Cruce Gunilla, Nordström Lars G, Ojehagen Agneta
Department of Clinical Sciences, Lund Psychiatry and the Vardal Institute, Lund University Hospital, Kioskgatan 19, Lund, SE-221 85, Sweden.
Nord J Psychiatry. 2007;61(2):92-9. doi: 10.1080/08039480701226062.
The use of screening instruments has been proposed to facilitate identification of risky substance use and misuse. This study aims to investigate the use of a screening procedure to identify hazardous or harmful use of alcohol, drug-related problems and riskful use of cigarettes in a clinical psychosis setting. The use of alcohol, drugs and cigarettes was examined by three self-reporting instruments: Alcohol Use Disorders Identification Test (AUDIT), Drug Use Disorders Identification Test (DUDIT) and Fagerström Test for Nicotine Dependence (FTND). Two hundred and forty-one out of 374 patients (64%) took part in the investigation. Eighteen per cent had a hazardous or harmful alcohol use, 9% drug-related problems and 49% were smokers. Multivariate analyses showed that women, as well as smokers had an increasing risk of having drug-related problems. The use of screening questionnaires increases the awareness that risky use of alcohol, drugs and cigarettes is common among persons with psychosis. Many persons with psychosis used alcohol, drugs and cigarettes in a risky way. It is important to identify these problems to make proper interventions due to the negative medical and social consequences of this use. Such identification may be facilitated by use of screening instruments.
有人提议使用筛查工具来帮助识别危险物质的使用和滥用情况。本研究旨在调查在临床精神病环境中使用一种筛查程序来识别酒精的有害或危险使用、与药物相关的问题以及香烟的危险使用情况。通过三种自我报告工具对酒精、药物和香烟的使用情况进行了检查：酒精使用障碍识别测试（AUDIT）、药物使用障碍识别测试（DUDIT）和尼古丁依赖的法格斯特伦测试（FTND）。374名患者中有241名（64%）参与了调查。18%的人有有害或危险的酒精使用情况，9%的人有与药物相关的问题，49%的人是吸烟者。多变量分析表明，女性以及吸烟者出现与药物相关问题的风险增加。使用筛查问卷提高了人们对酒精、药物和香烟的危险使用在精神病患者中很常见这一认识。许多精神病患者以危险的方式使用酒精、药物和香烟。由于这种使用会带来负面的医学和社会后果，识别这些问题以便进行适当干预很重要。使用筛查工具可能有助于这种识别。
