Centre for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy, University of Hamburg, Martinistrasse 52, 20246 Hamburg, Germany.
World Psychiatry. 2005 Oct;4(3):173-6.
Numerous studies have pointed out the risks of cocaine use for mental health. Most clinical studies report a high psychiatric comorbidity, mainly among crack users. In this paper the association of mental health problems with sociodemographic variables and patterns of use is analysed, based on data from a multicentre European study including a field survey of cocaine users in different settings. Bivariate analyses revealed that mental health problems were influenced by all variables under consideration, i.e. age, gender, social situation, crack use, days with cocaine use in the past month, lifetime use of cocaine, severity of dependence, and physical health. However, in a regression analysis, intensity of use, physical health, severity of dependence and social situation were found to be predictors of mental health problems, while crack use by itself was not. These findings suggest that mental health consequences are related more to the intensity than to the form of cocaine use.
许多研究指出了可卡因使用对心理健康的风险。大多数临床研究报告了一种高精神共病性，主要发生在吸食快克可卡因的人群中。本文基于一项包括不同环境下可卡因使用者实地调查的多中心欧洲研究的数据，分析了心理健康问题与社会人口学变量和使用模式之间的关系。双变量分析显示，心理健康问题受到所有考虑因素的影响，即年龄、性别、社会状况、吸食快克可卡因、过去一个月可卡因使用天数、可卡因使用终身、依赖严重程度和身体健康。然而，在回归分析中，使用强度、身体健康、依赖严重程度和社会状况被发现是心理健康问题的预测因素，而快克可卡因本身并不是。这些发现表明，心理健康后果与可卡因使用的强度有关，而不是与使用形式有关。
