物质依赖与精神障碍在埃及年轻人中的共病

H. El-Shinnawy, R. Sayed, Mohamed A. Khalil, D. Ayoub
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引用次数: 2

摘要

目的:物质依赖在埃及年轻人中很常见。不幸的是,关于这一年龄组精神障碍和物质依赖共病的患病率,现有数据有限。此外,物质依赖与许多精神病理学因素有关,如自卑、童年虐待和压力性生活事件等,这些因素可能会加重该疾病的负担。方法:一项病例对照研究,纳入80名根据《精神障碍诊断与统计手册》第四版文本修订版(DSM-IV-TR)诊断为物质依赖的患者。样本来自Kasr Al Ainy精神病和成瘾医院。受试者被分为2组:第1组(诊断为共病物质依赖和其他精神障碍的病例)和第2组(仅诊断为物质依赖的病例)。他们使用成瘾严重程度指数(ASI)和Rosenberg自尊量表(RES)进行检查。结果:第1组患者的ASI评分(药物使用、社会障碍和精神问题)的损伤和残疾水平显著较高。他们有更高比例的精神病理学因素,例如,童年虐待史。在共病人格障碍的存在或压力生活事件的历史方面没有显著差异。结论:精神障碍合并物质依赖与更多的功能障碍和功能恶化有关。有物质依赖的年轻人有很高水平的相关精神病理学因素,如童年虐待、压力生活事件和蓄意自残。
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Substance Dependence Comorbidity With Mental Disorders in Egyptian Young Adults
Objectives: Substance dependence is commonly seen among Egyptian young adults. Unfortunately limited data are available about the prevalence of comorbidity of mental disorders and substance dependence in this age group. In addition, substance dependence is correlated with many psychopathologic factors such as low self-esteem, childhood abuse, and stressful life events, etc. which could aggravate the load of the disorder. Methods: A case control study that included 80 patients diagnosed with substance dependence according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, text revised (DSM-IV-TR). The sample was recruited from Kasr Al-Ainy Psychiatry and Addiction Hospital. Subjects were divided into 2 groups: group 1 (cases with the diagnosis of comorbid substance dependence and othermental disorder) and group 2 (cases with the diagnosis of substance dependence only). They were examined using Addiction Severity Index (ASI) and Rosenberg Self-Esteem Scale (RES). Results: Patients in group 1 had significantly higher levels of impairment and disability in scores of ASI: drug use, social impairment, and psychiatric problems. They had higher percentage of psychopathologic factors, for example, history of childhood abuse. There was no significant difference in the presence of comorbid personality disorder, or history of stressful life events. Conclusions: Comorbidity of mental disorders with substance dependence is associated with more impairment and functional deterioration. Young adults with substance dependence have high levels of associated psychopathologic factors, such as childhood abuse, stressful life events, and deliberate self-harm.
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期刊介绍: Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.
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