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[物质滥用与精神病的共病。一项多中心研究的结果]

[Comorbidity of substance abuse and psychosis. Results of a multicenter study ].

作者信息

Matuszka Balázs, Gerevich József

机构信息

Pázmány Péter Katolikus Egyetem, Bölcsészettudományi Kar, Pszichológiai Intézet, Piliscsaba, Hungary.

出版信息

Psychiatr Hung. 2009;24(6):414-27.

Abstract

The comorbidity of psychotic disorders and substance misuse disorder (SUD) is a well known and documented phenomenon. The aim of the present study was to find an answer to the question whether among the known Hungarian drug addicts how severe are the occurrence of the psychotic symptoms. The study sample consisted 194 out of 200 clinically treated drug addicts. The instruments used for the investigation were the European Adolescent Assessment Dialogue (Euro ADAD) and the Symptom Checklist 90 Revised (SCL 90-R). The most important findings suggest that the clinically relevant psychotic states were quite rare. The highest values of PSY subscale were associated with dependent people on the "other drugs" (hallucinogens, solvents), cocaine, alcohol and heroin. The correlation between the values of the subscale and the usage of the ambulant or hospital form of mental health care was not too strong, yet significant.

摘要

精神障碍与物质使用障碍(SUD)的共病是一个广为人知且有文献记载的现象。本研究的目的是回答以下问题:在匈牙利已知的吸毒成瘾者中,精神症状的发生率有多严重。研究样本包括200名接受临床治疗的吸毒成瘾者中的194人。用于调查的工具是欧洲青少年评估对话(Euro ADAD)和症状自评量表90修订版(SCL 90-R)。最重要的研究结果表明,具有临床相关性的精神状态相当罕见。PSY分量表的最高值与对“其他毒品”(致幻剂、溶剂)、可卡因、酒精和海洛因有依赖的人有关。分量表的值与门诊或住院形式的精神卫生保健使用情况之间的相关性虽不太强,但具有显著性。

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