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轴 IV 精神心理问题在伴有精神障碍或心境障碍和合并大麻使用障碍的患者中。

Axis IV psychosocial problems among patients with psychotic or mood disorders with a cannabis use disorder comorbidity.

机构信息

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.

出版信息

Am J Addict. 2011 Nov-Dec;20(6):563-7. doi: 10.1111/j.1521-0391.2011.00184.x. Epub 2011 Oct 4.

DOI:10.1111/j.1521-0391.2011.00184.x
PMID:21999503
Abstract

Among 1,610 patients with psychotic or mood disorders in routine psychiatric practice, odds ratios (crude and adjusted for age, education, gender, and race) quantified associations between the presence of comorbid cannabis abuse/dependence and seven psychosocial problems. Results revealed a higher prevalence of five of seven Axis IV psychosocial problems among patients who had a psychotic or mood disorder and a comorbid cannabis use disorder. The results underscore the need for careful screening and treatment of comorbid cannabis abuse/dependence among patients with psychotic or mood disorders given the prominent associated psychosocial impairments in this population.

摘要

在常规精神科实践中,1610 名患有精神病或情绪障碍的患者中,出现合并症(未经年龄、教育、性别和种族调整的比值比)与七种社会心理问题之间存在关联的比值比。结果显示,在患有精神病或情绪障碍和合并症的患者中,七种轴 IV 社会心理问题中有五种的患病率更高。鉴于该人群中存在明显的相关社会心理障碍,这些结果强调了在精神病或情绪障碍患者中,需要仔细筛查和治疗合并症(如大麻滥用/依赖)。

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