Clinical characteristics as a function of referral status among substance users in residential treatment.
Clinical characteristics as a function of referral status among substance users in residential treatment.
复制标题
住院治疗中物质使用者的临床特征与转诊状态的关系。
DOI：
10.1016/j.addbeh.2012.12.015
复制
发表时间：
2013
影响因子：
4.4
通讯作者：
Lejuez,CW
中科院分区：
文献类型：
--
作者：
Banducci,AnneN;Dahne,Jennifer;Magidson,JessicaF;Chen,Kevin;Daughters,StaceyB;Lejuez,CW
在美国，自愿（VO）选择接受治疗的物质使用者和法院强制（CM）接受治疗的物质使用者通常在同一设施内获得护理。关于区分这些个体的临床特征知之甚少。目前的研究提供了特定的DSM-IV轴I和轴II精神和物质使用障碍，合并症，儿童创伤，动机和其他临床和人口统计学特征的转介状态的函数，在住宅物质使用治疗的个人（463名参与者，M年龄=43.3; 69.7%男性; 88.4%非洲裔美国人）。参与者被采访和诊断使用DSM-IV的结构临床访谈和人格障碍的诊断访谈。在我们的样本中，与CM个体相比，VO个体具有显著更高的精神障碍发生率（分别为68.7%和55.2%），包括心境障碍、重度抑郁障碍、广泛性焦虑障碍和边缘型人格障碍。此外，他们更有可能有酒精依赖（43.0%对20.8%）和可卡因依赖（66.5%对48.9%）。VO个体中还观察到合并症和儿童期虐待的发生率升高，而动机并不因转诊状态而异。总体而言，VO个体似乎比CM对应者有更严重的问题，这可能表明他们需要更密集或不同类型的治疗。
In the United States, substance users who voluntarily (VO) elect to receive treatment and substance users who are court-mandated (CM) to receive treatment typically obtain care within the same facilities. Little is known about the clinical characteristics that differentiate these individuals. The current study provides rates of specific DSM-IV Axis I and Axis II psychiatric and substance use disorders, comorbidities, childhood trauma, motivation, and other clinical and demographic characteristics as a function of referral status, among individuals in residential substance use treatment (463 participants, M age=43.3; 69.7% male; 88.4% African American). Participants were interviewed and diagnosed using the Structure Clinical Interview for DSM-IV and the Diagnostic Interview for Personality Disorders. Within our sample, VO individuals, as compared to CM individuals had significantly higher rates of psychiatric disorders (68.7% versus 55.2%, respectively), including mood disorders, major depressive disorder, generalized anxiety disorder, and borderline personality disorder. Additionally, they were significantly more likely to have alcohol dependence (43.0% versus 20.8%) and cocaine dependence (66.5% versus 48.9%). Elevated rates of comorbidities and childhood abuse were also observed among VO individuals, while motivation did not differ as a function of referral status. Overall, VO individuals appeared to have more severe problems than their CM counterparts which may suggest that they require more intensive or different types of treatment.