Gawin F H, Kleber H D
Arch Gen Psychiatry. 1986 Feb;43(2):107-13. doi: 10.1001/archpsyc.1986.01800020013003.
Abstinence symptoms and psychiatric diagnoses were evaluated in 30 chronic cocaine abusers. Structured diagnostic interviews were done within an experimental design intended to maximize differentiation of enduring symptoms from symptoms linked to binges of cocaine use. Longitudinal evaluations showed a three-phase sequence of post-cocaine abuse abstinence symptoms. Over half the sample also met criteria for ed 3 DSM-III, axis I psychiatric disorders. The findings present specific implications for treatment design.
对30名慢性可卡因滥用者的戒断症状和精神疾病诊断进行了评估。在一项实验设计中进行了结构化诊断访谈，旨在最大程度地区分持久症状与与可卡因使用狂欢相关的症状。纵向评估显示了可卡因滥用后戒断症状的三个阶段序列。超过一半的样本也符合《精神疾病诊断与统计手册第三版》（DSM-III）轴I精神疾病的标准。这些发现对治疗设计具有特定的启示意义。
