Righetti V, Favrod-Coune T
Service de médecine de premier recours Departement de medecine communautaire et de premier recours HUG, 1211 Geneve 14.
Rev Med Suisse. 2010 Sep 29;6(264):1821-5.
There is ample evidence for the interest of screening for psycho-active substance use in primary care, coupled with a brief intervention. The screening can be done during the medical consultation (focusing on frequency and quantity of substance use, loss of control and medical and psychosocial consequences) or with standardised screening instruments. The use of a questionnaire can be helpful for the physician. This article describes some validated questionnaires that allow a rapid and non-stigmatising screening for use of one or several substances. The ASSIST questionnaire, developed by WHO, accessible online, can be particularly useful; it allows the screening, evaluation and orientation for substance use and related problems in primary and general medical care settings.
有充分证据表明,在初级保健中对精神活性物质使用情况进行筛查并辅以简短干预是有意义的。筛查可以在医疗咨询期间进行(关注物质使用的频率和数量、失控情况以及医学和心理社会后果),也可以使用标准化筛查工具。使用问卷对医生会有所帮助。本文介绍了一些经过验证的问卷,这些问卷可以快速且无污名化地筛查一种或多种物质的使用情况。世界卫生组织开发的ASSIST问卷可在线获取,可能特别有用;它可用于在初级和普通医疗环境中对物质使用及相关问题进行筛查、评估和指导。