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女性的化学物质依赖。应对准确诊断和有效治疗的挑战。

Chemical dependency in women. Meeting the challenges of accurate diagnosis and effective treatment.

作者信息

Unger K B

出版信息

West J Med. 1988 Dec;149(6):746-50.

PMID:3074575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1026631/
Abstract

Women dependent on alcohol or prescribed or nonprescribed psychoactive drugs present special diagnostic challenges to physicians. Chemical dependency likewise has adverse effects on women who are nonusers through the disease of co-dependency. The natural history of chemical dependency in women includes sex-specific differences in presenting signs and symptoms. Collateral medical history may come from a variety of community sources. Diagnoses may also use sex-specific criteria, with simultaneous diagnoses of chemical dependency and co-dependency considered.

摘要

对酒精或处方及非处方精神活性药物有依赖的女性给医生带来了特殊的诊断挑战。药物依赖同样会通过共依赖疾病对非使用者女性产生不良影响。女性药物依赖的自然病史包括在症状和体征表现上的性别差异。间接病史可能来自各种社区来源。诊断也可采用针对性别的标准,同时考虑药物依赖和共依赖的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b406/1026631/cb1e37b32ad7/westjmed00136-0106-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b406/1026631/7f69c4412746/westjmed00136-0102-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b406/1026631/cb1e37b32ad7/westjmed00136-0106-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b406/1026631/7f69c4412746/westjmed00136-0102-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b406/1026631/cb1e37b32ad7/westjmed00136-0106-a.jpg

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引用本文的文献

1
A Psychiatric Residency Curriculum About Gender and Women's Issues.精神科住院医师培训课程:性别与女性问题。
Acad Psychiatry. 1995 Dec;19(4):187-201. doi: 10.1007/BF03341545.
2
Corrections.更正。
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本文引用的文献

1
Implications of family history of alcoholism, antisocial personality, and sex differences in alcohol dependence.酗酒家族史、反社会人格及酒精依赖中的性别差异的影响
Am J Psychiatry. 1984 Oct;141(10):1178-82. doi: 10.1176/ajp.141.10.1178.
2
Detecting alcoholism. The CAGE questionnaire.检测酒精成瘾。CAGE问卷。
JAMA. 1984 Oct 12;252(14):1905-7. doi: 10.1001/jama.252.14.1905.
3
Social control as an explanation of sex differences in substance use among adolescents.社会控制作为青少年物质使用中性别差异的一种解释。
NIDA Res Monogr. 1984 Mar;49:296-304.
4
The CAGE questionnaire: validation of a new alcoholism screening instrument.CAGE问卷:一种新型酒精中毒筛查工具的验证
Am J Psychiatry. 1974 Oct;131(10):1121-3. doi: 10.1176/ajp.131.10.1121.
5
Developmental patterns of the use of legal, illegal, and medically prescribed psychotropic drugs from adolescence to young adulthood.从青春期到青年期合法、非法及医学处方精神药物的使用发展模式。
NIDA Res Monogr. 1985;56:193-235.
6
Familial antecedents of adolescent drug use: a developmental perspective.青少年药物使用的家族成因:一种发展视角
NIDA Res Monogr. 1985;56:13-44.
7
Alcoholism and other drug addictions: a primary disease entity.酒精中毒及其他药物成瘾:一种原发性疾病实体。
J Med Assoc Ga. 1986 Aug;75(8):490-4.
8
Dietary factors and alcoholic cirrhosis.饮食因素与酒精性肝硬化
Alcohol Clin Exp Res. 1986 Jun;10(3):271-3. doi: 10.1111/j.1530-0277.1986.tb05088.x.
9
Somatization in primary care: patients with unexplained and vexing medical complaints.基层医疗中的躯体化:患有无法解释且令人困扰的医学主诉的患者。
J Gen Intern Med. 1988 Mar-Apr;3(2):177-90. doi: 10.1007/BF02596128.