日本における精神医学における非公式薬物乱用者の臨床的特徴: コデイン乱用者とデクストロメソルファン乱用者の比較
Yuko Tanibuchi1,2, Soichiro Omiya2,3, Takashi Usami2,4
1Chiba Hospital, Funabashi, Chiba, Japan.
Neuropsychopharmacology reports
|February 18, 2026
まとめ
日本のデクストロメソルファン (DXM) の乱用は,若い人,女性,および自己傷害歴のある人々に関連しています. 急性中毒と気分障害は,DXMの誤用に関連した重要な要因であり,ターゲットを絞ったサポートと予防が必要である.
科学分野:
- 精神科医は精神病を患っている.
- 臨床心理学の臨床心理学について
- 薬理学 薬理学とは
背景:
- 処方箋外 (OTC) 医薬品の誤用は,日本の精神科の診療所で懸念が高まっている.
- コデイン (COD) とデクストロメソルファン (DXM) は,一般的に乱用されているOTC物質です.
- DXMの誤用の特徴を理解することは,効果的な介入策の開発に不可欠です.
研究 の 目的:
- コデイン (COD) とデクストロメソルファン (DXM) を乱用する個人の臨床的特徴を比較する.
- デクストロメソルファン (DXM) の誤用に関連する要因を特定するために.
- DXMの悪用者に対する標的型支援措置の策定を図る.
主な方法:
- 2024年の精神科入院施設における薬物関連障害に関する全国調査のデータを活用した.
- CODとDXM乱用者の間で人口統計,診断 (ICD-10) および併発性データを抽出し,比較しました.
- グループ比較のためのフィッシャーの正確なテストと,因数分析のための多変数ロジスティック回帰を用いた.
主要な成果:
- DXMグループ (n=72) は,CODグループ (n=160) よりも多くの女性と若い個体で構成されていました.
- DXMの乱用者は,最近の薬物使用,自傷,自殺未遂の割合が高かった.
- DXMの誤用と関連した有意な関連は,若い年齢,急性中毒,併発性気分障害 (F3) であった.
結論:
- DXMの誤用は,自己傷害や自殺のリスクが高いことを含む特定の人口統計学および臨床プロファイルと関連しています.
- DXMの乱用の管理には,急性期ケア,包括的な精神医学評価,自殺リスク評価が必要です.
- 予防戦略は,OTC販売の規制措置と並行して,精神衛生と自殺予防教育を統合する必要があります.
キーワード:
依存症 依存症 依存症 依存症コデイン (codeine) とはデクストロメソルファン (Dextromethorphan) とは薬物依存症 薬物依存症誤った利用は,誤った利用です.オーバー・ザ・カウンター・ドラッグ・ドラッグさらに関連する動画
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