Coexisting psychiatric disorders, in a New Zealand outpatient alcohol and other drug clinical population
Coexisting psychiatric disorders, in a New Zealand outpatient alcohol and other drug clinical population
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DOI：
10.1080/j.1440-1614.2006.01764.x
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发表时间：
2006-02-01
影响因子：
4.6
通讯作者：
Porter, J
中科院分区：
文献类型：
--
作者：
Adamson, SJ;Todd, FC;Porter, J
目的：描述新西兰具有代表性的门诊酒精和其他药物（AOD）治疗样本的精神障碍程度和精神卫生服务利用情况。方法：从新西兰两家门诊AOD治疗机构随机招募105例患者，在治疗的前2个月内完成诊断性访谈。I轴精神病诊断采用计算机化的综合国际诊断访谈（CIDI-Auto）进行，并辅以南橡树赌博量表（SOGS）和遗传研究诊断访谈（DIGS）的行为障碍和反社会人格障碍部分。结果：74%的样本目前有非物质或赌博轴I障碍，终身率为90%。在这些共存的精神障碍中，最常见的诊断是重度抑郁发作（34%）、社交恐惧症（31%）和创伤后应激障碍（31%）。过去与精神卫生服务机构的接触很常见，而基线评估时的接触并不常见。结论：在这个样本中，共存的精神障碍是规律而不是例外。AOD患者显然是更大的精神健康患者群体的一部分。AOD服务需要能够全面评估和治疗计划，包括共存的精神疾病，并应努力与其他精神卫生服务更好地整合。
Objective: To describe the extent of psychiatric disorder and mental health service utilization in a representative outpatient alcohol and other drug (AOD) treatment sample in New Zealand.Method: A total of 105 patients were randomly recruited from two outpatient AOD treatment services in New Zealand and completed a diagnostic interview within the first 2 months of treatment. Axis I psychiatric diagnoses were made using the computerized Composite International Diagnostic Interview (CIDI-Auto), and were supplemented by the South Oaks Gambling Scale (SOGS) and the conduct disorder and antisocial personality disorder section of the Diagnostic Interview for Genetic Studies (DIGS).Results: Seventy-four percent of the sample had a current non-substance or gambling axis I disorder, with a lifetime rate of 90%. The most commonly diagnosed of these coexisting psychiatric disorders were major depressive episode (34%), social phobia (31%) and posttraumatic stress disorder (31%). Past contact with mental health services was common, while contact at the time of baseline assessment was uncommon.Conclusions: Coexisting psychiatric disorder was the rule and not the exception in this sample. AOD patients are clearly part of the larger population of mental health patients. AOD services need to be capable of comprehensive assessment and treatment planning, which includes coexisting psychiatric disorders, and should work toward better integration with other mental health services.