Abel Kristine Fiksdal, Skjærvø Ingeborg, Ravndal Edle, Clausen Thomas, Bramness Jørgen G
a Department of Clinical Medicine, Norwegian Centre for Addiction Research (SERAF), Faculty of Medicine , University of Oslo , Oslo , Norway.
b Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders , Innlandet Hospital Trust , Hamar , Norway.
Subst Use Misuse. 2018 Jul 29;53(9):1454-1462. doi: 10.1080/10826084.2017.1413114. Epub 2018 Jan 5.
Levels of mental distress are high in patients with substance use disorders (SUD) and investigation of correlates may broaden our understanding of this comorbidity.
We investigated self-reported symptoms of mental distress among individuals entering either outpatient opioid maintenance treatment (OMT) or other inpatient SUD treatment and related factors, with a particular focus on perceived self-control.
A cross-sectional study including substance users (n = 548; mean age 34 years; 27% women) entering treatment at 21 different treatment-centers across Norway, interviewed between December 2012 and April 2015. Symptoms of mental distress were assessed with Global Symptom Index (GSI) score. Adjusted relative risk ratios (RRR) with 95% confidence intervals (CI) were estimated through multinomial logistic regression.
More than half of the participants in both treatment groups reported mental distress (GSI) above clinical cut-off. The use of alcohol and exposure to violence were associated with increased likelihood of high GSI for both patient groups. Also, lower perceived self-control was related to high GSI in both treatment groups.
Symptoms of mental distress were equally common among patients entering OMT and those entering other inpatient SUD treatment, even if the patients differed on a number of clinical characteristics. Use of alcohol and exposure to violence were associated with more mental distress in both groups. Perceived self-control also appeared to be important when explaining symptoms of mental distress among these SUD patients.
物质使用障碍（SUD）患者的心理困扰程度较高，对相关因素的调查可能会拓宽我们对这种共病的理解。
我们调查了进入门诊阿片类药物维持治疗（OMT）或其他住院SUD治疗的个体自我报告的心理困扰症状及相关因素，特别关注感知到的自我控制。
一项横断面研究，纳入了在挪威21个不同治疗中心接受治疗的物质使用者（n = 548；平均年龄34岁；27%为女性），于2012年12月至2015年4月期间进行访谈。使用全球症状指数（GSI）评分评估心理困扰症状。通过多项逻辑回归估计调整后的相对风险比（RRR）及95%置信区间（CI）。
两个治疗组中超过一半的参与者报告其心理困扰（GSI）高于临床临界值。饮酒和遭受暴力与两组患者GSI升高的可能性增加相关。此外，较低的感知自我控制与两个治疗组的高GSI相关。
进入OMT的患者和进入其他住院SUD治疗的患者中，心理困扰症状同样常见，即使患者在一些临床特征上存在差异。饮酒和遭受暴力与两组患者更多的心理困扰相关。在解释这些SUD患者的心理困扰症状时，感知自我控制似乎也很重要。
