Milling R N, Faulkner L R, Craig J M
Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine.
J Subst Abuse Treat. 1994 May-Jun;11(3):267-71. doi: 10.1016/0740-5472(94)90085-x.
This study was to find if the dually diagnosed in a teaching psychiatric hospital were being adequately identified and treated.
The records of 200 adult inpatients were reviewed for psychiatric diagnoses, the presence of a history of substance abuse, and the kinds of treatment rendered those patients.
Forty-three percent of the patients admitted were found to have a history of substance abuse, but 31.4% of these had a history of substance abuse in the record without a formal diagnosis. Major depression (26.6%) and schizophrenia (18.7%) were the most frequent diagnoses. Half of the patients received no documented treatment for substance abuse. The most common intervention was education by the nursing staff.
There is a clear need for better recognition and treatment of the dually diagnosed patient.
本研究旨在确定一家教学型精神病医院中双重诊断患者是否得到了充分的识别和治疗。
回顾了200名成年住院患者的病历，以了解其精神科诊断、药物滥用史以及给予这些患者的治疗类型。
发现43%的入院患者有药物滥用史，但其中31.4%的患者在病历中有药物滥用史却未得到正式诊断。最常见的诊断是重度抑郁症（26.6%）和精神分裂症（18.7%）。一半的患者没有接受过药物滥用的记录治疗。最常见的干预措施是护士进行教育。
显然需要更好地识别和治疗双重诊断患者。
