Maremmani Icro, Pacini Matteo, Pani Pier Paolo, Perugi Giulio, Deltito Joseph, Akiskal Hagop
Vincent P. Dole Dual Diagnosis Group, Santa Chiara University Hospital, Department of Psychiatry PNB, University of Pisa, Italy.
Ann Gen Psychiatry. 2007 Nov 13;6:31. doi: 10.1186/1744-859X-6-31.
Mental symptoms are common in heroin addiction and may arise from issues of addiction and withdrawal, raising doubts about the patients truly having co-morbid psychiatric diagnoses.
We studied the mental status of 1090 heroin addicts (831 males and 259 females aged between 16 and 51 years) at the beginning of treatment, and its relationship to relevant demographic and clinical data through the use of standardised instruments.
A total of 506 (46.42%) heroin addicts showed depressive-anxious symptomatology, 421 (38.62%) had psychomotor excitement and 163 (14.95%) demonstrated a psychotic state. Patients with depressive-anxious symptomatology on the whole had a less severe addictive illness compared to those demonstrating excited and psychotic symptoms. The presence of depressive-anxious features was felt to not necessarily be indicative of the presence of a dual diagnosis.
The presence of depressive-anxious symptomatology in the clinical presentation in heroin addicts appears to be unrelated to 'dual diagnosis'.
精神症状在海洛因成瘾者中很常见，可能源于成瘾和戒断问题，这使得人们怀疑患者是否真的患有共病性精神疾病诊断。
我们在治疗开始时研究了1090名海洛因成瘾者（831名男性和259名女性，年龄在16至51岁之间）的精神状态，并通过使用标准化工具研究了其与相关人口统计学和临床数据的关系。
共有506名（46.42%）海洛因成瘾者表现出抑郁焦虑症状，421名（38.62%）有精神运动性兴奋，163名（14.95%）表现出精神病状态。与表现出兴奋和精神病症状的患者相比，有抑郁焦虑症状的患者总体上成瘾疾病较轻。抑郁焦虑特征的存在不一定表明存在双重诊断。
海洛因成瘾者临床表现中抑郁焦虑症状的存在似乎与“双重诊断”无关。
