Brunette M, Drake R E
New Hampshire-Dartmouth Psychiatric Research Center, Lebanon, New Hampshire 03766, USA.
Community Ment Health J. 1998 Dec;34(6):627-42. doi: 10.1023/a:1018719203165.
The purpose of this study was to test the generalizability of previous research on gender differences between men and women with co-occurring schizophrenia and substance abuse. One hundred eight patients with schizophrenia or schizo-affective disorder involved in a study of treatment for homeless persons were interviewed for information regarding substance use, social functioning and support, comorbid disorders, victimization, medical illness, and legal troubles. We found that women had more children and were more socially connected than men. Women also had higher rates of sexual and physical victimization, comorbid anxiety and depression, and medical illness than men. We conclude that homeless women with dual disorders, like women with substance use disorders in the general population, have distinct characteristics, vulnerabilities, and treatment needs compared with men. In addition to comprehensive treatment of psychiatric and substance use disorders, gender-specific services should be developed, including prevention and treatment of victimization and related problems as well as help with accessing medical services.
本研究的目的是检验先前关于同时患有精神分裂症和物质使用障碍的男性与女性之间性别差异研究的普遍性。对参与一项针对无家可归者治疗研究的108名精神分裂症或分裂情感性障碍患者进行了访谈，以获取有关物质使用、社会功能与支持、共病障碍、受害情况、躯体疾病和法律问题的信息。我们发现，女性比男性有更多子女，且社交联系更紧密。女性遭受性侵害和身体侵害、共病焦虑和抑郁以及患躯体疾病的比例也高于男性。我们得出结论，患有双重障碍的无家可归女性，与普通人群中患有物质使用障碍的女性一样，与男性相比具有独特的特征、脆弱性和治疗需求。除了对精神疾病和物质使用障碍进行综合治疗外，还应开发针对性别的服务，包括预防和治疗受害情况及相关问题，以及协助获取医疗服务。
