Epidemiology Unit, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Curr Opin Psychiatry. 2012 May;25(3):187-93. doi: 10.1097/YCO.0b013e3283523d27.
The purpose of our review was to select, summarize and express opinions on a range of research studies published in 2011 on the clinical assessment, screening and monitoring of patients with substance use and psychiatric comorbidity, together with epidemiological and other relevant studies.
There was a wide range of publications on many aspects of comorbidity. The research was carried out on different populations in different treatment settings, including an alcohol and drug treatment centre, an emergency medical department, a community mental health centre, a methadone maintenance programme and inpatient unit, and in the community. Several structured or semi-structured interviews and self-administered instruments were used for the assessments of psychiatric disorders, substance use disorders and related problems. Each study has its strengths and weaknesses, with some studies reporting interesting new methodology or results, and others confirming what was already known about the subject.
The results of most studies support a high prevalence of substance misuse among individuals with psychiatric disorders and vice versa. Various aspects of the relationship between the two conditions are discussed.
本综述的目的是选择、总结并阐述 2011 年发表的关于物质使用和精神共病患者的临床评估、筛查和监测的一系列研究，以及流行病学和其他相关研究的结果。
共病的许多方面都有广泛的研究。这些研究是在不同的治疗环境下针对不同人群进行的，包括酒精和药物治疗中心、急诊医学部、社区心理健康中心、美沙酮维持治疗计划和住院病房，以及社区。一些结构化或半结构化访谈和自我管理工具用于评估精神障碍、物质使用障碍和相关问题。每项研究都有其优点和缺点，有些研究报告了有趣的新方法或结果，而另一些研究则证实了已知的主题。
大多数研究的结果支持精神障碍患者中有较高的物质滥用发生率，反之亦然。讨论了这两种情况之间关系的各个方面。
