在注射毒品的人群中,精神病并发症和并发性物质使用:一项单一中心医院研究
Hadiya Kar1, Abdul Majid Gania2, Altaf Bandy3
1Department of Psychiatry, SKIMS Medical College, Bemina, Srinagar, 190018, India. hadiyakar@gmail.com.
Scientific reports
|November 5, 2023
概括
注射毒品的人经常患有精神病并发症,增加复发风险. 早期治疗这些疾病,特别是焦虑症,对于注射阿片类药物使用者的更好的结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 注射毒品的人 (PWID) 面临着管理精神病相关疾病的重大挑战.
- 这些并发症导致PWID频繁复发和治疗结果不佳.
- 早期发现和治疗对于改善管理和结果至关重要.
研究的目的:
- 估计阿片类药物注射者中精神病并发症的流行率.
- 为了评估这个人群中同时使用物质的情况.
- 为了确定人口统计学变量,物质使用和精神病相关疾病之间的关联.
主要方法:
- 一项基于医院的横截面研究,从2021年3月到2022年8月进行.
- 包括所有年龄和两性阿片类药物注射者.
- 使用了迷你国际神经精神病学面试-7 (MINI-7) 进行精神病学评估和WHO-ASSIST进行物质使用评估.
主要成果:
- 在328名阿片类药物注射者中,88.1%患有精神病并发症,68.6%患有多种疾病.
- 最常见的并发症包括恐慌障碍 (41.2%),社会焦虑障碍 (40.5%) 和反社会人格障碍 (39.3%).
- 同时使用酒精增加了ASPD风险 (OR 2.14);可卡因和胺增加了强迫症风险 (OR 2.36,7.68).
结论:
- 注射阿片类药物使用者表现出各种精神病并发症的高患病率,特别是焦虑症.
- 同时使用各种物质显著增加精神病并发症的风险.
- 将精神病治疗纳入成管理中,对于改善治疗成功至关重要.
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