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阿片类药物或甲基苯丙胺依赖患者子女的精神障碍发生率

Frequency of Psychiatric Disorders in Children of Opioid or Methamphetamine-Dependent Patients.

作者信息

Parvaresh Noushin, Mazhari Shahrzad, Nazari-Noghabi Maryam

机构信息

Associate Professor, Neurology Research Center AND Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Associate Professor, Neuroscience Research Center, Institute of Neuropsychopharmacology, Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Addict Health. 2015 Summer-Autumn;7(3-4):140-8.

Abstract

BACKGROUND

Addiction is one of the main problems of human societies, which is more common in developing countries. In addition, it causes to personal and social problems and family problem. The aim of this study was to examine the prevalence of psychiatric disorders in children 5-15 years old of opioid or methamphetamine dependence patients.

METHODS

For this study, three groups including: (1) children of parents addicted to opium, (2) children of parents addicted to methamphetamine, and (3) control group were examined. Child symptom inventory-4 (CSI-4) questionnaires completed by non-hospitalized guardian and control group; then make interviews with the children by the Kiddie-schedule for affective disorders and schizophrenia (K-SADS). Data were analyzed by chi-square test and ANOVA.

FINDINGS

Survey showed that the frequency of attention deficit hyperactivity disorder (ADHD), major depressive disorder (MDD), generalized anxiety disorder, obsessive-compulsive disorder, specific phobia (SP), and separation anxiety disorder in children of addicted parents were more than a non-addicted parent. However, there was no significant difference between the two groups in the frequency of conduct disorder, social phobia, and oppositional defiant disorders (ODDs).

CONCLUSION

Parental addiction can lead to an increase in some psychiatric disorders in the children. Therefore follow-up, early diagnosis, treatment, and prevention of these disorders in children of the drug-dependent parent are necessary to reduce health costs and improve the health system.

摘要

背景

成瘾是人类社会的主要问题之一,在发展中国家更为普遍。此外,它还会引发个人、社会和家庭问题。本研究的目的是调查5至15岁阿片类药物或甲基苯丙胺依赖患者子女中精神障碍的患病率。

方法

在本研究中,对三组人群进行了调查:(1)父母吸食鸦片成瘾的儿童;(2)父母吸食甲基苯丙胺成瘾的儿童;(3)对照组。由非住院监护人及对照组完成儿童症状量表-4(CSI-4)问卷;然后通过儿童情感障碍和精神分裂症量表(K-SADS)对儿童进行访谈。数据采用卡方检验和方差分析。

结果

调查显示,成瘾父母的子女中注意缺陷多动障碍(ADHD)、重度抑郁症(MDD)、广泛性焦虑症、强迫症、特定恐惧症(SP)和分离焦虑症的发生率高于非成瘾父母的子女。然而,两组在品行障碍、社交恐惧症和对立违抗障碍(ODD)的发生率上没有显著差异。

结论

父母成瘾会导致子女中某些精神障碍的增加。因此,对药物依赖父母的子女进行随访、早期诊断、治疗和预防这些障碍,对于降低医疗成本和改善卫生系统是必要的。

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