在经历无家可归的过渡年龄青年中,物质使用障碍和精神疾病
Colin W Burke1, Elizabeth S Firmin1, Sylvia Lanni1
1Massachusetts General Hospital, Boston.
JAACAP open
|January 19, 2024
概括
经历无家可归的过渡年龄青年 (TAY-EH) 具有高的物质使用障碍 (SUD) 和心理健康状况. 增加的精神病理与这种人群中大麻和酒精使用障碍的更高的患病率和严重程度有关.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 经历无家可归的过渡年龄青年 (TAY-EH) 面临着重大挑战,包括大量的物质使用障碍 (SUD) 和精神病理.
- 在这个脆弱的人群中,SUD和精神病诊断之间的同时发生和相互作用的数据有限.
- 了解这些复杂的关系对于开发有效的干预措施至关重要.
研究的目的:
- 确定TAY-EH中单一和同时发生的SUD和精神病诊断的比率.
- 调查心理病理与该人口中SUD的患病率和严重程度之间的联系.
- 为TAY-EH提供基础数据,用于定制的治疗策略.
主要方法:
- 140 TAY-EH进入大都会地区的低门社会服务机构参与了.
- 进行了心理社会和诊断面试,以评估SUD和精神病理学.
- 分析的重点是疾病的发病率,并发症,以及心理病理负担与SUD流行/严重程度之间的关系.
主要成果:
- 观察到单一和同时发生的精神疾病和特定SUD (大麻使用障碍[CUD]和酒精使用障碍[AUD]) 的高率.
- 越来越多的精神病诊断明显与CUD/AUD患病率和严重程度的增加有关.
- 情绪,焦虑,注意力缺陷/多动症和反社会人格障碍,以及自杀倾向,与增加CUD/AUD患病率和严重程度显著相关 (所有p < .05).
结论:
- 在TAY-EH中,SUD和精神病理之间存在复杂的相互作用,同时出现的精神病理与CUD/AUD严重程度有显著的关联.
- 这项研究是第一个将特定的精神病理与TAY-EH中SUD严重程度联系起来的研究之一.
- 对机制和时间联系的进一步研究对于为这一群体提供有针对性的治疗干预措施的信息至关重要.
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