Abbasi Layali N, Daradkeh Tewfik K, ElWasify Mohamed, Abassy Sanad
Faculty of Medicine, Al-Balqa Applied University, 19117, PO Box 206, As-Salt, Jordan.
Jordan University of Science and Technology, PO Box 3030, Irbid, 22110, Jordan.
Discov Ment Health. 2024 Nov 14;4(1):57. doi: 10.1007/s44192-024-00113-1.
The issue of substance use is increasingly being recognised as a significant global public health concern. In relation to its influence in the Arab world, scholarly investigation continues to be regarded as relatively constrained in scope. We aimed to investigate the prevalence of substance use among patients with psychiatric disorders, as well as the sociodemographic and clinical characteristics of this patient population. This cross-sectional study included 671 patients with psychiatric disorders who attended an outpatient private psychiatric clinic in Amman, Jordan, between January and May 2023. We compared the demographic and clinical characteristics of substance-using and non-substance-using patients. Bivariate and multiple binary logistic regression analyses were used to investigate factors associated with substance use.
The patients were aged 20-80 years, with a mean age of 32.45 ± 10.18 years. Most patients were men, more than half were single and unemployed, and mood disorders were the most prevalent psychiatric disorder. Male sex, a younger age, lower educational attainment, current unemployment, and having a family history of substance use were associated with substance use. Substance users exhibited a higher propensity for engaging in self-harming behaviours, having medical conditions, and being subjected to emotional trauma.
This study found that patients with psychiatric disorders are vulnerable to experiencing substance use. Clinicians should contemplate directing their attention towards patients as a strategy to proactively address the issue of emerging substance use and enhance overall treatment outcomes.
物质使用问题日益被视为一个重大的全球公共卫生问题。关于其在阿拉伯世界的影响，学术研究在范围上仍被认为相对有限。我们旨在调查精神疾病患者中物质使用的患病率，以及该患者群体的社会人口学和临床特征。这项横断面研究纳入了2023年1月至5月期间在约旦安曼一家私立精神科门诊就诊的671名精神疾病患者。我们比较了使用物质和不使用物质患者的人口学和临床特征。采用双变量和多元二元逻辑回归分析来研究与物质使用相关的因素。
患者年龄在20至80岁之间，平均年龄为32.45±10.18岁。大多数患者为男性，超过一半为单身且失业，情绪障碍是最常见的精神疾病。男性、年龄较小、教育程度较低、目前失业以及有物质使用家族史与物质使用有关。物质使用者表现出更高的自我伤害行为倾向、患有疾病以及遭受情感创伤。
本研究发现精神疾病患者易出现物质使用问题。临床医生应考虑将注意力转向患者，作为一种积极应对新出现的物质使用问题并提高整体治疗效果的策略。
