Prevalence of Cannabis Use Disorder Diagnoses Among Veterans in 2002, 2008, and 2009
Prevalence of Cannabis Use Disorder Diagnoses Among Veterans in 2002, 2008, and 2009
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DOI：
10.1037/a0027622
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发表时间：
2012-11-01
影响因子：
2.3
通讯作者：
Trafton, Jodie A.
中科院分区：
文献类型：
--
作者：
Bonn-Miller, Marcel O.;Harris, Alex H. S.;Trafton, Jodie A.
本调查旨在记录 2002、2008 和 2009 财年退伍军人事务医疗保健系统 (VA) 患者中大麻使用障碍 (CUD) 诊断的当前比率和趋势。结果表明，VA 内 CUD 诊断的患病率在过去 7 年中增加了 50% 以上（从 0.66% 至 1.05%）。同一时期，诊断为 CUD 但没有其他非法 SUD 诊断的患者的患病率上升了 115.41%（从 0.27% 至 0.58%）。 2002 年、2008 年和 2009 年，法律允许合法使用大麻用于医疗目的的州在 VA 内的大麻疾病诊断率明显较高 (p < .01)。尽管与其他 SUD 组相比，大麻紊乱诊断患者的精神科诊断率，特别是创伤后应激障碍 (PTSD) 较高 (p < .001)，但在 VA 内，大麻紊乱诊断患者的特殊 SUD 治疗利用率有所下降。结果表明，退伍军人需要采取干预措施来激励 CUD 患者，特别是那些同时存在心理问题的患者接受治疗。
The present investigation sought to document current rates and trends of cannabis use disorder (CUD) diagnoses among patients of the Veterans Affairs Health Care System (VA) during fiscal years 2002, 2008, and 2009. Results indicated that the prevalence of CUD diagnoses within VA has increased more than 50% (from 0.66% to 1.05%) over the past 7 years. The prevalence of patients with a CUD diagnosis but no other illicit SUD diagnosis rose 115.41% (from 0.27% to 0.58%) during the same time period. States with laws allowing for the legal use of cannabis for medicinal purposes had significantly higher rates of Cannabis-Disorder diagnoses within VA in 2002, 2008, and 2009 (p < .01). Though rates of psychiatric diagnoses, and posttraumatic stress disorder (PTSD) specifically, were higher among patients with a Cannabis-Disorder diagnosis compared with other SUD groups (p < .001), rates of specialty SUD treatment utilization among those with a Cannabis-Disorder diagnosis have decreased within VA. Results indicate that interventions to motivate treatment engagement among patients with CUD, particularly among those with co-occurring psychological problems, are needed for Veterans.