社区美沙酮维持治疗者心理健康状况及对保持治疗的影响 第二部分:心理健康状况与保持治疗  

Mental health status of the patients with methadone maintenance treatment and its influence on retention Part two:The mental heath status and the duration of retention

作　　者：王达平[1,2] 徐健雄[1] 袁源香[1] 林宁[1] 庞振泰[1] 黄巧芳[1] 韦玉娇[1] 

机构地区：[1]广州市脑科医院物质依赖科,广州510370 [2]广州市药物依赖治疗康复研究所,广州510370

出　　处：《中国药物滥用防治杂志》2013年第2期72-75,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：广东省医学科研基金资助课题(项目编号:A2009556)

摘　　要：目的:探讨社区药物维持治疗的阿片类物质滥用者心理健康状况对治疗保持时间的影响。方法:对139例社区药物维持治疗的阿片类物质滥用者维持治疗一个月维持期时症状自评量表、抑郁和焦虑自评量的评定结果,以及随访治疗半年及一年时的脱失情况、实际参加治疗时间、美沙酮剂量等进行分析。结果:维持治疗半年保持率为68.3%,一年保持率为51.1%。患者的性别、年龄、文化程度、美沙酮剂量和心理健康状况等因素与治疗保持有关。结论:心理健康水平差是导致治疗脱落的重要因素之一,应探索有效的干预措施。Objective：To study the relationship between the mental health status of the opioid abusers in community-based metha- done maintenance treatment（MMT） and their duration of retention. Methods： The data of 139 cases were analyzed, including the scores of Symptom Checklist 90 （SCL-90） , Serf-rating Depression Scale （ SDS ） and Serf-rating Anxiety Scale （SAS） after maintenance treatment for one month , as well as the drop-out of the cases after half year and after one year, actual days of treatment and methadone dose. Results ： The retention rate after half year and after one year was 68.3 % and 51.1% respectively. Retention in treatment was associated with gender, age , level of education, methadone dose, and level of mental health status. Conclusion： The low mental health level is one of the important factors causing drop-out in methadone maintenance treatment, effective intervention measures should be taken.

关 键 词：阿片类物质依赖 美沙酮维持治疗 心理健康状况 保持 

分 类 号：R749.64[医药卫生—神经病学与精神病学]