Cuffel B J
Institute for Medical Health Services Research, Western Consortium for Public Health, Berkeley, California 94704-1103.
J Nerv Ment Dis. 1992 Sep;180(9):589-92; discussion 593-6. doi: 10.1097/00005053-199209000-00008.
Published estimates of the prevalence of substance abuse in schizophrenia were correlated with several aspects of the studies in which they were obtained. Higher estimates of alcohol and stimulant abuse were found in studies published more recently. Rates of alcohol abuse were particularly high in one rural investigation. Rates of stimulant abuse were highest when patients were asked directly about use of stimulants. Increased prevalence estimates in more recent years could not be attributed to method of assessing substance abuse, method of defining substance abuse, or characteristics of the study sample.
已发表的精神分裂症患者物质滥用患病率的估计值与获取这些估计值的研究的几个方面相关。在最近发表的研究中,酒精和兴奋剂滥用的估计值更高。在一项农村调查中,酒精滥用率尤其高。当直接询问患者是否使用兴奋剂时,兴奋剂滥用率最高。近年来患病率估计值的增加不能归因于物质滥用的评估方法、物质滥用的定义方法或研究样本的特征。