Novins Douglas K, Fickenscher Alexandra, Manson Spero M
The National Center for American Indian and Alaska Native Mental Health Research, University of Colorado Health Sciences Center, Aurora, CO 80045, USA.
J Subst Abuse Treat. 2006 Jun;30(4):275-84. doi: 10.1016/j.jsat.2005.12.005.
The goal of this study was to describe the prevalence of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) psychiatric disorders among a sample of American Indian (AI) adolescents in residential substance abuse treatment. Data on 89 AI adolescents admitted to a tribally operated residential substance abuse treatment program were collected. Participants reported using a mean of 5.26 substances; 20% percent met DSM-IV criteria for four or more substance use disorders. Marijuana abuse/dependence was the most common substance use disorder (84.3%). Eighty-two percent met criteria for at least one DSM-IV nonsubstance use disorder, the most common of which was conduct disorder (74.2%). These results suggest strong diagnostic parallels between these AI adolescents and their non-AI counterparts who have participated in similar studies, including the considerable diagnostic complexity that was common among the participants in this study. These diagnostic patterns suggest that emerging practices for treating substance-abusing adolescents that have been developed for use with non-AI adolescents warrant consideration for use with AI youths.
本研究的目的是描述美国印第安（AI）青少年样本在住院药物滥用治疗中精神障碍诊断与统计手册（DSM-IV）精神疾病的患病率。收集了89名入住部落运营的住院药物滥用治疗项目的AI青少年的数据。参与者报告平均使用5.26种物质；20%符合DSM-IV中四种或更多物质使用障碍的标准。大麻滥用/依赖是最常见的物质使用障碍（84.3%）。82%符合至少一种DSM-IV非物质使用障碍的标准，其中最常见的是品行障碍（74.2%）。这些结果表明，这些AI青少年与参与类似研究的非AI青少年之间存在很强的诊断相似性，包括本研究参与者中常见的相当大的诊断复杂性。这些诊断模式表明，为非AI青少年开发的新兴药物滥用青少年治疗方法值得考虑用于AI青少年。
