美沙酮维持治疗患者的自杀意念和孤独感  

Relationship between suicidal ideation and feelings of loneliness in patients receiving methadone maintenance treatment

作　　者：周聪 钟宝亮[1] 朱军红[1] 

机构地区：[1]华中科技大学同济医学院附属武汉精神卫生中心,湖北武汉430012

出　　处：《现代预防医学》2018年第4期666-669,678,共5页Modern Preventive Medicine

基　　金：国家自然科学基金面上项目(编号:71774060);武汉市卫生计生科研基金资助(WX17D20;WG16A02)

摘　　要：目的分析美沙酮维持治疗(Methadone Maintenance Treatment,MMT)患者的自杀意念与孤独感的关系。方法用自编问卷收集603例MMT患者的社会人口学和临床特征变量,并询问患者的目前自杀意念和孤独感水平。用多因素Logistic回归分析检验孤独感与自杀意念的独立关联。结果 MMT患者目前自杀意念的检出率为17.4%。有孤独感患者自杀意念的检出率高于无孤独感患者(分别为27.0%与5.3%,P<0.001),差异具有统计学意义。多因素分析控制社会人口学和临床特征变量的混杂效应后,孤独感与自杀意念的关联依然具有统计学意义(OR=4.40,P<0.001)。结论 MMT患者自杀风险高。提供社会心理干预以减轻MMT患者的孤独感可能有助于预防或减少MMT患者的自杀意念。Objective To explore the relationship between suicidal ideation and loneliness in patients receiving methadone maintenance treatment （MMT）. Methods Self-designed questionnaire was used to collect the soeio-demographic and clinical characteristics of 603 MMT patients. Data on their current suicidal ideation and loneliness were also collected. The independent association between loneliness and suicidal ideation was examined by multiple logistic regression. Results The current prevalence of suicidal ideation in MMT patients was 17.4%. Rates of suicidal ideation were significantly higher in patients with loneliness than those without loneliness （27.0% vs 5.3%, P〈0.001）. After controlling for the confounding effects of socio-demographie and clinical variables, the association between loneliness and suicidal ideation remained significant （OR =4.40, P〈0.001）. Conclusion MMT patients at high risk for suicide. Psychosocial interventions aimed at reducing loneliness may help prevent or reduce suicidal ideation in MMT patients.

关 键 词：美沙酮维持治疗 自杀意念 孤独感 

分 类 号：R395.6[哲学宗教—心理学]