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首页> 外文期刊>Drug and alcohol review >Mental health and alcohol, drugs and tobacco: a review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs.
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Mental health and alcohol, drugs and tobacco: a review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs.

机译：心理健康与酒精，毒品和烟草：对精神障碍与酒精，烟草和非法药物使用之间的合并症的回顾。

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摘要

This paper reviews some major epidemiological studies undertaken in high-income countries during the last 15 years which have reported the prevalence of mental disorders and substance use disorders and their relationship. Comorbidity between mental and substance use disorders is highly prevalent across countries. In general, people with a substance use disorder had higher comorbid rates of mental disorders than vice versa, and people with illicit drug disorders had the highest rates of comorbid mental disorders. There is a strong direct association between the magnitude of comorbidity and the severity of substance use disorders. While causal pathways differ across substances and disorders, there is evidence that alcohol is a casual factor for depression, in some European countries up to 10% of male depression. Policies that reduce the use of substances are likely to reduce the prevalence of mental disorders. Treatment should be available in an integrated fashion for both mental and substance use disorders. There is a need to expand the evidence base on comorbidity, particularly in low-income countries.
机译：本文回顾了过去15年在高收入国家进行的一些主要流行病学研究，这些研究报告了精神障碍和药物滥用障碍的患病率及其关系。精神疾病和药物滥用疾病之间的合并症在各个国家非常普遍。一般而言，患有药物滥用疾病的人的精神障碍合并症发生率高于反之，而患有毒品滥用问题的人的精神障碍合并症发生率最高。合并症的严重程度与药物滥用障碍的严重程度之间存在直接的直接联系。尽管物质和疾病之间的因果途径不同，但有证据表明，酒精是抑郁症的偶然因素，在某些欧洲国家，男性抑郁症的发病率高达10％。减少药物使用的政策可能会降低精神障碍的患病率。对于精神和物质使用障碍，应以综合方式获得治疗。有必要扩大基于合并症的证据，特别是在低收入国家。

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