DSM-IV alcohol and suhstance ahuse and dependence in homeless youth
DSM-IV alcohol and suhstance ahuse and dependence in homeless youth
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DOI：
10.15288/jsa.2003.64.5
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发表时间：
2003-01-01
期刊：
影响因子：
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通讯作者：
Peterson, PL
中科院分区：
文献类型：
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作者：
Baer, JS;Ginzler, JA;Peterson, PL
目的：本研究的目的是描述无家可归的青少年之间的物质使用标准的认可率，并评估一组青少年谁使用更频繁，更严重的比其他样本的青少年诊断配方的可靠性。方法：作为一项更大研究的一部分，对198名（109名男性）13至19岁无家可归的青少年进行了物质使用率和DSM-IV滥用和依赖标准评估。对酒精、大麻、安非他明和海洛因的诊断标准进行了认可率和可靠性分析。结果：与其他无家可归的青年研究一致，数据显示高比率的物质使用和高比率的物质依赖。依赖和滥用诊断都与更高的使用率有关。DSM-IV标准显示出可接受的内部可靠性，尽管在应用于不同物质时观察到变异性。在评估的药物中，海洛因使用问题似乎最好，大麻使用问题最少，以依赖标准为代表。尽管干预的角色义务和渴望的经验，有关继续使用的标准始终与其他依赖性标准。结论：DSM-IV物质依赖标准似乎有很好的内部可靠性在一个样本的青少年谁使用在极高的利率。继续开发青少年药物使用诊断系统应考虑到使用的社会背景、不同药物的不同症状模式，并纳入在青少年样本中发现可靠的其他标准。(J. Stud. Alcohol 64：5-14，2003）。
Objective: The purpose of this study is to describe endorsement rates of substance use criteria among homeless adolescents and to evaluate the reliability of diagnostic formulations among a group of adolescents who use more frequently and more heavily than other samples of adolescents. Method: Substance use rates and DSM-IV abuse and dependence criteria were assessed among 198 (109 male) homeless youths between the ages of 13 and 19, as part of a larger study. Endorsement rates and reliability analyses were completed for diagnostic criteria assessed for alcohol, marijuana, amphetamines and heroin. Results: Consistent with other studies of homeless youth, data revealed high rates of substance use and high rates of substance dependence. Both dependence and abuse diagnoses were associated with greater rates of use. DSM-IV criteria showed acceptable internal reliability, although variability was observed when applied to different substances. Of the drugs assessed, problems with heroin use appeared to be best, and marijuana use least, represented by dependence criteria. Criteria pertaining to continued use despite interference with role obligations and the experience of craving were consistently related to other dependence criteria. Conclusions: DSM-IV substance dependence criteria appear to have good internal reliability within a sample of adolescents who use at extremely high rates. Continued development of diagnostic systems for adolescent substance use should consider the social context of use, differential patterns of symptoms across different substances and the inclusion of additional criteria found reliable among adolescent samples. (J. Stud. Alcohol 64: 5-14, 2003).