Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants.
Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants.
复制标题
注射器交换参与者的精神困扰、危险行为和治疗登记。
DOI：
10.1016/j.addbeh.2009.12.033
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发表时间：
2010
影响因子：
4.4
通讯作者：
Brooner,RobertK
中科院分区：
文献类型：
--
作者：
Kidorf,Michael;King,VanL;Peirce,Jessica;Burke,Christopher;Kolodner,Ken;Brooner,RobertK
本研究评估了精神痛苦作为在巴尔的摩针具交换计划（BNEP）新登记的治疗外注射阿片类药物使用者治疗登记的预测因素。研究参与者（n=281）完成了成瘾严重程度指数（ASI），风险评估电池（RAB）和症状自评量表-90（SCL-90-R），并被随机分配到三种不同的条件之一，为期4个月，评估旨在促进治疗兴趣和注册的转诊策略。SCL-90的总体严重程度指数（GSI）被用作精神痛苦的测量。logistic回归分析显示，在控制了研究条件、人口统计学变量、注射器更换部位和药物使用严重程度后，较高的GSI评分预测更多的治疗入组（校正OR=2.15，CI=1.10-4.23，p<0.05）。结果表明，从注射器交换设置的精神痛苦的评估数据可以用来支持激励策略，鼓励注射器交换寻求药物滥用治疗。
The present study evaluated psychiatric distress as a predictor of treatment enrollment in out-of-treatment injection opioid users newly registered at the Baltimore Needle Exchange Program (BNEP). Study participants (n=281) completed the Addiction Severity Index (ASI), the Risk Assessment Battery (RAB), and the Symptom Checklist-90 (SCL-90-R), and were randomly assigned to one of three different conditions for 4months that evaluated referral strategies designed to promote treatment interest and enrollment. The Global Severity Index (GSI) of the SCL-90 was used as a measure of psychiatric distress. A logistic regression showed that higher GSI scores predicted more treatment enrollment (Adjusted OR=2.15, CI=1.10–4.23, p<0.05), after controlling for study condition, demographic variables, syringe exchange site, and severity of drug use. The results suggest that the data from the assessment of psychiatric distress in syringe exchange settings can be used to support motivational strategies for encouraging syringe exchangers to seek substance abuse treatment.