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Relationship of depressive symptoms and mental health functioning to repeat detoxification.

机译:抑郁症状与心理健康的关系以重复排毒。

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To better understand residential detoxification use, we assessed the roles of depressive symptoms (DS) and mental health functioning (MHF) on repeat detoxification. A prospective cohort of residential detoxification patients (N = 400) without primary medical care was followed over 2 years at 6-month intervals. Subsequent detoxification admissions were examined using a statewide administrative database and DS (Center for Epidemiologic Studies Depression Scale) and MHF (SF-36 mental component summary subscale) measurements at follow-up. Incidence rate ratios of return to detoxification were estimated using multivariable longitudinal Poisson regression. In separate analyses, greater DS and worse MHF predicted higher detoxification use rates. Clinically significant worsening (10 points) of DS and MHF on objective scales predicted a 20% increased rate of detoxification readmission. Male sex, heroin as a problem substance, and race/ethnicity each predicted detoxification use. These data suggest that identifying individuals with DS or worse MHF after detoxification may provide opportunities for clinical intervention to reduce recurrent residential detoxification.
机译:为了更好地了解住宅排毒的用途,我们评估了抑郁症状(DS)和心理健康功能(MHF)在重复排毒中的作用。前瞻性队列的居民排毒患者(N = 400)没有初级医疗,随访期为2年,间隔6个月。随后使用州范围内的管理数据库和DS(流行病学研究中心抑郁量表)和MHF(SF-36精神成分汇总子量表)测量对随后的解毒入院进行了检查。使用多变量纵向Poisson回归估算了戒毒返回率。在单独的分析中,较高的DS和较差的MHF预测较高的排毒使用率。在客观标准上,DS和MHF的临床显着恶化(10分)预示着排毒再入院率将增加20%。男性,海洛因是有问题的物质以及种族/族裔都预测使用排毒。这些数据表明,确定排毒后患有DS或MHF较差的人可能为临床干预提供机会,以减少复发性的住宅排毒。

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