Diagnosis and symptoms of depression in opiate addicts. Course and relationship to treatment outcome.
Diagnosis and symptoms of depression in opiate addicts. Course and relationship to treatment outcome.
复制标题
阿片成瘾者抑郁症的诊断和症状。
DOI：
10.1001/archpsyc.1982.04290020021004
复制
发表时间：
1982
影响因子：
--
通讯作者：
H. Kleber
中科院分区：
文献类型：
--
作者：
B. Rounsaville;M. Weissman;K. Crits;C. Wilber;H. Kleber
在参加多模式药物治疗计划时和六个月后，对157名阿片成瘾者进行了抑郁症的诊断和症状评估。虽然17%的人有一次严重抑郁的发作(根据研究诊断标准定义)，60%的人在治疗开始时至少有轻微的抑郁症状，但在6个月的重新评估中注意到了实质性的改善，严重抑郁和症状上升的比率分别下降到12%和31%。症状的改善，虽然与治疗中的滞留有关，但不是特定的抗抑郁药物治疗的结果，并且在不同的治疗方式中没有区别。在严重或轻微抑郁发作期间开始治疗预示着在非法药物使用和心理症状方面结果较差，但与职业功能、法律问题和计划保留方面无关。
Evaluations of diagnosis and symptoms of depression were undertaken in 157 opiate addicts at entrance to a multimodality drug treatment program and six months later. While 17% were having an episode of major depression (defined by Research Diagnostic Criteria) and 60% had at least mildly elevated depressive symptoms at entrance to treatment, substantial improvement was noted at the six-month reevaluation, with the rates of major depression and elevated symptoms dropping to 12% and 31%, respectively. Symptomatic improvement, although related to retention in treatment, was not the result of specific antidepressant pharmacotherapy and did not differ across treatment modalities. Starting treatment during a major or minor depressive episode was predictive of poorer outcome in the areas of illicit drug use and psychological symptoms, but unrelated to the areas of occupational functioning, legal problems, and program retention.
使用自我报告症状量表来检测社区样本中的抑郁症。
DOI：
10.1176/ajp.137.9.1081
发表时间：
1980
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Myers,JK;Weissman,MM
通讯作者：
Weissman,MM