Prevalence and consequences of the dual diagnosis of substance abuse and severe mental illness
Prevalence and consequences of the dual diagnosis of substance abuse and severe mental illness
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DOI：
10.4088/jcp.0706e01
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发表时间：
2006-01-01
影响因子：
5.3
通讯作者：
Buckley, Peter F.
中科院分区：
文献类型：
--
作者：
Buckley, Peter F.
严重精神疾病和药物使用或滥用障碍的共同发生在美国以及国际上都很常见，在评估严重精神疾病患者时，可以将其视为期望而不是例外。物质使用障碍可以发生在精神疾病的任何阶段，甚至可能诱发精神病。这种共病的原因可能包括自我用药、遗传易感性、环境或生活方式、潜在的共同起源和/或共同的神经基质。双重诊断的后果包括服药依从性差、身体合并症和健康状况不佳、自我保健能力差、自杀或攻击风险增加、性行为增加以及可能被监禁。所有这些因素都造成了更大的健康负担，从而降低了卫生保健系统充分治疗患者的能力。因此，筛选、评估和综合治疗计划的双重诊断，可以解决成瘾障碍和精神疾病，以提供准确的治疗、善后护理和其他卫生保健，以适应患者的社会和职业需求。
The co-occurrence of a severe mental illness and a substance use or abuse disorder is common in the United States as well as internationally and could be considered as more the expectation than the exception when assessing patients with serious mental illness. Substance use disorders can occur at any phase of the mental illness, perhaps even inducing psychosis. Causes of this comorbidity may include self-medication, genetic vulnerability, environment or lifestyle, underlying shared origins, and/or a common neural substrate. The consequences of dual diagnosis include poor medication compliance, physical comorbidities and poor health, poor self-care, increased suicide risk or aggression, increased sexual behavior, and possible incarceration. All of these factors contribute to a greater health burden, which reduces the health care system's capacity to adequately treat patients. Therefore, screening, assessment, and integrated treatment plans for dual diagnosis that can address both the addiction disorder and the mental illness are recommended in order to provide accurate treatment, aftercare, and other health care to accommodate patients' social and vocational needs.