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首页> 外文期刊>AIDS care. >Resilience associated with mental health problems among methadone maintenance treatment patients in Guangzhou, China
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Resilience associated with mental health problems among methadone maintenance treatment patients in Guangzhou, China

机译：中国广州美沙酮维持治疗患者心理健康问题的恢复力

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摘要

A considerable proportion of methadone maintenance treatment (MMT) clients have experienced mental health problems (e. g., depression and anxiety), and poor mental health status is associated with HIV-related risk behaviors and treatment drop-out. Resilience is known to be a protective factor for mental health problems but is not studied among MMT clients in China. This study aimed to explore the relationship between resilience and mental health problems (depression, anxiety and stress) among clients of community-based MMT clinics in China. A total of 208 MMT clients completed the face-to-face interview conducted at 4 of 11 MMT clinics in Guangzhou. The Chinese short version of Depression Anxiety Stress Scale (DASS-21) was used to assess the presence of depressive, anxiety and stress symptoms, and the Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience. Logistic regression models were fit in data analyses. Of all participants, 12.8%, 19.5% and 8.3% had depression, anxiety and stress, respectively. The mean resilience score was 57.6 (SD = 15.9). In the univariate analyses, resilience was negatively associated with two studied mental health problems (depression and anxiety, ORu = 0.96 and 0.96, p <.01). In multivariate models adjusting for both background and other psycho-social factors, resilience was independently associated with probable depression (ORa = 0.97, 95% CI: 0.93-0.99) and anxiety (ORa = 0.96, 95% CI: 0.94-0.99). Resilience was independently associated with depression and anxiety. As resilience is changeable, interventions targeting mental health problems of MMT users should consider resilience as an important part in the designing of such interventions.
机译：相当大比例的美沙酮维持治疗（MMT）客户经历了心理健康问题（例如，抑郁和焦虑），心理健康状况差与艾滋病毒相关的风险行为和治疗辍学有关。已知弹性是心理健康问题的保护因素，但在中国的MMT客户之间没有研究过。本研究旨在探讨我国社区MMT诊所客户的恢复力和心理健康问题（抑郁，焦虑和压力）的关系。共有208毫米的客户完成了广州11个MMT诊所的4个面对面的面试。中国短版抑郁症焦虑压力标度（DASS-21）用于评估抑郁，焦虑和应力症状的存在，以及康诺特 - 戴维森的弹性量表（CD-RISC）用于测量弹性。 Logistic回归模型适合数据分析。在所有参与者中，12.8％，19.5％和8.3％分别具有抑郁，焦虑和压力。平均弹性得分为57.6（SD = 15.9）。在单变量分析中，恢复性与两种学习的心理健康问题产生负面相关（抑郁和焦虑，ORU = 0.96和0.96，P <.01）。在调整背景和其他心理社会因素的多元模型中，弹性与可能的抑郁症独立相关（ORA = 0.97,95％CI：0.93-0.99）和焦虑（ORA = 0.96,95％CI：0.94-0.99）。弹性与抑郁和焦虑独立相关。随着韧性是可变的，旨在瞄准MMT用户的心理健康问题的干预措施应考虑弹性作为设计这些干预措施的重要组成部分。

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  • 来源
    《AIDS care.》 |2017年第6期|共6页
  • 作者

    Jiao Mingxu; Gu Jing; Xu Huifang; Hao Chun; Lau Joseph T. F.; Mo Phoenix; Liu Di; Zhao Yuteng; Zhang Xiao; Babbitt Andrew; Hao Yuantao;

  • 作者单位

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

    Guangzhou Ctr Dis Control &

    Prevent Dept HIV Prevent Guangzhou Guangdong Peoples R China;

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

    Chinese Univ Hong Kong Sch Publ Hlth &

    Primary Care Hong Kong Hong Kong Peoples R China;

    Chinese Univ Hong Kong Sch Publ Hlth &

    Primary Care Hong Kong Hong Kong Peoples R China;

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

    Guangzhou Ctr Dis Control &

    Prevent Dept HIV Prevent Guangzhou Guangdong Peoples R China;

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

    Sun Yat Sen Univ Sch Publ Hlth Guangzhou Guangdong Peoples R China;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    Methadone maintenance treatment; resilience; mental health; China;

    机译：美沙酮维护治疗;弹性;心理健康;中国;

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