患有严重情绪障碍的青少年中物质滥用的患病率及其与其他精神疾病的共病情况。
Substance abuse prevalence and comorbidity with other psychiatric disorders among adolescents with severe emotional disturbances.
作者信息
Greenbaum P E, Prange M E, Friedman R M, Silver S E
机构信息
Research and Training Center for Children's Mental Health Florida Mental Health Institute, Tampa 33612-3899.
出版信息
J Am Acad Child Adolesc Psychiatry. 1991 Jul;30(4):575-83. doi: 10.1097/00004583-199107000-00008.
Among 547 adolescents with serious emotional disturbances, ages 12 to 18, this study assessed (1) prevalence of DSM-III substance use disorders (i.e., alcohol and marijuana abuse/dependence), and (2) comorbidity with DSM-III Axis I disorders. Factors of age, sex, state location, and type of treatment program also were examined. Data were analyzed by logistic regression. Significant factors (p less than 0.05) associated with severe alcohol or marijuana abuse/dependency diagnosis included (1) residential mental health treatment program, 2.37 Odds Ratio (OR); (2) conduct disorder diagnosis, 2.18 OR; (3) depression diagnosis, 1.75 OR; (4) states, 1.43 OR; (5) age, 1.29 OR; and (6) a depression x facility interaction, 1.91 OR.
在547名年龄在12至18岁之间有严重情绪障碍的青少年中，本研究评估了：（1）《精神疾病诊断与统计手册》第三版（DSM-III）中物质使用障碍（即酒精和大麻滥用/依赖）的患病率，以及（2）与DSM-III轴I障碍的共病情况。同时还考察了年龄、性别、所在州以及治疗项目类型等因素。数据通过逻辑回归进行分析。与严重酒精或大麻滥用/依赖诊断相关的显著因素（p<0.05）包括：（1）住院心理健康治疗项目，优势比（OR）为2.37；（2）品行障碍诊断，OR为2.18；（3）抑郁症诊断，OR为1.75；（4）所在州，OR为1.43；（5）年龄，OR为1.29；以及（6）抑郁症与治疗机构的交互作用，OR为1.91。
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