Solati Kamal, Hasanpour-Dehkordi Ali
Associate Professor, Department of Psychiatry, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Assistant Professor, Department of Medical-Surgical, Nursing and Midwifery Research Center, Faculty of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
J Clin Diagn Res. 2017 Jun;11(6):VC12-VC15. doi: 10.7860/JCDR/2017/24547.10021. Epub 2017 Jun 1.
Substance Use Disorders (SUDs) represents a serious problem in Iranian community that may lead to psychological disorders in families.
This study was conducted to investigate the association of SUDs with family members' psychological disorders.
The sample size of the study consisted of 724 people referred to a counseling and psychology clinic in Shahrekord, southwest Iran. For data gathering, random method was adopted. After the relationship was established with the patients during the counseling and their confidence was gained, development of SUDs and related effect on the referred patient's family members were investigated by a pre-developed checklist. The statistical tests used to analyse the data were chi-square, Fisher's exact test, and odds ratio.
The most frequent disorder noted was depression (40.5%) followed by generalized anxiety disorder (21%), minor interpersonal and children's behavioural problems (15%), and hysteria (8%). Depression, hysteria, and minor interpersonal and children's behavioural problems in the women and men were reported 48% vs. 20%, 9% vs. 5%, and 10% vs. 27%, respectively. A significant association was seen between SUDs in the patients' spouses and children as well as in their families, and gender, marital status, and occupation, but not place of residence and education.
An association was seen between the psychiatric disorders in the people referring the studied center and SUDs in their families. Addiction in family plays an important role in developing or recurring psychiatric disorders in other family members.
物质使用障碍(SUDs)在伊朗社区是一个严重问题,可能导致家庭出现心理障碍。
本研究旨在调查物质使用障碍与家庭成员心理障碍之间的关联。
本研究样本量为724人,他们均前往伊朗西南部设拉子的一家咨询与心理诊所就诊。采用随机方法收集数据。在咨询过程中与患者建立关系并获得他们的信任后,通过预先制定的清单调查物质使用障碍的发展情况及其对前来就诊患者家庭成员的相关影响。用于分析数据的统计检验方法有卡方检验、费舍尔精确检验和比值比。
最常见的障碍是抑郁症(40.5%),其次是广泛性焦虑症(21%)、轻微人际和儿童行为问题(15%)以及癔症(8%)。女性和男性中抑郁症、癔症以及轻微人际和儿童行为问题的报告比例分别为48%对20%、9%对5%、10%对27%。在患者配偶、子女及其家庭中的物质使用障碍与性别、婚姻状况和职业之间存在显著关联,但与居住地点和教育程度无关。
在所研究中心就诊的人群中的精神障碍与他们家庭中的物质使用障碍之间存在关联。家庭成瘾在其他家庭成员精神障碍的发生或复发中起重要作用。