Martin C S, Arria A M, Mezzich A C, Bukstein O G
Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh School of Medicine, Pennsylvania.
Am J Drug Alcohol Abuse. 1993;19(4):511-21. doi: 10.3109/00952999309001639.
It is clear that alcohol abuse by adolescents rarely exists today without the concurrent use of other drugs. Little is known, however, about the extent and patterns of polydrug use in clinical samples of adolescent alcohol abusers. The present study examined patterns and correlates of polydrug use in 72 adolescents admitted to an inpatient treatment unit with a diagnosis of alcohol abuse. The degree of lifetime involvement with 10 different drug classes was assessed in a clinical interview. Ninety-six percent of subjects reported use of drugs other than alcohol, and there were substantial rates of use for most drug classes. Males and females did not differ in the percentage of subjects who used different drug classes or in severity of involvement ratings for these drug classes. The data suggest a consistent ordering of drug classes, such that the use of drug classes later in this order was rare in the absence of the use of drug classes earlier in the order. The data suggest that polydrug use characterizes the large majority of adolescent alcohol abusers, and that such use is often quite extensive. Implications for assessment and treatment are discussed.
显然，如今青少年酗酒现象若不同时使用其他药物则很少存在。然而，对于青少年酗酒临床样本中多药滥用的程度和模式却知之甚少。本研究调查了72名被诊断为酗酒并入住住院治疗单元的青少年的多药滥用模式及相关因素。通过临床访谈评估了他们一生与10种不同药物类别的接触程度。96%的受试者报告使用过酒精以外的药物，大多数药物类别的使用率都很高。在使用不同药物类别的受试者百分比或这些药物类别的接触严重程度评分方面，男性和女性没有差异。数据表明药物类别存在一致的排序，即若未使用排序靠前的药物类别，那么使用排序靠后的药物类别的情况则很少见。数据表明多药滥用是大多数青少年酗酒者的特征，而且这种滥用往往相当广泛。文中还讨论了对评估和治疗的启示。
