The epidemiology of psychiatric disorders among repeat DUI offenders accepting a treatment-sentencing option
The epidemiology of psychiatric disorders among repeat DUI offenders accepting a treatment-sentencing option
复制标题
DOI：
10.1037/0022-006x.75.5.795
复制
发表时间：
2007-10-01
影响因子：
5.9
通讯作者：
Caro, Gabriel
中科院分区：
文献类型：
--
作者：
Shaffer, Howard J.;Nelson, Sarah E.;Caro, Gabriel
精神共病可能有助于酒后驾车的影响（酒后驾车）的惯犯。这项研究提出了一个第一次描述的患病率和合并症的精神疾病之间的重复酒后驾车罪犯在治疗。参与者包括所有同意的合格入院者（N = 729），他们接受了为期2周的住院治疗设施，用于法院判处的重复DUI罪犯（即，选择以治疗代替监禁的罪犯），从2005年4月17日到2006年4月23日。参与者完成了复合国际诊断访谈，该访谈使用精神疾病诊断和统计手册（第4版;美国精神病学协会，1994年）：酒精使用和药物使用，双相情感障碍，广泛性焦虑，创伤后应激，间歇性爆发，行为，注意力缺陷，尼古丁依赖，病理性赌博和重度抑郁症。与普通人群相比，重复DUI罪犯的酒精使用和药物使用障碍，行为障碍，创伤后应激障碍，广泛性焦虑障碍和双相情感障碍的终生和12个月患病率较高。几乎一半的人有资格终身诊断两种成瘾（即，酒精、药物、尼古丁和/或赌博）和精神障碍。参与者的终生和过去一年的合并症发生率高于一般人群。这些结果表明，临床医生应在DUI治疗方案中考虑多种疾病。
Psychiatric comorbidity likely contributes to driving tinder the influence (DUI) of alcohol among repeat offenders. This study presents one of the first descriptions of the prevalence and comorbidity of psychiatric disorders among repeat DUI offenders in treatment. Participants included all consenting eligible admissions (N = 729) to a 2-week inpatient treatment facility for court-sentenced repeat DUI offenders (i.e., offenders electing treatment in place of prison time) from April 17, 2005, to April 23, 2006. Participants completed the Composite International Diagnostic Interview, which assessed the following disorders using criteria from the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994): alcohol use and drug use, bipolar, generalized anxiety, posttraumatic stress, intermittent expolosive, conduct, attention deficit, nicotine dependence, pathological gambling, and major depressive. Repeat DUI offenders evidenced higher lifetime and 12-month prevalence of alcohol use and drug use disorders, conduct disorder, postraumatic stress disorder, generalized anxiety disorder, and bipolar disorder compared with the general population. Almost half qualified for lifetime diagnoses of both addiction (i.e., alcohol, drug, nicotine, and/or gambling) and a psychiatric disorder. Lifetime and past-year comorbidity rates were higher among participants than in the general population. These results suggest that clinicians should consider multimorbidity within DUI treatment protocols.