摩洛哥中部地区父母药物使用史与精神疾病的流行病学关联

Abdelmounaim Baslam, Hajar Azraida, Aboufatima Rachida, Samia Boussaa, Abderrahman Chait
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摘要

这项横断面研究调查了摩洛哥中部地区精神病院住院患者的药物使用障碍患病率,并探讨了父母药物使用障碍史与精神疾病之间的关联。共有 723 人参与了这项研究。研究使用结构化问卷和病历收集数据,内容包括精神病诊断、社会人口特征、患者及其父母的药物使用障碍,以及患者的精神病史和住院时间。参与者分为两组:父母有药物滥用史(PSUD)和无药物滥用史。患者的平均年龄分别为 34.40 岁(± 11)和 35.5 岁(± 12)。参与者使用药物的比例很高,其中使用大麻的比例最高(90.6%)。教育水平与 PSUD 相关,未受过正规教育的参与者的父母患有 SUD 的可能性更高(未调整的几率比,UOR = 2.11,95% CI = 1.1 至 4.03)。使用多种药物也与 PSUD 组相关(UOR = 2.42,95% CI = 1.73 至 3.40)。 在精神疾病方面,PSUD 组每五名患者中就有一名患有精神分裂症(21.35%),其次是急性精神病发作(20.5%)、抑郁症(20.29%)和厌食症(8.24%)。研究显示,在患有精神疾病的参与者中,药物使用的总体流行率很高,这凸显了父母的药物滥用史作为预测患者精神疾病的一个重要因素。这表明有必要给予特别关注并采取预防措施。 [ Psychiatr Ann .
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Epidemiological Association of Parental Substance Use History and Mental Health Disorders in Central Morocco
This cross-sectional study investigated the prevalence of substance use disorders and explored associations between parental substance use disorder history and mental health disorders among psychiatric hospital inpatients in central Morocco. A total of 723 participants were included in the study. Data were collected using a structured questionnaire and medical records, covering psychiatric diagnoses, sociodemographic characteristics, substance use disorders among patients and their parents, as well as the patient's psychiatric history and length of hospital stay. Participants were divided into two groups: those with parental history of substance use disorders (PSUD) and those without. Patients' mean ages were 34.40 years (± 11) and 35.5 years (± 12), respectively. The prevalence of substance use was notably high among participants, with cannabis use being the most prevalent (90.6%). Educational level was associated with PSUD, with participants having no formal education showing a higher likelihood of having parents with SUD (unadjusted odds ratio, UOR = 2.11, 95% CI = 1.1 to 4.03). Polysubstance use was also associated with the PSUD group (UOR = 2.42, 95% CI = 1.73 to 3.40). Regarding psychiatric disorders, one in five patients in the PSUD group had schizophrenia (21.35%), followed by acute psychotic episodes (20.5%), depression (20.29%), and anorexia (8.24%). The study revealed a high overall prevalence of substance use among participants with mental health disorder, highlighting the significance of parental SUD history as a predictor for patients' mental health disorders. This suggests the need for special attention and preventive measures. [ Psychiatr Ann . 2024;54(2):e56–e66.]
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