海洛因依赖患者的其它精神障碍  

PSYCHIATRIC COMORBIDITY AMONG HEROIN DEPENDENT PATIENTS

作　　者：赵敏[1] 杨祥金 赵勇 郝伟[4] 杨德森[4] 

机构地区：[1]上海市精神卫生中心,上海200030 [2]安徽芜湖市精神病院,芜湖241000 [3]湖北随州市精神病院,随州441300 [4]中南大学湘雅二医院精神卫生研究所,长沙410011

出　　处：《中国药物依赖性杂志》2001年第3期192-194,共3页Chinese Journal of Drug Dependence

摘　　要：目的··:了解海洛因依赖者的其它精神障碍诊断情况。方法·· :应用《DSM -Ⅲ -R用定式临床检查手册》和《DSM -Ⅲ -R人格障碍用定式临床检查手册》 ,调查了216名海洛因依赖者DSM -Ⅲ -R轴I其它精神障碍和DSM -Ⅲ -R轴Ⅱ人格障碍的诊断情况。结果:·· 轴I非精神活性物质使用障碍性精神障碍的终生患病率为23.6 %,情感障碍终生患病率为15.7 % ,轴Ⅱ人格障碍为80.6 % ,反社会人格障碍47.7 %。结论·· :海洛因依赖者合并精神障碍较多 。Objective: To understand the psychiatric comorbidity among heroin dependent patients. Method: The structured clinical interview for DSM-Ⅲ-R patient version (SCID-P) and the structured clinical interview for DSM-Ⅲ-R - axis Ⅱ personality disorder (SCID-Ⅱ) were used to assess current and lifetime DSM-Ⅲ-R axisⅠdiagnosis and the prevalence of DSM-Ⅲ-R axis Ⅱ personality disorder in 216 heroin dependent patients. Result: The lifetime non-substance use axis Ⅰ diagnosis was 23.6%, and the prevalence of personality disorder in axis Ⅱ was 80.6%. Antisocial personality disorder (47.7%) and mood disorder (15.7%) were the most common diagnosis. Conclusion: Psychiatric comorbidity in heroin dependent patients is common, which suggests there be a need for thorough assessment for psychiatric comorbidity in heroin dependent patients and treatment that focuses on diagnosed mental disorders in addition to drug counseling for the substance abuse disorder.

关 键 词：海洛因依赖 精神障碍 治疗 诊断 

分 类 号：R595.5[医药卫生—内科学]