Florida State University, Educational Psychology and Learning Systems, Tallahassee, FL 32306, USA.
Disabil Rehabil. 2010;32(16):1311-9. doi: 10.3109/09638280903514721.
To analyse the current state of the literature with respect to substance abuse and psychosocial adjustment in persons with disabilities.
The two primary databases containing the literature related to rehabilitation and disability issues (PsychINFO and MedLine) were searched to identify articles addressing the psychosocial impact of substance abuse in persons with disabilities. Eleven empirical articles specifically measuring the strength of the relationship between substance use and psychosocial outcomes in persons with disabilities were selected for analysis.
Of the studies identified, five were related to spinal cord injury, three were related to traumatic brain injury, one was related to chronic back pain, one was related to HIV/AIDS, and one was related to persons with any type of disability. Each of the studies used different methodologies, measured substance abuse in different ways, and examined different psychosocial outcome variables. Examination of trends suggested that pre-injury substance abuse appears to be unrelated to acceptance of disability in persons with spinal cord injury and negatively associated with satisfaction in persons with traumatic brain injury. Recent substance abuse tends to have a detrimental effect on psychosocial outcomes across all disability groups.
Future research, combined with appropriate pre-service and continuing education related to substance abuse and disability for rehabilitation practitioners, has the potential to lead to improved psychosocial outcomes in persons with disabilities.
分析有关残疾人士物质滥用和心理社会适应的文献现状。
检索了两个主要的康复和残疾问题文献数据库（PsychINFO 和 MedLine），以确定探讨残疾人士物质滥用对心理社会影响的文章。选择了 11 篇专门测量残疾人士物质使用与心理社会结果之间关系强度的实证文章进行分析。
在所确定的研究中，有 5 项与脊髓损伤有关，3 项与创伤性脑损伤有关，1 项与慢性背痛有关，1 项与艾滋病毒/艾滋病有关，1 项与任何类型的残疾有关。每项研究都使用了不同的方法，以不同的方式测量物质滥用，并检查了不同的心理社会结果变量。趋势分析表明，受伤前的物质滥用似乎与脊髓损伤患者对残疾的接受程度无关，与创伤性脑损伤患者的满意度呈负相关。最近的物质滥用对所有残疾群体的心理社会结果都有不利影响。
未来的研究，结合康复从业者有关物质滥用和残疾的适当职前和继续教育，有可能改善残疾人士的心理社会结果。
