Classification and short-term course of DSM-IV cannabis, hallucinogen, cocaine, and opioid disorders in treated adolescents
Classification and short-term course of DSM-IV cannabis, hallucinogen, cocaine, and opioid disorders in treated adolescents
复制标题
DOI：
10.1037/0022-006x.73.6.995
复制
发表时间：
2005-12-01
影响因子：
5.9
通讯作者：
Martin, CS
中科院分区：
文献类型：
--
作者：
Chung, T;Martin, CS
这项研究检查了《精神疾病诊断和统计手册》(文本修订版；DSM-IV；美国精神病学协会，2000年)用于诊断大麻、迷幻剂、可卡因和阿片类疾病的症状的潜在类别结构，这些症状用于诊断501名从成瘾治疗中招募的青少年。将潜伏期结果与DSM-IV中的滥用和依赖类别进行比较，并使用潜伏期转换分析(LTA)来检查一年随访期间症状严重程度的变化。虽然2类和3类解决方案最符合数据(2类：致幻剂、可卡因、阿片类药物；3类：大麻)，但3类解决方案提供了更多实质性成果，并在分析中得到强调。潜伏期与DSM-IV诊断符合率较高。LTA建议，所有4种药物在1年内转变为不那么严重的级别的可能性更大；住院患者和门诊患者的变化模式不同。
This study examined the latent class structure of Diagnostic and Statistical Manual of Mental Disorders (text rev.; DSM-IV; American Psychiatric Association, 2000) symptoms used to diagnose cannabis, hallucinogen, cocaine, and opiate disorders among 501 adolescents recruited from addictions treatment. Latent class results were compared with the DSM-IV categories of abuse and dependence, and latent transition analysis (LTA) was used to examine changes in symptom severity over a 1-year follow-up. Although 2- and 3-class solutions provided the best fit to the data (2-class: hallucinogens, cocaine, opioids; 3-class: cannabis), 3-class solutions provided more substantive results and were emphasized in analyses. There was good agreement between latent classes and DSM-IV diagnosis. LTA suggested greater likelihood of transitioning to a less severe class at 1 year for all 4 drugs; in- and outpatients differed in pattern of change.