摘要
目的探讨甲基苯丙胺依赖与其他精神障碍共病情况及相关因素的影响。方法选取2016年4月~2017年12月广东省南丰强制隔离戒毒所、广东省女子强制隔离戒毒所委托本单位进行精神病司法鉴定的157例甲基苯丙胺依赖共病其他精神障碍者作为研究对象,分为男性组(n=96)和女性组(n=61)。自制一般资料调查表、吸毒相关因素调查表,应用DSM-Ⅳ-TR轴Ⅰ障碍定式临床检查患者版(DSM-Ⅳ-TR,SCID-Ⅰ)进行调查。结果男性甲基苯丙胺依赖共病其他精神障碍者受教育年限更短,无业的比例更大,年收入更少,曾经戒毒次数更多(P<0.05),物质使用阳性家族史更常见(P<0.05),躁狂发作的共病率更高(P<0.05),而女性重性抑郁、焦虑障碍的共病率更高(P<0.05)。男性共病患者毒资主要来源于不正当所得,而女性共病患者主要依靠工作所得(P<0.05);男性共病患者首次吸毒原因主要是为了追求刺激,而女性共病患者主要是为了缓解负性情绪(P<0.05)。结论甲基苯丙胺依赖与其他精神障碍共病存在性别差异,男性甲基苯丙胺依赖者较女性更易复吸,为预防复吸应重视其共病问题。
Objective To explore the comorbidity of Methamphetamine dependence and other mental disorders and the influence of related factors.Methods A total of 157 subjects with comorbidity Methamphetamine dependence and other mental disorders who were entrusted with psychiatric expertise were collected from Nanfeng Enforced Isolation Detoxification Institute of Guangdong Province and Famale Enforced Isolation Detoxification Institute Hospital of Guangdong Province from April 2016 to December 2017 were divided into male group（96 cases） and female group（61 cases）.General information questionnaire and drug related factor questionnaire were made,all patients were investigated by DSM-Ⅳ-TR axis Ⅰ obstacle setting clinical examination version（DSM-Ⅳ-TR,SCID-Ⅰ）.Results Male with methamphetamine dependence and other mental disorders were less educated,more unemployed,less annual income,and more detoxification times（P〈0.05）.The positive family history of drug use was more common（P〈0.05）,and higher incidence with comorbid manic episodes（P〈0.05）.In female group,the incidence with comorbidity depression and anxiety was higher than that in male group（P 〈0.05）.Improper income was the main source of drug use in male group,as well as earned income in female group（P〈0.05）.For the first time,the main reason for drug use was the pursuit of stimulation in male group,as well as to release negative emotions in female group（P〈0.05）.Conclusion Comorbidity methamphetamine dependence and other mental disorders show differences between genders.Male methamphetamine dependent patients are more likely to relapse than that in female.Relapse prevention should attach importance to be the comorbidity problem.
作者
杜颖
谭常赞
刘祺
罗长州
梁其生
梁艳
DU Yin;TAN Chang-zan;LIU Qi;LUO Chang-zhou;LIANG Qi-sheng;LIANG Yon(Female Ward,the Third People＇s Hospital of Zhaoqing City in Guangdong Province,Zhaoqing 526060,China;Female Enforced Isolation Detoxification Institute Hospital of Guangdong Province,Foshan 528100,China;Nanfeng Enforced Isolation Detoxification Institute of Guangdong Province,Foshan 528135,China)
出处
《中国当代医药》
2018年第15期8-11,共4页
China Modern Medicine
基金
广东省肇庆市科技创新指导类项目(2016040308-01)
关键词
甲基苯丙胺依赖
精神障碍
共病
相关因素
Methamphetamine dependent
Mental disorders
Comorbidity
Related factor
