Ethnic differences in psychosocial factors in methadone maintenance: Hmong versus non-Hmong.
Ethnic differences in psychosocial factors in methadone maintenance: Hmong versus non-Hmong.
复制标题
美沙酮维持中心理社会因素的种族差异：苗族与非苗族。
DOI：
10.1080/15332640.2017.1371656
复制
发表时间：
2018
影响因子：
1.3
通讯作者：
Bart,Gavin
中科院分区：
文献类型：
--
作者：
Bart,Gavin
我们对美国的特点知之甚少-基于接受美沙酮维持治疗的阿片类药物使用障碍亚洲人群。我们评估了76名苗族和130名非苗族在一家城市美沙酮维持诊所接受美沙酮维持治疗至少两个月的心理社会因素。评估包括成瘾严重程度指数第5版，症状自评量表-90，和DSM-IV轴I障碍的结构化临床访谈。苗族年龄较大，主要是男性，美沙酮的剂量低于非苗族。苗族有显着较低的ASI综合得分在所有方面，除了就业和法律的。虽然两组之间的SCL-90总体严重程度指数（GSI）评分没有差异，但苗族在人际敏感、抑郁、焦虑、敌意和偏执维度上的评分较低。67%的苗族和29%的非苗族没有轴I诊断（p < .001）。在DSM-IV物质使用诊断方面，两组之间没有差异。在何种程度上，这些心理社会差异影响美沙酮的剂量需求和治疗结果在苗族和非苗族仍然未知。
Little is known about the characteristics of U.S.-based Asian populations undergoing methadone maintenance treatment for opioid use disorders. We evaluated psychosocial factors in 76 Hmong and 130 non-Hmong on methadone maintenance for at least two months in a single urban methadone maintenance clinic. Assessments included the Addiction Severity Index 5th Edition, the Symptom Checklist-90, and the Structured Clinical Interview for DSM-IV Axis I Disorders. The Hmong were older, predominately male, and on lower doses of methadone than the non-Hmong. Hmong had significantly lower ASI composite scores across all dimensions except employment and legal. While the SCL-90 Global Severity Index (GSI) score did not differ between groups, the Hmong had lower scores in the interpersonal sensitivity, depression, anxiety, hostility, and paranoid ideation dimensions. Sixty-seven percent of Hmong and 29% of non-Hmong were without Axis I diagnoses (p < .001). There was no difference between the groups in DSM-IV substance use diagnoses. The extent to which these psychosocial differences impact methadone dose requirements and treatment outcomes in Hmong and non-Hmong remains unknown.