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Updated: Feb 11, 2026

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智力和发育障碍者中的物质使用障碍:叙述性审查
Kimberly G Fulda1,2, Scott T Walters3, Tracey E Barnett3
1North Texas Primary Care Practice-Based Research Network (NorTex), Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.
The American journal of drug and alcohol abuse
|February 10, 2026
概括
智力和发育障碍 (IDD) 患者使用物质较少,但更容易患上物质使用障碍 (SUD). 改善结果需要专门的提供者培训和针对这一群体量身定制的治疗方案.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 对物质使用障碍 (SUD) 和智力和发育障碍 (IDD) 的研究有限.
- 患有IDD的个体不太可能使用物质,但如果他们这样做,则更容易受到SUD的影响.
- 现有的文献强调了在理解IDD和SUD之间的复杂相互作用方面存在的差距.
研究的目的:
- 为了阐明IDD和SUD之间的关系.
- 确定最佳实践,以提高成年人IDD和SUD的治疗坚持和健康结果.
- 为了解决这个弱势群体面临的具体需求和挑战.
主要方法:
- 一个全面的英语同行评审文学叙事评论.
- 在主要数据库 (CINAHL,PubMed,Scopus,科学网,学术搜索完整,PsycINFO) 进行的搜索.
- 纳入标准集中在2000年1月至2025年5月期间发表的研究中,研究了IDD和SUD成年人的共同发生,风险因素,治疗和障碍.
主要成果:
- 患有IDD的成年人使用物质的患病率较低,但通常在SUD的门诊精神卫生机构中看到.
- 大麻,酒精和可卡因是常用的物质.
- 关键的风险因素包括男性性别,家庭SUD史,同龄人使用物质,精神病并发症和轻度/边境IDD. 大约有42-54%的人同时患有精神疾病.
- 治疗SUD的医疗保健提供者往往缺乏针对IDD患者的具体培训.
结论:
- 开发SUD和IDD的专业培训对于提高提供者能力至关重要.
- 治疗方案必须整合风险因素,如同龄人关系,家族病史和并发性精神健康状况.
- 量身定制的干预措施对于提高成年IDD和SUD患者的治疗坚持和健康结果至关重要.
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