Medical and psychiatric conditions of alcohol and drug treatment patients in an HMO - Comparison with matched controls
Medical and psychiatric conditions of alcohol and drug treatment patients in an HMO - Comparison with matched controls
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DOI：
10.1001/archinte.163.20.2511
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发表时间：
2003-11-10
影响因子：
--
通讯作者：
Weisner, CM
中科院分区：
文献类型：
--
作者：
Mertens, JR;Lu, YW;Weisner, CM
背景：药物滥用和健康问题似乎有着千丝万缕的联系。然而，之前关于与药物滥用相关的健康状况的研究主要集中在酒精上，来自公共资助项目中接受治疗的患者、住院患者和普通民众。条件是最昂贵的之一。方法：本研究比较了747名药物滥用患者和3690名人口统计学上匹配的对照组的医疗和精神疾病的患病率，并检验了药物滥用患者(相对于对照组)的患病率是否因人口学亚组和物质类型的不同而不同。结果：大约三分之一的疾病在药物滥用患者中比在匹配的对照组中更常见，结论：我们的发现指出了在初级和专科护理中检查并存的医疗条件和药物滥用的重要性。我们关于依赖麻醉性镇痛剂的患者中与疼痛相关的诊断的发现突出了初级保健和药物滥用治疗之间的联系的必要性。此外，许多常见医学疾病的最佳治疗可能需要对潜在的物质滥用障碍进行识别、干预和治疗。
Background: Substance abuse and health problems seem to be inextricably related. Yet, prior research on the health conditions related to substance abuse is largely focused on alcohol and is from patients treated in publicly funded programs, inpatients, and the general population. conditions were among the most costly. We also found that pain-related diagnoses, including arthritis, headache, and lower back pain, were more prevalent among such patients, particularly those dependent on narcotic analgesics.Methods: This study compares the prevalence of medical and psychiatric conditions among 747 substance abuse patients and 3690 demographically matched controls from the same health maintenance organization, and examines whether any heightened prevalence for substance abuse patients (relative to controls) varies according to demographic subgroups and type of substance.Results: Approximately one third of the conditions examined were more common among substance abuse patients than among matched controls, and many of theseConclusions: Our findings point to the importance of examining comorbid medical conditions and substance abuse in both primary and specialty care. Our findings regarding pain-related diagnoses among patients dependent on narcotic analgesics highlight the need for linkages between primary care and substance abuse treatment. Moreover, optimal treatment of many common medical disorders may require identification, intervention, and treatment of an underlying substance abuse disorder.