AIDS risk behavior in opioid dependent patients treated with community reinforcement approach and relationships with psychiatric disorders.
AIDS risk behavior in opioid dependent patients treated with community reinforcement approach and relationships with psychiatric disorders.
复制标题
DOI：
10.1300/j069v17n04_04
复制
发表时间：
1998-11
影响因子：
2.3
通讯作者：
Patrick J. Abbott;Brent A. Moore;Susan B. Weller;Harold D. Delaney
中科院分区：
文献类型：
--
作者：
Patrick J. Abbott;Brent A. Moore;Susan B. Weller;Harold D. Delaney
本研究探讨社区强化方法（CRA）对艾滋病危险行为的影响，以及在进入美沙酮维持治疗的阿片类药物依赖患者中，共病精神疾病与艾滋病行为风险之间的关系。此外，我们还研究了艾滋病危险行为与附加严重程度指数（ASI）、贝克抑郁量表、症状自评量表（SCL-90-R）和社会适应量表-自我报告（SAS-SR）的相关性。受试者（N = 227）来自一项大型临床试验，该试验检查了社区强化方法治疗阿片类药物依赖的有效性。CRA和标准治疗对减少艾滋病危险行为均有显著效果。没有发现共病精神疾病与艾滋病行为风险的关系。然而，与其他精神，社会和药物滥用变量相关。多变量分析表明，增加药物和法律的ASI综合评分是增加艾滋病危险行为的主要预测因素。
This study examined the Community Reinforcement Approach's (CRA) effect on AIDS risk behaviors and the relationship between comorbid psychiatric disorders and the risk for AIDS behavior in opioid dependent patients entering methadone maintenance treatment. Additionally, we looked at AIDS risk behaviors as they related to the Addition Severity Index (ASI), Beck Depression Inventory, Symptom Checklist-90-Revised (SCL-90-R), and the Social Adjustment Scale-Self Report (SAS-SR). Subjects (N = 227) were drawn from a large clinical trial that examined the effectiveness of a Community Reinforcement Approach for treatment of opioid dependence. Both CRA and standard treatment demonstrated a significant effect on reduction of AIDS risk behaviors. There was no relationship found regarding comorbid psychiatric disorders with the risk for AIDS behavior. However, there were correlations with other psychiatric, social, and substance abuse variables. Multivariate analyses indicated that increased drug and legal ASI composite scores were the primary predictors of increased AIDS risk behavior.