Problem substance use among depressed patients in managed primary care
Problem substance use among depressed patients in managed primary care
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DOI：
10.1176/appi.psy.43.5.405
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发表时间：
2002-09-01
期刊：
影响因子：
3.4
通讯作者：
Unützer, J
中科院分区：
文献类型：
--
作者：
Roeloffs, CA;Wells, KB;Unützer, J
这项研究确定了6个管理式医疗机构的初级保健诊所中1，187名患有抑郁症状（44%）或抑郁症（56%）的患者与问题物质使用相关的特征。镇静剂滥用（14%的患者报告）与更大的财富，社交恐惧症和处方阿片类药物的滥用有关。大麻使用（11%）与年轻、男性、单身婚姻状况、白色种族、教育程度低、复发性抑郁症、广场恐怖症和危险酒精使用有关。危险饮酒（11%）与年轻、男性、单身婚姻状况和大麻使用显着相关。更好地了解初级保健患者的抑郁症状和障碍的物质使用问题可能有助于更快地识别，教育和为有需要的人提供服务。
This study identifies characteristics associated with problem substance use among 1,187 patients with either depressive symptoms (44%) or depressive disorders (56%) in primary care clinics of six managed care organizations. Sedative misuse (reported by 14% of all patients) was associated with greater wealth, social phobia, and misuse of prescription opioids. Cannabis use (11%) was associated with younger age, male gender single marital status, white ethnicity, less education, recurrent depression, agoraphobia, and hazardous alcohol use. Hazardous drinking (11%) was significantly associated with younger age, male gender, single marital status, and cannabis use. Greater understanding of substance use problems in primary care patients with depressive symptoms and disorders may aid efforts to more quickly identify, educate, and provide services for those in need.