Subtyping of substance use disorders in a high-risk welfare-to-work sample: A latent class analysis
Subtyping of substance use disorders in a high-risk welfare-to-work sample: A latent class analysis
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DOI：
10.1016/j.jsat.2010.03.001
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发表时间：
2010-06-01
影响因子：
3.9
通讯作者：
Sung, Sharon C.
中科院分区：
文献类型：
--
作者：
Schwartz, Bruce;Wetzler, Scott;Sung, Sharon C.
本研究的目的是（a）调查不同低收入福利工作样本中物质滥用/依赖亚型的存在情况，（B）探讨精神病和医疗疾病共病率的亚型差异。所有人口统计学和临床变量的数据提取自4，977名参与物质使用障碍福利接受者综合病例管理计划的客户的去识别病例记录。潜在类别分析支持由多种滥用/依赖类别（n = 1，133）、可卡因/酒精类别（n = 2，120）、阿片类药物类别（n = 1，346）、大麻类别（a = 362）和小型多种物质/非主要类别（n = 16）组成的五类模型。事后卡方分析揭示了几个类间差异，可能反映了不同程度的严重性和服务需求。所有五个班的特点是高比例的医疗和精神科合并症。(C)2010年爱思唯尔公司All rights reserved.
The goals of this study were (a) to investigate the existence of substance abuse/dependence subtypes in a diverse low-income welfare to work sample and (b) to explore subtype differences in rates of comorbid psychiatric and medical conditions. Data for all demographic and clinical variables were extracted from deidentified case records of 4,977 clients enrolled in a comprehensive case management program for welfare recipients with substance use disorders. Latent class analysis supported a five-class model made up of a multiple abuse/dependence class (n = 1,133), a cocaine/alcohol class (n = 2,120), an opioids class (n = 1,346), a cannabis class (a = 362), and a small polysubstance/none primary class (n = 16). Post hoc chi-square analyses revealed several between-class differences, perhaps reflecting differing levels of severity and service needs. All five classes were characterized by high rates of medical and psychiatric comorbidity. (C) 2010 Elsevier Inc. All rights reserved.