Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, California 90095, USA.
Subst Use Misuse. 2012 Jan;47(1):99-107. doi: 10.3109/10826084.2011.629705. Epub 2011 Nov 8.
We conducted a cross-sectional study investigating the extent of addictive disorders within a workers' compensation (WC) clinic. We also examined the feasibility of substance abuse screening within the same clinic. In 2009 , 100 patients were asked to complete the World Health Organization's Alcohol, Smoking, Substance Involvement Screening Test (WHO-ASSIST) and the Current Opioid Misuse Measure (COMM). According to the WHO-ASSIST, we found that 46% of WC patients required intervention for at least one substance-related disorder (25% tobacco, 23% sedatives, 8% opioids), and according to the COMM, 46% screened positive for prescription opioid misuse. Importantly, the addition of this screening was brief, economical, and well accepted by patients. Further research should analyze the costs and benefits of detection and intervention of substance-related disorders in this setting.
我们进行了一项横断面研究，调查了工人赔偿（WC）诊所中成瘾障碍的程度。我们还研究了在同一诊所进行药物滥用筛查的可行性。2009 年，我们要求 100 名患者完成世界卫生组织的酒精、吸烟、物质使用筛查测试（WHO-ASSIST）和当前阿片类药物滥用测量（COMM）。根据 WHO-ASSIST，我们发现 46%的 WC 患者至少需要干预一种与物质相关的障碍（25%的烟草，23%的镇静剂，8%的阿片类药物），根据 COMM，46%的患者对处方阿片类药物滥用呈阳性。重要的是，这种筛查方法简便、经济，并且被患者所接受。进一步的研究应该分析在这种情况下发现和干预与物质相关的障碍的成本和效益。
