychiatric Institute, Virginia Beach, Va.
J Am Acad Child Adolesc Psychiatry. 1992 Nov;31(6):1036-40. doi: 10.1097/00004583-199211000-00006.
In a pilot study of 226 adolescents entering inpatient treatment because of a primary substance use disorder, 82% met DSM-III-R criteria for an Axis I psychiatric disorder. Of this population, 74% had two or more psychiatric disorders. Mood disorders were found in 61%, conduct disorders in 54%, and anxiety disorders in 43%. Substance induced organic mental disorders were found in 16%. The data argue strongly for the simultaneous evaluation of both substance use and psychiatric disorders in this type of adolescent population. The pilot study also demonstrates the relative frequency of dually diagnosed subgroups. The authors propose that the dual diagnosis subgrouping may have specific treatment implications involving a combined psychiatric and substance abuse treatment approach.
在一项针对226名因原发性物质使用障碍而接受住院治疗的青少年的试点研究中，82%符合轴I精神障碍的《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）标准。在这一群体中，74%患有两种或更多种精神障碍。发现61%患有情绪障碍，54%患有品行障碍，43%患有焦虑障碍。16%患有物质所致器质性精神障碍。这些数据有力地支持了对这类青少年群体同时进行物质使用和精神障碍评估。该试点研究还表明了双重诊断亚组的相对频率。作者提出，双重诊断亚组划分可能对治疗有特定影响，涉及精神科和药物滥用综合治疗方法。
