Relationship of cocaine and other substance dependence to well-being of high-risk psychiatric patients.
Relationship of cocaine and other substance dependence to well-being of high-risk psychiatric patients.
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可卡因和其他物质依赖与高危精神病患者健康的关系。
DOI：
10.1176/ps.49.7.935
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Arns,PG
中科院分区：
文献类型：
--
作者：
Havassy,BE;Arns,PG
在160例经常住院的严重精神疾病成人样本中，确定了物质依赖障碍的共同发生，并检查了物质依赖和社会心理功能和幸福感之间的关系。METHODSA结构化访谈被用来评估受试者在急性精神病住院期间共同发生的当前DSM-III-R物质依赖障碍。他们进行了一个结构化的访谈，其中包括成瘾严重程度指数，流行病学中心抑郁量表，雷曼的生活质量访谈，罗森伯格的自尊量表，掌握量表，以及有关服务需求的问题。大多数患有共病物质依赖的受试者是多种物质依赖者（55.1%），几乎一半（44.9%）符合可卡因依赖的标准。物质依赖的受试者在诊断为双相情感障碍、精神病性障碍（未另行说明）和重度抑郁症的受试者中明显过多。当分析控制了人口统计学特征和初步诊断时，合并症与抑郁症状、不良生活条件和几个领域的生活满意度下降有关。物质依赖者比非物质依赖者更容易被逮捕和监禁。可卡因依赖的主题显着不太满意，比所有其他科目与他们的生活状况和人身安全，更有可能要求援助，他们的药物和酒精使用problems. CONCLUSIONSSThe研究结果证实了高比率的共同发生的物质依赖性障碍经常住院的严重精神疾病患者。它们还揭示了可卡因依赖的高流行率和可卡因依赖负相关的戏剧性模式。研究结果表明，成功的物质依赖干预可能会改善这些患者的生活环境，精神病患者可能特别容易接受住院期间的这种干预。
OBJECTIVEThe co-occurrence of substance dependence disorders was determined in a sample of 160 frequently hospitalized adults with severe mental illness, and the relationship between substance dependence and psychosocial functioning and well-being was examined.METHODSA structured interview was used to assess subjects for co-occurring current DSM-III-R substance dependence disorders during an acute psychiatric hospitalization. They were administered a structed interview that included the subscales of the Addiction Severity Index, the Center for Epidemiological Studies—Depression Scale, Lehman's Quality of Life Interview, Rosenberg's Self-Esteem Scale, the Mastery Scale, and questions about service needs.RESULTSSeventy-eight of the subjects (48.8 percent) were diagnosed as having at least one current substance dependence disorder. Most subjects with comorbid substance dependence were polysubstance dependent (55.1 percent), and almost half (44.9 percent) met criteria for cocaine dependence. Subjects who were substance dependent were significantly overrepresented among those diagnosed with bipolar disorder, psychotic disorder not otherwise specified, and major depression. When the analysis controlled for demographic characteristics and primary diagnosis, comorbidity was related to depressive symptoms, adverse life conditions, and diminished life satisfaction in several domains. Substance-dependent subjects were significantly more likely to have been arrested and jailed than nondependent subjects. Cocaine-dependent subjects were significantly less satisfied than all other subjects with their living situation and personal safety and more likely to request assistance for their drug and alcohol use problems.CONCLUSIONSThe findings corroborate high rates of co-occurring substance dependence disorders among frequently hospitalized patients with severe mental illness. They also reveal a high prevalence of cocaine dependence and a dramatic pattern of negative correlates of cocaine dependence. The findings suggest that successful interventions for substance dependence may improve these patients' life circumstances and that psychiatric patients may be particularly receptive to such interventions during hospitalization.
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影响因子：
1.5
作者：
M. Galanter;S. Egelko;George De Leon;C. Rohrs;H. Franco
通讯作者：
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DOI：
10.1176/ps.44.7.644
发表时间：
1993
期刊：
Hospital & community psychiatry
影响因子：
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作者：
M. Galanter;S. Egelko;G. de Leon;C. Rohrs
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患有严重精神疾病的可卡因成瘾者可以与单独诊断的成瘾者一起接受治疗吗？
DOI：
--
发表时间：
1996
期刊：
The American Journal of Drug and Alcohol Abuse
影响因子：
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作者：
M. Galanter;S. Egelko;H. Edwards;S. Katz
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DOI：
10.1176/ps.44.3.247
发表时间：
1993
期刊：
Hospital & community psychiatry
影响因子：
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作者：
Cuffel,BJ;Heithoff,KA;Lawson,W
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Lawson,W
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影响因子：
3.8
作者：
K. Barry;M. Fleming;J. Greenley;S. Kropp;Prudence A. Widlak
通讯作者：
Prudence A. Widlak