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接受治疗的麻醉品成瘾者、戒断者、非成瘾者及自杀未遂者的抑郁情况:一种极简易抑郁量表的验证

Depression in treated narcotic addicts, ex-addicts, nonaddicts, and suicide attempters: validation of a very Brief Depression Scale.

作者信息

Mintz J, O'Brien C P, Woody G, Beck A T

出版信息

Am J Drug Alcohol Abuse. 1979;6(4):385-96. doi: 10.3109/00952997909007051.

DOI:10.3109/00952997909007051
PMID:549468
Abstract

Samples of heroin-addicted veterans in treatment at a VA drug clinic, ex-addict and nonaddict Vietnam veterans followed-up after return to the United States, and male suicide attempters who were not drug abusers completed a very short (five item) form of the Beck Depression Inventory developed for screening and research purposes. Results confirmed prior findings of high rates of depression among narcotic addicts in treatment. Two samples of patients assessed at intake to treatment did not differ significantly from the suicide patients in BDI-5 scores. Methadone maintenance patients and ex-addicts scored below those groups, but higher than nonaddicts. Relief of inner tensions or worries was chosen most frequently as the reason for continuing use of narcotics by patients in treatment, suggesting that self-medication for psychiatric problems may be common. The BDI-5 proved to be an efficient method for screening for depression in these samples, and thus might be useful in clinical or research settings when a very brief method is needed.

摘要

在一家退伍军人事务部药物诊所接受治疗的海洛因成瘾退伍军人样本、返回美国后接受随访的已戒除毒瘾的退伍军人和未成瘾的越南退伍军人样本,以及非药物滥用的男性自杀未遂者,完成了一份为筛查和研究目的而编制的非常简短(五项)的贝克抑郁量表。结果证实了之前关于接受治疗的麻醉品成瘾者中抑郁症高发率的研究结果。在治疗开始时接受评估的两组患者在贝克抑郁量表 -5 得分上与自杀患者没有显著差异。美沙酮维持治疗患者和已戒除毒瘾者的得分低于上述两组,但高于未成瘾者。治疗中的患者最常选择缓解内心紧张或担忧作为继续使用麻醉品的原因,这表明针对精神问题的自我用药可能很常见。贝克抑郁量表 -5 被证明是在这些样本中筛查抑郁症的有效方法,因此当需要一种非常简短的方法时,可能在临床或研究环境中有用。

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Depression in treated narcotic addicts, ex-addicts, nonaddicts, and suicide attempters: validation of a very Brief Depression Scale.接受治疗的麻醉品成瘾者、戒断者、非成瘾者及自杀未遂者的抑郁情况:一种极简易抑郁量表的验证
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