Substance use in young adults with schizophrenic disorders.
Substance use in young adults with schizophrenic disorders.
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患有精神分裂症的年轻人的药物使用。
DOI：
10.1093/schbul/15.3.465
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发表时间：
1989
影响因子：
6.6
通讯作者：
Ripp,K
中科院分区：
文献类型：
--
作者：
Test,MA;Wallisch,LS;Allness,DJ;Ripp,K
在社区护理中，使用非处方的情绪改变物质在患有严重精神疾病的年轻人中很普遍，而且存在问题。在一项长期社区治疗研究中，58%的患有明确定义的精神分裂症或精神分裂症相关疾病的年轻成年患者被工作人员或他们自己评为每周使用酒精，大麻或其他街头毒品几次或更多。我们深入采访了这些“重要用户”的随机样本，以获得他们对他们的频率，模式，历史，影响因素和物质使用及其相关治疗经验的影响的看法。结果显示，这些客户的物质使用持续时间长，根深蒂固，目前的使用往往涉及多种物质，包括街头毒品和“日常生活”物质（例如，咖啡因、尼古丁）。客户报告了令人信服的使用原因，包括减少焦虑，缓解无聊，以及社交接触的方式。工作人员和客户显然对药物使用的看法截然不同，后者至少同样关注症状缓解和症状恶化的后果。治疗的影响进行了讨论。
Use of nonprescribed mood altering substances is pervasive and problematic in young adults with serious mental illnesses in community care. Fifty-eight percent of young adult clients with clearly defined schizophrenia or schizophrenia-related disorders participating in a long-term community treatment study were rated by staff or themselves as using alcohol, cannabis, or other street drugs several times a week or more. We interviewed in depth a random sample of these “significant users” to obtain their perspective on their frequencies, patterns, histories, contributing factors to, and effects of substance use and their related treatment experiences. Results revealed these clients' substance use to be of long duration and deeply entrenched, with current use often involving multiple sub stances including both street drugs and substances of “everyday life” (e.g., caffeine, nicotine). Clients reported compelling reasons for use including anxiety reduction, relief of boredom, and a means for social contact. Staff and clients clearly view substance use quite differently, with the latter focusing at least as much on consequences of symptom relief as symptom exacerbation. Treatment implications are discussed.