Charzyńska Katarzyna, Sawicka Maryla, Osuchowska Anna, Chadzyńska Małgorzata, Giguere Marta, Kasperek-Zimowska Beata, Bronowski Paweł
Psychiatr Pol. 2013 Nov-Dec;47(6):989-1000.
The aim of the present study was to compare socio-demographic and clinical profile of the inpatients with dual diagnosis in Warsaw with the profile of inpatients treated in other European centres.
50 patients consecutively admitted in Warsaw were included in the study; total number of patients recruited from 7 European centers was 352. Recruitment was conducted in general inpatient psychiatric departments and specialized dual diagnosis inpatient wards. Data was collected during single interview with the use of M.I.N.I and EuropAsi questionnaires.
Both in Warsaw and overall study population males constituted almost 2/3 of the group. Patients in Warsaw were more frequently living with relatives or other close persons as well as remained in intimate relationships in comparison to patients from other study sites. Depression was the most common diagnosis in Warsaw and it was significantly more often found it this center than in Tampere. Moreover, patients in the Warsaw group were significantly less frequently diagnosed with cannabis use disorder and more frequently - with tranquillizers use disorder.
The differences among sites regarding socio- demographic and clinical profiles of dual diagnosis patients were due to both socio-cultural factors (e.g. psychoactive substances accessibility) and the research methodology.
本研究旨在比较华沙双重诊断住院患者的社会人口学和临床特征与其他欧洲中心住院患者的特征。
本研究纳入了华沙连续收治的50名患者;从7个欧洲中心招募的患者总数为352名。招募在普通住院精神科和专门的双重诊断住院病房进行。数据通过使用M.I.N.I和EuropAsi问卷在单次访谈中收集。
在华沙和整个研究人群中,男性几乎占该组的2/3。与其他研究地点的患者相比,华沙的患者更经常与亲属或其他亲近的人住在一起,并且保持亲密关系。抑郁症是华沙最常见的诊断,在该中心发现抑郁症的频率明显高于坦佩雷。此外,华沙组患者被诊断为大麻使用障碍的频率明显较低,而被诊断为镇静剂使用障碍的频率较高。
双重诊断患者在社会人口学和临床特征方面的地点差异是由社会文化因素(如精神活性物质的可及性)和研究方法共同导致的。