Douaihy Antoine B, Jou Roger J, Gorske Tad, Salloum Ihsan M
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
AIDS Read. 2003 Aug;13(8):375-82.
This review highlights the psychiatric, psychosocial, and substance use treatment issues relevant to the care of patients with triple diagnosis. A discussion of the various psychosocial and psychopharmacologic strategies stresses the importance of integrating medical, psychiatric, and substance use interventions. Components of integrated treatment include a collaborative relationship with various medical services involved in the patient's care, psychotherapeutic interventions tailored to the patient's readiness for change and incorporating motivational strategies, special attention to psychosocial needs, strong emphasis on psychoeducation, and psychopharmacologic management. More research is warranted to evaluate the safety and efficacy of psychopharmacologic and psychotherapeutic modalities in patients with triple diagnosis.
本综述重点介绍了与三重诊断患者护理相关的精神科、心理社会和物质使用治疗问题。对各种心理社会和精神药物治疗策略的讨论强调了整合医疗、精神科和物质使用干预措施的重要性。综合治疗的组成部分包括与参与患者护理的各种医疗服务建立协作关系、根据患者改变的意愿量身定制并纳入动机策略的心理治疗干预、对心理社会需求的特别关注、对心理教育的高度重视以及精神药物管理。需要进行更多研究来评估精神药物和心理治疗方式在三重诊断患者中的安全性和有效性。
