Comorbid substance use disorder in women with bipolar disorder associated with criminal arrest.
Comorbid substance use disorder in women with bipolar disorder associated with criminal arrest.
复制标题
与刑事逮捕相关的双相情感障碍女性的共病药物使用障碍。
DOI：
10.1111/j.1399-5618.2007.00346.x
复制
发表时间：
2007
影响因子：
5.4
通讯作者：
Frye,MarkA
中科院分区：
文献类型：
--
作者：
McDermott,BarbaraE;Quanbeck,CameronD;Frye,MarkA
目的：先前的研究表明，双相情感障碍(BPD)患者的共病药物滥用与刑事逮捕密切相关。这项研究是为了进一步评估BPD在物质使用和犯罪风险方面可能存在的性别差异。方法：受试者是从洛杉矶县惩教所被诊断为BPD I型的所有DSM-IV囚犯中挑选出来的。作为对比，确定了洛杉矶县BPD I型患者的样本，这些患者在洛杉矶县的精神治疗过程中没有被逮捕。结果：被逮捕的女性患者合并药物滥用诊断的几率是社区女性患者的38倍以上(优势比 = 为38.75)。女性更有可能因暴力和药物使用指控而被捕；男性更有可能因盗窃和杂项指控而被捕。结论：药物滥用似乎是BPD患者被捕的重要危险因素，尤其是BPD女性患者。我们的研究表明，女性合并BPD和药物使用可能会显著增加刑事逮捕的风险。
Objectives:Previous research has indicated that comorbid substance abuse in patients with bipolar disorder (BPD) is strongly linked to criminal arrest. This study was conducted to further evaluate possible gender differences in substance use and risk of criminality in BPD.Methods:Subjects were selected from all inmates with a DSM‐IV diagnosis of BPD type I at Los Angeles County correctional facility. As a comparison, a sample of Los Angeles County patients with BPD type I who had not been arrested during the course of their psychiatric treatment within LA County was identified. The county's Management Information System (MIS) was utilized to obtain primary and secondary diagnoses as well as demographic information.Results:The odds of having a comorbid substance use diagnosis for arrested female patients was more than 38 times that for community female patients (odds ratio = 38.75). Women were more likely to have been arrested for violent and substance use charges; men were more likely to have been arrested for theft and miscellaneous charges.Conclusions:Substance abuse appears to be a significant risk factor for arrest in patients with BPD and is especially significant for women with BPD. Our study suggests that comorbid BPD and substance use in women may significantly increase the risk of criminal arrest.