使用UNCOPE屏幕检测DSM-5阿片类药物和甲基胺使用障碍
Albert M Kopak1, Sierra D Thomas1, Norman G Hoffmann2,3
1Department of Research, UNC Health Sciences, The Mountain Area Health Education Center, Asheville, NC, USA.
Substance use & addiction journal
|April 3, 2024
概括
UNCOPE屏幕准确地识别了监狱人口中的阿片类药物和甲基胺使用障碍. 一个简短的,两项版本可以在入院时有效地检测这些物质使用障碍.
科学领域:
- 成 药物 药物 药物 药物
- 刑事司法 卫生 刑事司法 卫生
- 精神病学是一个精神病学.
背景情况:
- 阿片类药物流行病导致了创纪录的药物过量,特别是在刑事司法人口中.
- 在拘留中心中,阿片类药物和甲基胺使用障碍很普遍.
- 许多惩戒机构缺乏针对这些物质使用障碍的常规查.
研究的目的:
- 评估UNCOPE,一个6项选,用于检测可能的DSM-5阿片类药物和甲基胺使用障碍.
- 确定这些特定物质使用障碍的关键指标.
主要方法:
- 进行了全面的物质使用评估,对717名进入4个县监狱的成年人进行了评估.
- 检查了UNCOPE屏幕的实用性与DSM-5诊断相比.
主要成果:
- 三个积极的UNCOPE反应检测到99.8%的阿片类药物使用障碍和98.7%的甲基胺使用障碍诊断.
- 接收器操作特征曲线显示出高精度 (阿片类药物的AUC为0.99,甲基胺的AUC为0.98).
- 两个UNCOPE项目确定了100%的阿片类药物使用障碍和99.6%的甲基胺使用障碍病例.
结论:
- UNCOPE是识别阿片类药物和甲基胺使用障碍的实用和有效工具.
- 一个2项UNCOPE屏幕可以作为监狱入狱时检测的超简短方法.
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