McMillan Garnett P, Timken David S, Lapidus Jodi, C'de Baca Janet, Lapham Sandra C, McNeal Megan
Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation, Albuquerque, NM 87102, USA.
J Subst Abuse Treat. 2008 Apr;34(3):320-5. doi: 10.1016/j.jsat.2007.04.012. Epub 2007 Jul 5.
Repeat offenders for DUI are routinely mandated to undergo alcohol treatment. These individuals have been shown to have high rates of co-occurring psychiatric disorders, which can be important for the conduct and outcomes of alcohol treatment. The extent to which treatment providers are aware of these disorders and modify treatment accordingly is unknown. As part of a larger study to investigate the impact of sanction conditions on probation outcomes, we screened 233 patients for psychiatric conditions and compared the findings with the psychiatric conditions identified during mandatory treatment by independent treatment providers. Adjusted rates of underdiagnosis were commonly high: 97.2% of bipolar disorder cases, 67.5% of major depression cases, 100% of obsessive-compulsive disorder cases, and 37.3% of drug use disorder cases remained undiagnosed during treatment. Rates of overdiagnosis were low for all disorders, with the exception of drug use disorders. These rates of underdiagnosis represent missed opportunities to improve treatment outcomes among repeat DUI offenders.
酒驾惯犯通常被强制要求接受戒酒治疗。这些人已被证明同时患有精神疾病的比例很高，而这可能对戒酒治疗的实施和结果具有重要影响。治疗提供者对这些疾病的知晓程度以及相应调整治疗的程度尚不清楚。作为一项更大规模研究的一部分，该研究旨在调查制裁条件对缓刑结果的影响，我们对233名患者进行了精神疾病筛查，并将结果与独立治疗提供者在强制治疗期间确定的精神疾病情况进行了比较。调整后的漏诊率普遍较高：在治疗期间，97.2%的双相情感障碍病例、67.5%的重度抑郁症病例、100%的强迫症病例以及37.3%的药物使用障碍病例仍未被诊断出来。除药物使用障碍外，所有疾病的误诊率都很低。这些漏诊率意味着在改善酒驾惯犯的治疗结果方面错失了机会。
