Schuckit M A, Morrissey E R
Am J Psychiatry. 1979 Apr;136(4B):607-11.
Of 293 women in an alcoholic treatment center, two-thirds have received prescriptions for drugs of potential abuse, usually hypnotic and antianxiety drugs. One-third of the women admitted abusing substances; 80% of these subjects got prescriptions for potential drugs of abuse while actively abusing. These figures are alarming in light of the lack of evidence that antianxiety drugs, hypnotics, and stimulants are effective in treating alcoholics and drug abusers. Drug-misusing women in this sample reported more suicide attempts and early antisocial problems and had received more psychiatric care than nonabusers. The authors urge that hypnotics, antianxiety drugs, and stimulants almost never be prescribed to outpatient alcoholics and that analgesics be prescribed only with great care.
在一家戒酒治疗中心的293名女性中,三分之二的人曾收到过可能被滥用药物的处方,这些药物通常是催眠药和抗焦虑药。三分之一的女性承认有药物滥用行为;其中80%的人在积极滥用药物期间收到过可能被滥用药物的处方。鉴于缺乏证据表明抗焦虑药、催眠药和兴奋剂对治疗酗酒者和药物滥用者有效,这些数字令人担忧。该样本中滥用药物的女性报告的自杀未遂情况和早期反社会问题更多,并且比未滥用药物者接受过更多的精神科护理。作者敦促,几乎永远不要给门诊酗酒者开催眠药、抗焦虑药和兴奋剂,而镇痛药的处方开具也应格外谨慎。