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精神疾病患者的物质使用类型及物质使用障碍的预测因素——一项横断面研究。

Types of substance use and predictors of substance use disorders in patients suffering from psychiatric disorders - A cross sectional study.

作者信息

Ahmed Jaafar Omer

机构信息

Psychology Department, Faculty of Art, Soran University, Soran, Iraq.

Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.

出版信息

Ind Psychiatry J. 2024 Jul-Dec;33(2):327-333. doi: 10.4103/ipj.ipj_201_24. Epub 2024 Dec 17.

Abstract

BACKGROUND

The types of substances used by psychiatric patients in Iraq and the Middle East vary from other areas of the world. In this region, patients mostly use prescribed drugs.

AIM

This study aimed to investigate the types of substance use disorder (SUD) and their correlates among psychiatric patients in the Kurdistan region.

MATERIALS AND METHODS

The study was conducted on patients, who visited outpatient psychiatric consultation units in the Kurdistan region of Iraq within 6 months. In this study, two hundred fifty (250) adult patients of both genders diagnosed with psychiatric disorders were included.

RESULTS

Alcohol use disorder was diagnosed in 10 (4%) of cases; after that, the most commonly used substances were benzodiazepine and trihexyphenidyl, each of them positive in 7 (2.8%) of cases, followed by opiates in 4 (1.6%) cases and poly substances in 2 (0.8%) of the cases. The correlates of SUDs included male gender, divorced person, higher educational level, and being employed.

CONCLUSION

Psychiatric patients mostly use prescribed medications, especially benzodiazepines and trihexyphenidyl. Future research will be required to study the comorbidity between psychiatric disorders and SUDs in various groups and different settings.

摘要

背景

伊拉克和中东地区精神科患者使用的物质类型与世界其他地区不同。在该地区,患者大多使用处方药。

目的

本研究旨在调查库尔德地区精神科患者物质使用障碍(SUD)的类型及其相关因素。

材料与方法

该研究针对在6个月内前往伊拉克库尔德地区门诊精神科咨询单位就诊的患者进行。本研究纳入了250名诊断为精神障碍的成年男女患者。

结果

10例(4%)患者被诊断为酒精使用障碍;之后,最常使用的物质是苯二氮䓬类药物和苯海索,各有7例(2.8%)呈阳性,其次是阿片类药物4例(1.6%),多种物质使用2例(0.8%)。SUD的相关因素包括男性、离异者、较高教育水平和就业。

结论

精神科患者大多使用处方药,尤其是苯二氮䓬类药物和苯海索。未来需要开展研究,以探讨不同群体和不同环境下精神障碍与SUD之间的共病情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/832c/11784674/659415935809/IPJ-33-327-g001.jpg

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