孤独与心理健康之间的关联 监狱中使用药物治疗 治疗人口
S Michaela Barratt1, Evan Batty2, Megan E Marziali3
1Department of Population Health, New York University Grossman School of Medicine, New York City, New York, USA.
概括
孤独,而不是抑郁或焦虑,在患有阿片类药物使用障碍的囚犯中显著增加了心理健康服务的使用. 这突显了监狱精神卫生保健服务的社会因素.
科学领域:
- 成 药物 药物 药物 药物
- 惩戒医疗保健 惩戒医疗保健 惩戒医疗保健
- 心理健康服务研究研究 心理健康服务研究
背景情况:
- 阿片类药物使用障碍 (OUD) 在惩戒机构中很普遍.
- 了解影响OUD囚犯使用心理健康服务的因素对于有效治疗至关重要.
- 之前的研究还没有完全阐明这群人群中心理健康服务利用的具体驱动因素.
研究的目的:
- 检查OUD被监禁个人的心理健康服务使用情况.
- 调查心理健康症状 (抑郁,焦虑) 和孤独与服务利用之间的关系.
- 为了比较监禁前和监禁期间的服务使用模式.
主要方法:
- 这项研究涉及395名OUD的囚犯,参与了14个监狱中使用毒品的项目.
- 用两个多变量逻辑回归模型来分析数据.
- 在监禁前和监禁期间,收集了有关心理健康症状,孤独感和服务利用情况的数据.
主要成果:
- 精神卫生服务的使用率从监禁前的19%增加到监禁期间的38%.
- 虽然观察到高水平的抑郁症 (78%) 和焦虑症 (58%),但它们并不能预测服务使用.
- 孤独与监禁期间心理健康服务利用率的增加显著相关 (aOR:1.14,p = .026).
结论:
- 孤独感成为OUD监禁人口中使用心理健康服务的重要预测因素.
- 调查结果表明,社会隔离在推动在惩戒机构寻求心理健康护理方面发挥着关键作用.
- 建议对社交网络进行进一步的研究,以了解在惩戒环境中使用服务的情况.
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