Hossain K J, Nandi A K, Karim M R, Haque M M, Kamal M M
Department of Health Education, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh.
Mymensingh Med J. 2012 Apr;21(2):251-8.
The aim of this study was to investigate mental illnesses among the substance abuse dependent populations. A total of 1076 substance abusers were recruited from the Outpatient Department of the Central Drug Addiction Treatment Center, Tejgaon, Dhaka from July 2008 to June 2009. They sought detoxification therapy voluntarily at this centre. The research participants were selected consecutively following the defined selection criteria. Research instruments were interviewer-administered questionnaire and standard mental state examination scales. Of the 1076 substance abusers, 82.6% had been using heroin currently and rest of them used phensedyl followed by injection drugs and cannabis with a period ranged 2-30 years. Results showed that 91.3% of the substance abusers had been suffering from insomnia and 75.0% had altered food habit. About 49.0% showed disturbed behaviors and 45.2% had been suffering from sexual dysfunctions. Around 32.0% of the substance abusers had been suffering from nonspecific generalized anxieties and 72.7% were found in abnormal mood/affects. A striking finding was that 7.3% of the substance abusers had been suffering from perceptual and/or thought disturbances. In conclusion, 7.3%-92.5% of the substance abusers had been suffering from mental illnesses. Insomnias, decreased intake of food and taste preference, irritable mood/affects, loss of interest in sex and non-specific anxieties were highly prevalent among them. Medical management and altering lifestyle are still the only applicable way to control this human catastrophe.
本研究的目的是调查药物滥用依赖人群中的精神疾病。2008年7月至2009年6月期间，从达卡Tejgaon中央药物成瘾治疗中心门诊部招募了1076名药物滥用者。他们在该中心自愿寻求戒毒治疗。研究参与者按照既定的选择标准连续入选。研究工具为访谈者实施的问卷和标准精神状态检查量表。在1076名药物滥用者中，82.6%目前使用海洛因，其余使用芬太尼，其次是注射药物和大麻，使用期限为2至30年。结果显示，91.3%的药物滥用者患有失眠，75.0%有饮食习惯改变。约49.0%表现出行为紊乱，45.2%患有性功能障碍。约32.0%的药物滥用者患有非特异性广泛性焦虑，72.7%存在情绪/情感异常。一个显著的发现是，7.3%的药物滥用者患有感知和/或思维障碍。总之，7.3% - 92.5%的药物滥用者患有精神疾病。失眠、食物摄入量减少和口味偏好、易怒情绪/情感、对性失去兴趣以及非特异性焦虑在他们中非常普遍。药物治疗和改变生活方式仍然是控制这一人为灾难的唯一适用方法。
