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首页> 外文期刊>BMC Psychiatry >Comparison of demographic characteristics and psychiatric comorbidity among methamphetamine-, heroin- and methamphetamine-heroin co- dependent males in Hunan, China
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Comparison of demographic characteristics and psychiatric comorbidity among methamphetamine-, heroin- and methamphetamine-heroin co- dependent males in Hunan, China

机译：湖南省甲基苯丙胺，海洛因和甲基苯丙胺-海洛因共同依赖男性的人口统计学特征和精神病合并症的比较

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Background There is little research of psychiatric comorbidity differences among people with different types of drug dependence in Chinese population. We explored demographic and comorbid psychiatric differences among methamphetamine- dependent males (MDs), heroin-dependent males (HDs) and methamphetamine and heroin co-dependent males (M/HDs) in Hunan province, China. Methods A cross-sectional, structured and clinical interview method was used to examine differences in DSM-IV-TR Axis I Disorders among 346 MDs, 698 HDs and 247?M/HDs from three compulsory rehabilitation centers and two voluntary rehabilitation centers in Hunan. Results MDs and M/HDs were younger, more likely to choose inhalation administration, less likely to have a family history of substance use, less likely to have undergone detoxification treatment, had higher incomes and shorter duration of drug use than HDs. Overall, methamphetamine-dependence related to higher rates of current and lifetime psychotic disorders, lifetime hallucinogen use disorders. Heroin-dependence related to higher rates of current and lifetime substance-induced mood disorders, sedative/hypnotic/anxiolytic and other drug use disorders and current alcohol use disorder. For M/HDs, they were more likely to have any other lifetime substance use disorders than MDs and HDs. Conclusions There were substantial differences in epidemiological characteristics and comorbidity among MD, HD and M/HD groups, which highlights the urgent need to develop treatment services and policies for drug-specific users in China.
机译：背景：关于中国人群中不同类型药物依赖者之间的精神病合并症差异的研究很少。我们探讨了中国湖南省甲基苯丙胺依赖男性（MDs），海洛因依赖男性（HDs）和甲基苯丙胺与海洛因共同依赖男性（M / HDs）之间的人口统计学和合并症精神病学差异。方法采用横断面，结构化和临床访谈的方法，检查湖南三个强制性康复中心和两个自愿性康复中心的346名MD，698名HD和247名M / HD的DSM-IV-TR第一轴疾病的差异。结果与HD相比，MD和M / HD较年轻，更倾向于选择吸入给药，有家族药物使用史，接受排毒治疗的可能性较小，收入较高，用药时间较短。总体而言，甲基苯丙胺依赖性与当前和终生精神病性疾病，终生致幻剂使用疾病的发生率较高有关。海洛因依赖性与当前和一生中由物质引起的情绪障碍，镇静/催眠/抗焦虑药和其他药物使用障碍以及当前的酒精使用障碍发生率较高有关。对于M / HD，与MD和HD相比，他们更有可能患有其他终生的物质使用障碍。结论在MD，HD和M / HD组之间，流行病学特征和合并症存在很大差异，这凸显了中国迫切需要为特定药物使用者开发治疗服务和政策。

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