Rounsaville B J, Kleber H D
Arch Gen Psychiatry. 1985 Nov;42(11):1072-7. doi: 10.1001/archpsyc.1985.01790340050008.
Treatment-seeking opiate addicts were compared with an untreated, community sample identified through the chain-referral technique. Community and treatment-seeking addicts were found to be comparable in duration and severity of opiate use and in current engagement in risky, illegal activities connected with procurement of drugs. However, community addicts reported more adequate social functioning, fewer drug-related legal problems, and lower rates of depressive disorders. Despite the comparatively less severe problems in current functioning, community addicts were found to be a substantially impaired group whose failure to seek help appeared more related to misunderstanding of the severity of their drug use and of treatment opportunities than to the lack of need for help.
将寻求治疗的阿片类药物成瘾者与通过连锁转介技术确定的未经治疗的社区样本进行了比较。发现社区成瘾者和寻求治疗的成瘾者在阿片类药物使用的持续时间和严重程度以及当前参与与毒品采购相关的危险、非法活动方面具有可比性。然而，社区成瘾者报告的社会功能更良好，与毒品相关的法律问题更少，抑郁症发病率更低。尽管目前功能方面的问题相对不那么严重，但社区成瘾者被发现是一个严重受损的群体，他们未能寻求帮助似乎更多地与对其药物使用严重程度和治疗机会的误解有关，而不是与不需要帮助有关。
