长沙市某区美沙酮门诊维持治疗者心理健康状况及其影响因素  

Investigation on the psychological health and influential factors of methadone maintenance treatment in certain district of Changsha city

作　　者：李琼[1,2] 付志勇 童周 莫苗芳 刘玉芳 

机构地区：[1]中南大学公共卫生学院,长沙410078 [2]长沙市天心疾病预防控制中心,长沙410007

出　　处：《中国药物滥用防治杂志》2012年第5期262-265,共4页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:了解美沙酮维持治疗门诊海洛因成瘾者心理健康状况及其影响因素,为提高美沙酮门诊治疗效果及改善心理状况提供参考。方法:应用国家统一的美沙酮门诊入组调查问卷、症状自评量表(SCL-90)对2010年1月1日～2010年6月30日前来长沙市某区美沙酮维持治疗门诊接受治疗的243名海洛因成瘾者进行问卷调查。结果:①排在前5位的心理问题因子依次为:躯体化、抑郁、强迫、敌对、焦虑。②非条件Logistic回归分析显示性别、参加美沙酮治疗前1个月平均每天吸毒的次数、参加美沙酮治疗前1个月平均每天毒品花费、目前工作状况及参加美沙酮治疗时间5个因素进入方程。结论:①长沙市某区美沙酮门诊海洛因成瘾者心理健康较差;②影响海洛因成瘾者心理健康水平的主要因素有性别、参加美沙酮治疗前1个月平均每天吸毒的次数、参加美沙酮治疗前1个月平均每天毒品花费、目前工作状况及参加美沙酮治疗时间等。Objective：To understand the psychological health and influential factors of methadone maintenance treatment （MMT）, provide references for improving MMT effects and psychological health. Methods： National unified MMT questionnaire and SCL-90 were used on 243 cases of heroin addiction in MMT in the district of Changsha during Jan 1-Jun 30, 2010. Results： ①The top five adverse psychological factors were somatization, depression, enforcement, hostility and anxiety. ②Unconditioned Logistic regression analysis shows gender, time of drug taking during past one month, cost of drug taking during past one month, current working condition and time of join in the MMT had different effects. Conclusion： ①Psychological health of the heroin addicts in MMT from the district of Changsha was lower than normal people; ②Main factors affect psychological health of heroin addicts were gender, time of drug taking during past one month, cost of drug taking during past one month, current working condition and time of join in the MMT.

关 键 词：美沙酮维持治疗 海洛因成瘾者 心理健康 症状自评量表 影响因素 

分 类 号：R749.6[医药卫生—神经病学与精神病学]