天然鸦片使用者与海洛因使用者的物质使用障碍严重程度比较。
A comparison of the severity of substance use disorder in patients with natural opium use versus heroin use.
作者信息
Swami Mukesh Kumar, Sarkar Siddharth, Nebhinani Naresh, Bhad Roshan, Rajpurohit Surendra Singh, Sood Esha, Singh Pranshu, Ramawat Raja Babu, Mishra Ashwani Kumar
机构信息
Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Indian J Psychiatry. 2025 Jun;67(6):622-626. doi: 10.4103/indianjpsychiatry_1162_24. Epub 2025 May 16.
BACKGROUND
Historically and culturally, natural opium is considered less harmful in comparison to heroin/pharmaceutical opioids, but the evidence regarding this is limited and mostly indirect.
AIM
The aim of this analysis was to compare problems experienced by patients with natural opium and heroin use.
METHODS
The study is a secondary analysis of data collected during the development of the Assessment of Severity of Substance use for Outcomes Research and Treatment (ASSORT) scale. Patients with natural opium use ( = 72) and heroin use ( = 172) were compared.
RESULTS
Natural opium users were of higher age and from a rural background. The ASSORT score was significantly lower among natural opium users than heroin users (mean 77.8 versus 99.7, < 0.001). Natural opium users experienced fewer problems in all domains of ASSORT except problems in physical health.
CONCLUSION
Hence, patients with natural opium use experience fewer problems in comparison to those with heroin use.
背景
从历史和文化角度来看，与海洛因/药用阿片类药物相比，天然鸦片被认为危害较小，但关于这方面的证据有限且大多为间接证据。
目的
本分析的目的是比较使用天然鸦片和海洛因的患者所经历的问题。
方法
该研究是对在开发用于结果研究和治疗的物质使用严重程度评估（ASSORT）量表过程中收集的数据进行的二次分析。对使用天然鸦片的患者（n = 72）和使用海洛因的患者（n = 172）进行了比较。
结果
天然鸦片使用者年龄较大，来自农村背景。天然鸦片使用者的ASSORT得分显著低于海洛因使用者（平均77.8对99.7，P < 0.001）。除身体健康方面的问题外，天然鸦片使用者在ASSORT的所有领域中经历的问题较少。
结论
因此，与使用海洛因的患者相比，使用天然鸦片的患者经历的问题较少。
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