Prevalence of psychiatric disorders among young injection drug users
Prevalence of psychiatric disorders among young injection drug users
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DOI：
10.1016/j.drugalcdep.2011.12.012
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发表时间：
2012-07-01
影响因子：
4.2
通讯作者：
Ouellet, Lawrence J.
中科院分区：
文献类型：
--
作者：
Mackesy-Amiti, Mary E.;Donenberg, Geri R.;Ouellet, Lawrence J.
背景资料：对接受药物使用治疗的个人进行的研究发现，精神疾病的发病率很高，但对未接受治疗的吸毒者的精神健康知之甚少。本研究的目的是评估年轻注射吸毒者（IDU）治疗setting.Methods以外的生活和最近的物质使用和精神疾病的患病率：参与者通过外展和响应驱动的抽样招募。经过培训的采访者管理的物质和精神障碍的精神病学研究工具。访谈是在芝加哥社区外展干预项目的两个实地工作站进行的。参与者是570名在过去30天内注射过药物的年轻人（18-25岁）。海洛因是该样本中使用的主要药物。过去12个月和终身物质使用障碍和原发性和物质引起的精神障碍的基础上DSM-IV诊断criteria.Results：几乎所有的参与者符合海洛因依赖的标准。多种物质使用障碍很常见;大麻是仅次于海洛因的最常见物质，其次是酒精和可卡因。重度抑郁症、酒精依赖、反社会人格障碍和边缘型人格障碍的患病率很高。其他精神疾病的观察水平与其他年轻的成年samples.Conclusions：年轻的IDU经验的抑郁症，酒精依赖，反社会人格障碍，边缘型人格障碍的高利率，和多种物质使用障碍是常见的。这一人群中的焦虑症似乎与一般年轻人的患病率相似。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Background: Studies of individuals in treatment for substance use have found high rates of psychiatric disorders, however little is known about the mental health of drug users not in treatment. This study aimed to assess the prevalence of lifetime and recent substance use and psychiatric disorders among young injection drug users (IDU) outside of a treatment setting.Methods: Participants were recruited through outreach and respondent-driven sampling. Trained interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Interviews were conducted at two field stations operated by Community Outreach Intervention Projects in Chicago. Participants were 570 young adults (18-25 years) who injected drugs in the previous 30 days. Heroin was the primary drug used in this sample. Past 12-month and lifetime substance use disorders and primary and substance-induced mental disorders were based on DSM-IV diagnostic criteria.Results: Nearly all participants met the criteria for heroin dependence. Multiple substance use disorders were common; cannabis was the most common substance involved after heroin, followed by alcohol and cocaine. Major depression, alcohol dependence, antisocial personality disorder, and borderline personality disorder were highly prevalent. Other psychiatric disorders were observed at levels consistent with other young adult samples.Conclusions: Young IDU experience major depression, alcohol dependence, anti-social personality disorder, and borderline personality disorder at high rates, and multiple substance use disorders are common. Anxiety disorders in this population appear to be similar in prevalence to young adults in general. (C) 2011 Elsevier Ireland Ltd. All rights reserved.