Díaz-Mesa Eva M, García-Portilla Paz, Fernández-Artamendi Sergio, Sáiz Pilar A, Bobes Bascarán Teresa, Casares María José, Fonseca Eduardo, Al-Halabí Susana, Bobes Julio
Área de Psiquiatría. Universidad de Oviedo Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM Instituto de Investigación en Neurociencias del Principado de Asturias, INEUROPA.
Adicciones. 2016 Jun 14;28(4):221-230. doi: 10.20882/adicciones.829.
Gender has been associated with substance use disorders (SUD). However, there are few studies that have evaluated gender differences in a global and a standardized way, and with a large sample of patients with SUD. Our goal is to analyze the role of gender in addiction severity throughout multiple life domains, using the Addiction Severity Index-6 (ASI-6). A naturalistic, multicenter and prospective study was conducted. A total of 221 patients with SUD (80.1% men) were interviewed with the ASI-6. Our results indicate that the Recent Summary Scores (RSSs) of men and women are similar, with the exception of Psychiatric and Partner- Problems, where women showed higher severity (p = .017 and p = .013, respectively). Statistically significant gender differences were found in certain aspects of the ASI-6 domains: men have more problems of physical health, legal issues, and alcohol and other substance use; and woman score higher in problems of mental health, social network, subjective evaluations of SUD consequences, and treatment needs. These results should be taken into account to improve the identification, prevention, and treatment of SUD.
性别与物质使用障碍（SUD）有关。然而，很少有研究以全球通用且标准化的方式，对大量物质使用障碍患者样本进行性别差异评估。我们的目标是使用成瘾严重程度指数-6（ASI-6）分析性别在多个生活领域成瘾严重程度中的作用。我们开展了一项自然主义、多中心的前瞻性研究。共有221名物质使用障碍患者（80.1%为男性）接受了ASI-6访谈。我们的结果表明，男性和女性的近期总结评分（RSS）相似，但在精神问题和伴侣问题方面除外，女性在这两方面的严重程度更高（分别为p = 0.017和p = 0.013）。在ASI-6领域的某些方面发现了具有统计学意义的性别差异：男性在身体健康、法律问题以及酒精和其他物质使用方面存在更多问题；而女性在心理健康、社交网络、对物质使用障碍后果的主观评估以及治疗需求方面得分更高。在改善物质使用障碍的识别、预防和治疗时应考虑这些结果。
