美沙酮维持治疗海洛因依赖患者反社会人格障碍的患病率和患病特征的现况调查  

PREVALENCE AND CHARACTERISTICS OF ANTISOCIAL PERSONALITY DISORDER AMONG HEROIN DEPENDENT PATIENTS WITH METHADONE MAINTENANCE TREATMENT:A CROSS-SECTIONAL SURVEY

作　　者：徐艳敏[1,2,3,4] 钟宝亮[5] 朱军红[5] 刘铁榜[2,3,4] 

机构地区：[1]深圳大学师范学院心理学系,深圳518061 [2]深圳市精神卫生中心 [3]深圳市康宁医院 [4]深圳市精神卫生研究所,深圳518020 [5]华中科技大学同济医学院附属精神卫生中心,武汉430022

出　　处：《中国药物依赖性杂志》2014年第1期56-59,共4页Chinese Journal of Drug Dependence

摘　　要：目的:调查美沙酮维持治疗(MMT)海洛因依赖患者反社会人格障碍(ASPD)的患病率和患病特征。方法:由经过培训的精神科医师对603例MMT门诊海洛因依赖患者进行简明国际神经精神访谈ASPD章节访谈。结果:ASPD的终生患病率为36.8%(95%CI:33.0%-40.6%);男性、初中以下文化程度、非在婚、目前无工作、入组MMT前静脉注射吸毒和平均吸毒剂量≥1 g·d-1患者的ASPD患病率较高。结论:反社会人格障碍在MMT门诊海洛因依赖患者中较为常见,临床上需予以特殊关注。Objective ：To investigate the prevalence and characteristics of anti -social personality disorder（ASPD） among heroin dependent patients with methadone maintenance treatment. Methods： Six hundred and three methadone- maintained heroin dependent patients were interviewed by well -trained psychiatrists according to ASPD module of Chinese version of Mini International Neuropsychiatric Interview. Results：The lifetime prevalence of ASPD was 36.8% （95% CI：33.0% - 40. 6% ） ; Male in gender, with education level of primary school, unmarried, unemployed, injected heroin intravenously and average heroin dose≥ 1 g . d-1 before entering methadone maintenance treatment, were significantly associated with higher prevalence of ASPD. Conclusion： ASPD is common among heroin addicts under methadone maintenance treatment, and special clinical attention should be paid to this issue.

关 键 词：海洛因依赖 反社会人格障碍 美沙酮维持治疗 患病率 

分 类 号：R749.91[医药卫生—神经病学与精神病学]