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甲基苯丙胺对伊拉克患者心理社会变量的影响。

The impact of methamphetamine on psychosocial variables in patients from Iraq.

作者信息

Abbass Marwah, Al-Hemiary Nesif, Sahib Hayder B

机构信息

Iraqi Board for Medical Specialities, Baghdad, Iraq.

出版信息

Front Psychiatry. 2024 May 8;15:1376636. doi: 10.3389/fpsyt.2024.1376636. eCollection 2024.

Abstract

BACKGROUND

The current work reviews the psychosocial factors associated with different urinary methamphetamine concentration levels.

METHODS

From April to November 2023, 243 participants from Baghdad's Al-Ataa Hospital were the subjects of a cross-sectional descriptive analysis study. We included 73 patients in this study.

RESULT

The urinary methamphetamine concentration levels were from 3 to 92,274 ng/ml, with a mean ± SD of 10,873.6 ± 18,641. Patients diagnosed with major depression disorder exhibited higher scores on GHQ-30, UCLA, MOAS, and BDI-II with a significant -value of 0.0001, 0.001, 0.0001, and 0.0001, consequently with an effect size of 0.015, 0.001, 1.05, and 3.24, respectively.

CONCLUSIONS

The multi-screening test can produce a false positive. It frequently interferes with other drugs, especially antidepressants. This will result in patients being stigmatized and accused. On the other hand, those who accidentally come into contact with crystal smoke will experience the same withdrawal symptoms as the addicted patients. Their urinary methamphetamine level (titer) could have negative results. Urinary methamphetamine levels should be zero in healthy patients. In this situation, screening tests, expert opinion, and urine methamphetamine testing are strongly recommended.

摘要

背景

当前研究回顾了与不同尿液甲基苯丙胺浓度水平相关的社会心理因素。

方法

2023年4月至11月,对巴格达阿塔医院的243名参与者进行了横断面描述性分析研究。本研究纳入了73名患者。

结果

尿液甲基苯丙胺浓度水平为3至92,274纳克/毫升,平均值±标准差为10,873.6±18,641。被诊断为重度抑郁症的患者在GHQ - 30、UCLA、MOAS和BDI - II上得分较高,p值分别为0.0001、0.001、0.0001和0.0001,效应大小分别为0.015、0.001、1.05和3.24。

结论

多重筛查测试可能会产生假阳性。它经常干扰其他药物,尤其是抗抑郁药。这将导致患者被污名化和被指责。另一方面,那些偶然接触冰毒烟雾的人会出现与成瘾患者相同的戒断症状。他们的尿液甲基苯丙胺水平(滴度)可能呈阴性结果。健康患者的尿液甲基苯丙胺水平应为零。在这种情况下,强烈建议进行筛查测试、专家意见和尿液甲基苯丙胺检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f624/11109410/8c5e06ce4d97/fpsyt-15-1376636-g001.jpg

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