Haller D L, Knisely J S, Dawson K S, Schnoll S H
Division of Substance Abuse Medicine, Medical College of Virginia Hospitals, Virginia Commonwealth University, Richmond 23298-0109.
J Nerv Ment Dis. 1993 Aug;181(8):509-13. doi: 10.1097/00005053-199308000-00006.
Forty perinatal substance abusers were administered multiple psychosocial, addiction, and psychological measures before beginning treatment. Results indicate that these patients are limited intellectually, educationally, financially, and emotionally. Psychiatric comorbidity was high, with 45% having non-substance abuse axis I diagnoses and 75% having confirmed (by two or more tests) axis II pathology. The most frequently identified axis I disorders were depression and anxiety. The most frequently detected personality disorders were antisocial, borderline, paranoid, and dependent. The average IQ was 87 (low average range) and nearly one third of the sample were found to be somewhat impaired intellectually. These data suggest that treatment programs must take psychological characteristics into account if they are going to succeed in helping these women achieve and maintain abstinence.
四十名围产期药物滥用者在开始治疗前接受了多项社会心理、成瘾和心理方面的测评。结果表明，这些患者在智力、教育程度、经济状况和情绪方面都存在局限。精神共病率很高，45%的患者有非物质滥用的轴I诊断，75%的患者有经两项或更多测试确认的轴II病理情况。最常被识别出的轴I障碍是抑郁和焦虑。最常检测到的人格障碍是反社会型、边缘型、偏执型和依赖型。平均智商为87（低平均范围），近三分之一的样本在智力上有一定程度的损害。这些数据表明，如果治疗项目要成功帮助这些女性实现并保持戒断，就必须考虑她们的心理特征。
