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双重诊断:家族史的影响

Dual diagnosis: impact of family history.

作者信息

Comtois Katherine Anne, Tisdall W Alec, Holdcraft Laura C, Simpson Tracy

机构信息

Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98104, USA.

出版信息

Am J Addict. 2005 May-Jun;14(3):291-9. doi: 10.1080/10550490590949479.

DOI:10.1080/10550490590949479
PMID:16019979
Abstract

Psychiatric outpatients with severe and persistent mental illness and a current or past substance use disorder (N = 89) were interviewed. Information from the Family Informant Schedule and Criteria was configured in three ways to capture the degree of familial substance abuse: biological parents only, all first-degree biological relatives, and all caregivers. All three configurations predicted the severity of lifetime drug abuse on the Inventory of Drug Use Consequences, controlling for any gender and non-substance-related Axis I diagnosis. Differences in means represent low to very low substance abuse severity for those without family history and low to medium severity for those with family history. The clinical implications are discussed.

摘要

对89名患有严重且持续性精神疾病以及当前或过去存在物质使用障碍的精神科门诊患者进行了访谈。来自《家庭 informant 日程表和标准》的信息以三种方式进行整理,以获取家族性物质滥用的程度:仅亲生父母、所有一级血亲以及所有照料者。在控制了任何性别和与物质无关的轴I诊断后,所有这三种整理方式都预测了《药物使用后果量表》上终生药物滥用的严重程度。均值差异表明,无家族病史者的物质滥用严重程度为低至极低,有家族病史者的物质滥用严重程度为低至中等。文中讨论了其临床意义。

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Impact of Family History in Persons With Dual Diagnosis.
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