Polcin Douglas L, Buscemi Raymond, Nayak Madhabika, Korcha Rachael, Galloway Gantt
Alcohol Research Group Public Health Institute 6475 Christie Avenue, Suite 400 Emeryville, CA 94608-1010 Phone (510) 597-3440 Fax (510) 985-6459.
Addict Disord Their Treat. 2012 Jun 1;11(2):53-63. doi: 10.1097/ADT.0b013e3182213ef1.
Although psychiatric symptoms among methamphetamine (MA) dependent individuals have been studied in treatment programs, they have not been examined in services designed to support sustained recovery in the community (e.g. sober living houses). In addition, some disorders more common among women, such as somatoform and bulimia, have been understudied among MA dependent individuals. This study aimed to examine psychiatric symptom differences between MA dependent men and women who we entering sober living houses (SLHs).
Two hundred forty five individuals were interviewed within one week of entering SLHs. Instruments included a DSM IV based measure for MA dependence, a psychiatric screen (the Psychiatric Diagnostic Screening Questionnaire), demographics, recent substance use and recent use of services.
Of the 245 participants, 103 men and 25 women met criteria for MA dependence. Womenwith MA dependence reported more psychiatric symptoms than men. They also trended toward reporting more psychiatric symptoms than non-MA dependent women. For men, psychiatric symptoms did not vary between those with and without MA dependence. Some understudied disorders (e.g., somatoform) had large proportions of women meeting the screening criteria.
Additional research is needed on understudied psychiatric disorders that are common among MA dependent women. SLH's should consider ways to address psychiatric symptoms among MA dependent individuals, especially women. Strategies could include increasing linkages with professional mental health services as well as developing peer oriented strategies for managing symptoms.
虽然已经在治疗项目中对甲基苯丙胺(MA)依赖者的精神症状进行了研究,但尚未在旨在支持社区持续康复的服务机构(如戒酒康复之家)中进行考察。此外,一些在女性中更常见的疾病,如躯体形式障碍和贪食症,在MA依赖者中研究较少。本研究旨在考察入住戒酒康复之家(SLH)的MA依赖男性和女性之间的精神症状差异。
245名个体在入住SLH的一周内接受了访谈。工具包括基于《精神疾病诊断与统计手册》第四版(DSM-IV)的MA依赖测量工具、精神科筛查(精神科诊断筛查问卷)、人口统计学信息、近期物质使用情况和近期服务使用情况。
在245名参与者中,103名男性和25名女性符合MA依赖标准。MA依赖的女性报告的精神症状比男性更多。她们报告的精神症状也有多于非MA依赖女性的趋势。对于男性,有MA依赖和无MA依赖者的精神症状没有差异。一些研究较少的疾病(如躯体形式障碍)有很大比例的女性符合筛查标准。
需要对MA依赖女性中常见但研究较少的精神疾病进行更多研究。戒酒康复之家应考虑如何解决MA依赖者,尤其是女性的精神症状问题。策略可包括加强与专业心理健康服务的联系以及制定面向同伴的症状管理策略。