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在治疗期间,你能相信患者对药物使用情况的自我报告吗?

Can you trust patient self-reports of drug use during treatment?

作者信息

Zanis D A, McLellan A T, Randall M

机构信息

Penn-VA Center for Studies of Addiction, Philadelphia Veterans Administration Medical Center 19104.

出版信息

Drug Alcohol Depend. 1994 Apr;35(2):127-32. doi: 10.1016/0376-8716(94)90119-8.

DOI:10.1016/0376-8716(94)90119-8
PMID:8055734
Abstract

This study compared two frequently used measures of drug use, urine testing and self-report in a sample of subjects currently enrolled in methadone treatment for a minimum of six months. A comparison between the percentage of positive opiate urine screens and subjects' self-reported opiate use indicated that more patients self-reported opiate use (80%) than had been detected by urinalysis (57%). Similar results were found for cocaine use. We present arguments that a more inclusive method of measuring drug use during treatment should include the combination of both urinalysis and self-reports.

摘要

本研究在至少接受美沙酮治疗六个月的受试者样本中,比较了两种常用的药物使用测量方法:尿液检测和自我报告。对阿片类药物尿液筛查呈阳性的百分比与受试者自我报告的阿片类药物使用情况进行比较后发现,自我报告使用阿片类药物的患者(80%)多于尿液分析检测出的患者(57%)。可卡因使用情况也发现了类似结果。我们提出,在治疗期间测量药物使用的更具包容性的方法应包括尿液分析和自我报告的结合。

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