Remission of substance use disorder among psychiatric inpatients with mental illness.
Remission of substance use disorder among psychiatric inpatients with mental illness.
复制标题
患有精神疾病的精神病住院患者物质使用障碍的缓解。
DOI：
10.1176/ajp.155.2.239
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Lehman,AF
中科院分区：
文献类型：
--
作者：
Dixon,L;McNary,S;Lehman,AF
作者评估的性质和稳定性的缓解物质使用障碍的严重精神疾病的人在指数住院治疗，并在1年follow-up. METHODCONTAINATIVE承认严重精神疾病的住院患者完成了结构化的临床访谈DSM-III-R，生活质量访谈，成瘾严重程度指数在入院和1年后。在268例患者中，70例在基线时被归类为缓解的既往药物滥用者。基线特征和1年的结果进行了比较，这组与109个目前的物质滥用者和89例谁不是substance abusers. PROTESTThe过去的滥用者显着更有可能是女性，他们一贯显着不同，从目前的滥用者的变量，涉及药物和酒精的使用频率在基线。在随访期间，基线时有当前滥用的患者更有可能复发物质使用障碍和使用物质滥用服务，在随访期间，他们比过去的滥用者有更多的饮酒和过度饮酒的月数。up评估表明，相当大比例的有药物使用障碍史的严重精神病患者正在稳定缓解。(Am J Psychiatry 1998; 155：239-243）
OBJECTIVEThe authors assessed the nature and stability of remission of substance use disorder among persons with severe mental illness at index hospitalization and at 1-year follow-up.METHODConsecutively admitted inpatients with severe mental illness completed the Structured Clinical Interview for DSM-III-R, Quality of Life Interview, and Addiction Severity Index at admission and 1 year later. Of the 268 patients, 70 were classified as past substance abusers in remission at baseline. Baseline characteristics and 1-year outcomes of this group were compared with those of the 109 current substance abusers and the 89 patients who were not substance abusers.RESULTSThe past abusers were significantly more likely to be women, and they consistently differed significantly from the current abusers in variables involving frequency of drug and alcohol use at baseline. During the follow-up period, the patients with current abuse at baseline were significantly more likely to have recurrences of substance use disorders and to use substance abuse services, and they had significantly more months of alcohol use and alcohol use to excess during follow-up than did the past abusers.CONCLUSIONSBaseline and follow-up assessments suggested that a substantial proportion of severely mentally ill patients with past substance use disorders are in stable remission. (Am J Psychiatry 1998; 155:239–243)