土耳其 80 个城市 104 个门诊咨询中心收治的 2098 名甲基苯丙胺使用者中与精神病有关的因素。

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-11-22 DOI:10.1080/02791072.2024.2428242
Cavid Guliyev, Ebru Aldemir, Melike Şimşek, Kültegin Ögel
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引用次数: 0

摘要

有证据表明,与不吸食者相比,吸食甲基苯丙胺者患精神病的风险明显更高。本研究旨在调查甲基苯丙胺吸食者的精神病发病率,并研究与甲基苯丙胺相关精神病(MAP)有关的因素。门诊收治了两千九百八十八(2,098)名吸食甲基苯丙胺的患者。现有的入院数据包括临床访谈、成瘾特征指数(API)和 API 临床表格。其中有 267 人(12.7%)被确定为 MAP。我们的数据分析发现,MAP 和非 MAP 群体在入院时在社会人口学、临床和人格方面存在明显差异。多变量回归分析显示,年龄较大(OR = 1.049)、开始使用药物的年龄较小(OR = 0.960)、使用 MA 的频率较高(OR = 1.622)、单身(OR = 1.974)、教育程度较低(OR = 0.46)、戒断症状增多(OR = 1.100)、缺乏愤怒控制得分较高(OR = 1.422)、缺乏自信得分较高(OR = 1.396)以及焦虑得分较高(OR = 1.715)与 MAP 显著相关。尽管本研究中发现的因素代表的是状态(入院时)而非稳定的性格特征,但这些结果可能有助于我们更好地描述与门诊患者中的 MAP 相关的背景因素。
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Factors Associated with Psychosis in 2098 Methamphetamine Users Admitted to 104 Outpatient Counseling Centers in 80 Cities in Turkey.

Evidence suggests that individuals who use methamphetamine are at a significantly higher risk of developing psychosis compared to non-users. This study aims to examine the rate of psychosis among methamphetamine users and to investigate factors related to methamphetamine-associated psychosis (MAP). Two thousand ninety-eight (2,098) individuals with methamphetamine use were admitted to outpatient care. Available admissions data included clinical interviews, the Addiction Profile Index (API), and API-clinical forms. MAP was identified in 267 (12.7%) participants. Our data analysis found significant sociodemographic, clinical, and personality differences between MAP and non-MAP cohorts on admission. Multivariate regression analysis revealed that older age (OR = 1.049), younger age of substance use onset (OR = 0.960), more frequent MA use (OR = 1.622), being single (OR = 1.974), lower education (OR = 0.46), increased number of withdrawal symptoms (OR = 1.100), higher lack of anger control scores (OR = 1.422), higher lack of assertiveness scores (OR = 1.396), and higher anxiety scores (OR = 1.715) were significantly associated with MAP. Although factors identified in this study represent state (on admission) rather than stable characterological traits, these results may nonetheless help us better characterize contextual factors associated with MAP in an outpatient population.

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来源期刊
CiteScore
5.30
自引率
7.10%
发文量
62
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