National Center for Posttraumatic Stress Disorder, VA Palo Alto Health Care System.
Center for Health Care Evaluation.
Psychol Serv. 2012 Nov;9(4):404-416. doi: 10.1037/a0027622. Epub 2012 May 7.
The present investigation sought to document current rates and trends of cannabis use disorder (CUD) diagnoses among patients of the Veterans Affairs Health Care System (VA) during fiscal years 2002, 2008, and 2009. Results indicated that the prevalence of CUD diagnoses within VA has increased more than 50% (from 0.66% to 1.05%) over the past 7 years. The prevalence of patients with a CUD diagnosis but no other illicit SUD diagnosis rose 115.41% (from 0.27% to 0.58%) during the same time period. States with laws allowing for the legal use of cannabis for medicinal purposes had significantly higher rates of Cannabis-Disorder diagnoses within VA in 2002, 2008, and 2009 (p < .01). Though rates of psychiatric diagnoses, and posttraumatic stress disorder (PTSD) specifically, were higher among patients with a Cannabis-Disorder diagnosis compared with other SUD groups (p < .001), rates of specialty SUD treatment utilization among those with a Cannabis-Disorder diagnosis have decreased within VA. Results indicate that interventions to motivate treatment engagement among patients with CUD, particularly among those with co-occurring psychological problems, are needed for Veterans.
本研究旨在记录退伍军人事务部医疗保健系统（VA）患者在 2002、2008 和 2009 财年期间大麻使用障碍（CUD）诊断的当前发生率和趋势。结果表明，VA 中 CUD 诊断的流行率在过去 7 年中增加了 50%以上（从 0.66%增加到 1.05%）。同时期，患有 CUD 诊断但无其他非法药物使用障碍诊断的患者比例上升了 115.41%（从 0.27%增加到 0.58%）。在 2002、2008 和 2009 年，允许出于医疗目的合法使用大麻的州的 VA 中大麻障碍诊断率显著更高（p<.01）。尽管与其他药物使用障碍组相比，患有大麻障碍诊断的患者的精神科诊断率（特别是创伤后应激障碍（PTSD））更高（p<.001），但 VA 中患有大麻障碍诊断的患者接受专业药物使用障碍治疗的比例有所下降。结果表明，退伍军人需要采取干预措施来激励患有 CUD 的患者，特别是那些伴有心理问题的患者，以促使他们接受治疗。
