父母有物质依赖障碍的儿童的精神障碍

T. Okasha, Nesreen M. Ibrahim, Rehab Naguib, Kerolos B. Khalil, R. Hashem
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摘要

目的:成瘾父母的孩子比非成瘾家庭的孩子更容易表现出抑郁、焦虑和精神疾病的高发率。因此,我们进行了这项研究,以说明精神疾病的物质依赖的父母的孩子。材料与方法:本研究纳入50例儿童[父母一方根据《精神障碍诊断与统计手册》第4版标准诊断为物质使用障碍的25例(a组),父母一方根据一般健康问卷诊断为无精神疾病的25例(B组)]。受试者是从Heliopolis精神病医院招募的,该医院是卫生部医院。他们使用迷你国际儿童和青少年神经精神病学访谈(MINI KID)量表进行评估。我们进一步评估了成瘾严重程度指数、A组父母使用的物质类型和MINI KID量表之间的关系。结果:A组在MINI KID量表(重度抑郁障碍、心境恶劣、惊恐障碍、广场恐怖症、分离焦虑障碍)上的诊断显著性高于B组(P=0.037) (P分别为0.018、0.037、0.042、0.021、0.004)。因此,滥用药物的父母对孩子的健康有不利的影响。A组成瘾严重程度与MINI KID量表结果的关系中,只有“就业”项有显著性差异(P=0.025)。令人惊讶的是,父母滥用药物的严重程度和滥用药物的类型与孩子的精神疾病诊断没有显著关系。结论:我们的研究发现,当父母有物质使用障碍时,儿童精神疾病的患病率会增加。此外,父母成瘾程度的差异并不影响其子女患精神疾病的风险。
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Psychiatric Disorders in Children of Parents With Substance Dependence Disorder
Objectives: Children of addicted parents exhibit depression, anxiety, and elevated rates of psychiatric disorders more frequently than do children from nonaddicted families. Hence, we conducted this research to illustrate the psychiatric illness of children of substance-dependent parents. Materials and Methods: The study included 50 children [25 with a parent diagnosed with substance use disorder according Diagnostic and Statistical Manual of Mental Disorders-4th edition criteria (group A), and 25 whose parents had no psychiatric diagnosis according to general health questionnaire (group B)]. The subjects were recruited from the Heliopolis Psychiatric Hospital, which is a Ministry of Health Hospital. They were assessed using the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI KID) scale. We, furthermore, assessed the relation between the Addiction Severity Index, type of substance used by group A parents, and the MINI KID scale. Results: Group A showed more significant diagnosis than group B (P=0.037) by the MINI KID scale (major depressive disorder, dysthymia, panic disorder, agoraphobia, and separation anxiety disorder) (P=0.018, 0.037, 0.042, 0.021, and 0.004, respectively). Hence, the substance abuse parent has a detrimental effect on their children’s well-being. As regards the relation between addiction severity and result of MINI KID scale in group A, only “employment” was significant (P=0.025). Surprisingly, neither the severity of substance abused nor the type of substance abused by the parent had significant relation with the diagnosed psychiatric disorders in their children. Conclusions: Our study found that the prevalence of psychiatric disorders in children increases when their parents have substance use disorder. Moreover, the variation of the severity of parent addiction does not affect the risk for having psychiatric disorders in their children.
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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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