相互交叉的挑战:在自我报告的残疾状况中,物质使用和心理健康差异
Jessica Williams1, Xiao Li1, Hannah S Szlyk1
1Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Box 8134, St. Louis, MO 63110, United States.
Journal of substance use and addiction treatment
|December 10, 2025
概括
残疾人 (PWD) 在药物使用障碍 (SUD) 治疗方面面临着显著的差异,报告了更高的药物使用率,精神健康并发症和护理障碍. 解决这些不平等问题需要在成服务中采取基于残疾的方法.
科学领域:
- 成 药物 药物 药物 药物
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 不成比例地影响残疾人 (PWD),在成文献中代表性不足.
- 现有的关于SUD患病率和康复服务的研究对残疾状况如何影响物质使用结果提供了有限的见解.
- 了解这些差异对于开发公平的成治疗和康复支持系统至关重要.
研究的目的:
- 调查使用物质的PWD中恢复,精神健康并发症和护理障碍的差异.
- 通过使用定量调查数据,比较PWD及其非残疾同龄人之间的物质使用模式和治疗参与.
- 确定PWD的成治疗系统中的关键公平差距.
主要方法:
- 对333名参与数字干预研究的结构化调查数据的分析,包括自我报告的残疾状况.
- 两变量分析 (t-test,Chi-Square) 检查了不同残疾状态的物质使用,心理健康,康复史和治疗障碍的差异.
- 多变量回归模型评估了残疾状况与关键变量之间的关联,控制了社会人口统计学因素.
主要成果:
- 在过去30天内,PWD (34.2%) 报告使用大麻,酒精,兴奋剂和其他药物的可能性更高 (aOR 2.22-2.30).
- PWD显示抑郁症 (aOR 3.38),焦虑症 (aOR 2.39) 的几率增加,终身自杀企图,治疗障碍的感知,过量服用,以及之前的恢复尝试.
- 与非残疾参与者相比,PWD更有可能是老年人,有色人种,失业和有保险.
结论:
- 调查结果突出了PWDSUD治疗系统中的重大公平差距,强调了需要基于残疾的框架.
- 可访问,包容和以人为中心的护理方法对于物质使用健康服务和涉及PWD的研究至关重要.
- 这项研究提供了定量证据,补充了关于PWD在成恢复中面临的独特挑战的定性发现.
相关概念视频
Substance Use Disorders Affecting Sleep
366
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
366
Stress and Mental Health
564
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
564
Self-Discrepancy and Its Effects
262
Self-discrepancy theory explains how people compare their actual self to their ideal and ought selves and how mismatches between these self-guides can lead to emotional distress. Developed by E. Tory Higgins, the theory distinguishes among three components of self-concept: the actual self, the ideal self, and the ought self. These refer respectively to how individuals perceive themselves, how they aspire to be, and how they believe they are obligated to be. Emotional well-being, self-esteem,...
262
Self-Presentation: Self-Monitoring and Self-Handicapping
43.4K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
43.4K
Diagnostic and Statistical Manual of Mental Disorders (DSM)
960
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
960
Intellectual Disability
595
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
595


