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墨西哥门诊成瘾治疗中心寻求治疗人群的特征。

Characteristics of a treatment-seeking population in outpatient addiction treatment centers in Mexico.

作者信息

Marín-Navarrete Rodrigo, Templos-Nuñez Liliana, Eliosa-Hernández Angélica, Villalobos-Gallegos Luis, Fernández-Mondragón José, Pérez-López Alejandro, Galván-Sosa Diana, Verdeja Rosa E, Alonso Elizabeth, Feaster Daniel J, Horigian Viviana E

机构信息

1Clinical Trials Unit on Addiction and Mental Health, Instituto Nacional de Psiquiatría Ramón de la Fuente , Mexico City , Mexico.

出版信息

Subst Use Misuse. 2014 Nov;49(13):1784-94. doi: 10.3109/10826084.2014.931972. Epub 2014 Jul 11.

Abstract

BACKGROUND

Baseline patients' characteristics are critical for treatment planning, as these can be moderators of treatment effects. In Mexico, information on treatment seekers with substance use disorders is scarce and limited to demographic characteristics.

OBJECTIVE

This paper presents and analyses demographic characteristics, substance use related problems, clinical features, and addiction severity in a sample of treatment seekers from the first multi-site randomized clinical trial implemented in the Mexican Clinical Trials Network on Addiction and Mental Health.

METHODS

A total of 120 participants were assessed prior randomization. Chi square or F-tests were used to compare sites across variables. Spearman correlation was used to associate negative consequences of substance use and motivation to change.

RESULTS

The majority of participants were men, and the most prevalent substances reported were alcohol, marijuana, and cocaine. Participants were predominantly on the contemplation or action stage of change, and this was correlated with the perception of the negative consequences associated with substance use. Participants reported a high prevalence of substance use related problems.

CONCLUSIONS

Substance use related problems, clinical features, and addiction severity reported by treatment seekers are important characteristics to take into account when planning treatment as they facilitate tailoring treatment to meet patients' needs.

摘要

背景

基线患者特征对于治疗规划至关重要,因为这些特征可能是治疗效果的调节因素。在墨西哥,关于有物质使用障碍的治疗寻求者的信息稀缺,且仅限于人口统计学特征。

目的

本文介绍并分析了墨西哥成瘾与心理健康临床试验网络实施的首个多中心随机临床试验中治疗寻求者样本的人口统计学特征、与物质使用相关的问题、临床特征和成瘾严重程度。

方法

在随机分组前对总共120名参与者进行了评估。使用卡方检验或F检验来比较各变量之间的试验点。使用斯皮尔曼相关性分析来关联物质使用的负面后果和改变动机。

结果

大多数参与者为男性,报告使用最多的物质是酒精、大麻和可卡因。参与者主要处于改变的沉思或行动阶段,这与对物质使用相关负面后果的认知相关。参与者报告与物质使用相关的问题普遍存在。

结论

治疗寻求者报告的与物质使用相关的问题、临床特征和成瘾严重程度是治疗规划时需要考虑的重要特征,因为它们有助于量身定制治疗方案以满足患者需求。

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