Prevalence, Diagnosis, and Treatment Rates of Mood Disorders among Opioid Users under Criminal Justice Supervision.
Prevalence, Diagnosis, and Treatment Rates of Mood Disorders among Opioid Users under Criminal Justice Supervision.
复制标题
DOI：
10.1080/10826084.2017.1416400
复制
发表时间：
2018-07-29
影响因子：
2
通讯作者：
Springer SA
中科院分区：
文献类型：
--
作者：
Mbaba M;Brown SE;Wooditch A;Kiss M;Murphy A;Kumari S;Taxman F;Altice F;Lawson WB;Springer SA
与普通美国人相比，参与刑事司法系统的个人精神障碍的发生率高得不成比例。如果不加以治疗，随后被捕的可能性增加，对健康造成不利后果的风险很大，特别是在阿片类药物使用者中。目的探讨司法介入阿片类药物依赖人群中心境障碍的流行情况及治疗方法。目前的研究招募了258名寻求阿片类药物依赖治疗的个人，他们接受基于社区的刑事司法监督(如缓刑、假释)，这些人是从较大的父母研究项目STRIDE中筛选出来的，这是一项审查艾滋病毒和阿片类药物使用治疗的寻求/测试/治疗随机对照试验。在基线期间，使用患者健康问卷-9对个人进行抑郁筛查，并使用情绪障碍问卷工具对双相情感障碍进行筛查。总体而言，78名参与者(30%)筛查出中度至重度抑郁症，54名(21%)筛查出双相情感障碍。参与者自我报告情绪障碍的比率高于他们对这些疾病的筛查阳性。与那些没有筛查阳性的参与者相比，筛查这些条件呈阳性的参与者在成瘾严重程度指数-Lite上经历了显著更多的家庭、法律和医疗问题。终生自杀未遂的发生率被发现与两种情绪障碍的阳性筛查有关。在抑郁症或双相情感障碍筛查呈阳性的人中，处方精神药物的使用情况类似，约38%的人报告服用药物。研究结果表明，普遍的情绪障碍筛查可以改善阿片类药物依赖正义相关个人的全面精神护理和治疗。
Individuals involved in the criminal justice system have disproportionately high rates of psychiatric disorders when compared to the general U.S. population. If left untreated, the likelihood of subsequent arrest increases and risk for adverse health consequences is great, particularly among opioid users. To explore the prevalence and treatment of mood disorders among justice-involved opioid-dependent populations. The current study enrolled 258 treatment-seeking opioid-dependent individuals under community-based criminal justice supervision (e.g. probation, parole) screened from the larger parent study, Project STRIDE, a seek/test/treat randomized control trial examining HIV and opioid use treatment. During baseline, individuals were screened for depression using the Patient Health Questionnaire-9 and screened for bipolar disorder using the Mood Disorder Questionnaire tool. Overall, 78 (30%) participants screened positive for moderate to severe depression and 54 (21%) screened positive for bipolar disorder. Participants self-reported mood disorders at higher rates than they screened positive for these conditions. Participants screening positive for these conditions experienced significantly greater family, legal, and medical problems on the Addiction Severity Index-Lite than those who did not screen positive. Incidence of a lifetime suicide attempt was found to be associated with a positive screen for both mood disorders. Prescribed psychotropic treatment utilization was similar among those who screened positive for depression or bipolar disorder with approximately 38% reporting taking medication. Findings suggest universal mood disorder screening to improve comprehensive psychiatric care and treatment of opioid-dependent justice-involved individuals.
登录
查看更多内容
影响因子：
120.7
作者：
Chandler, Redonna K.;Fletcher, Bennett W.;Volkow, Nora D.
通讯作者：
Volkow, Nora D.
影响因子：
12.7
作者：
Binswanger IA;Merrill JO;Krueger PM;White MC;Booth RE;Elmore JG
通讯作者：
Elmore JG
DOI：
10.1016/s0140-6736(10)60829-x
发表时间：
2010-07-31
期刊：
Lancet (London, England)
影响因子：
--
作者：
Altice FL;Kamarulzaman A;Soriano VV;Schechter M;Friedland GH
通讯作者：
Friedland GH
影响因子：
5.3
作者：
Conway, KP;Compton, W;Grant, BF
通讯作者：
Grant, BF
影响因子：
5.3
作者：
Hendrick, V;Altshuler, LL;Hammen, C
通讯作者：
Hammen, C