Prevalence of psychiatric disorder in a methadone maintenance population
Prevalence of psychiatric disorder in a methadone maintenance population
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DOI：
10.1046/j.1440-1614.2001.00916.x
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发表时间：
2001-10-01
影响因子：
4.6
通讯作者：
Whelan, G
中科院分区：
文献类型：
--
作者：
Callaly, T;Trauer, T;Whelan, G
目的：本研究的目的是检查一组最近接受美沙酮维持治疗的患者中精神疾病的患病率。方法：在开始美沙酮维持治疗后6个月内，使用复合国际诊断访谈（CIDI）对总共62名患者进行了访谈。CIDI被用来建立精神疾病的症状，在采访和在12个月前previous.Results：在12个月前采访，76%的样本符合ICD-10标准的精神疾病以外的物质使用障碍。超过一半的受访者符合ICD-10情感障碍的标准，三分之二符合焦虑障碍的标准，不到一半的人在采访前12个月内同时符合情感障碍和焦虑障碍的诊断标准。在访谈时，19%的人符合ICD-10的中度或重度情感障碍诊断标准。70%的受访男性和89%的受访女性患有共病精神疾病。在71%的组谁有一个共病的精神疾病，发病的精神疾病的报告，以predate的使用海洛因.Conclusion：精神疾病的患病率高达10倍以上的人口美沙酮维持比一般人群，是两到三倍，高于社区调查发现的那些与物质使用障碍。这些结果与早期的研究结果是一致的，并对服务规划的影响。
Objective: The objective of this study was to examine the prevalence of psychiatric disorders in a group of patients who had recently entered a methadone maintenance programme.Method: A total of 62 patients were interviewed using the Composite International Diagnostic Interview (CIDI) within 6 months of commencing methadone maintenance. The CIDI was used to establish symptoms of psychiatric illness at interview and in the 12 months prior.Results: In the 12 months prior to interview, 76% of the sample fulfilled ICD-10 criteria for a psychiatric disorder other than substance-use disorder. Over half of the group interviewed fulfilled ICD-10 criteria for an affective disorder, two-thirds fulfilled criteria for an anxiety disorder and just under half fulfilled diagnostic criteria for both an affective disorder and an anxiety disorder in the 12 months prior to interview. At the time of interview, 19% fulfilled ICD-10 diagnostic criteria for a moderate or severe affective disorder. Seventy per cent of males and 89% of females interviewed had a comorbid psychiatric illness. In 71% of the group who had a comorbid psychiatric illness, the onset of psychiatric symptomatology was reported to predate the use of heroin.Conclusion: The prevalence of psychiatric disorder is up to 10 times higher in the population on methadone maintenance than in the general population and is two to three times higher than that found in community surveys of those with a substance-use disorder. These results are consistent with earlier findings and have implications for service planning.