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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Stimulant use disorders: Characteristics and comorbidity in an Australian population sample.
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Stimulant use disorders: Characteristics and comorbidity in an Australian population sample.

机译：兴奋剂使用障碍：澳大利亚人口样本中的特征和合并症。

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Objective: To describe the correlates of stimulant use disorders (abuse, dependence) in an Australian population sample, to compare the characteristics of stimulant users with and without stimulant use disorders and to describe the patterns of service use and help-seeking in people with stimulant use disorders. Methods: Data were drawn from the 2007 National Survey of Mental Health and Wellbeing, which sampled 8841 residents of private dwellings in Australia in 2007. Lifetime DSM-IV substance use and mental disorder diagnoses were obtained from interviews conducted by lay interviewers, using the Composite International Diagnostic Interview (CIDI). Socio-demographic, socio-economic and clinical correlates of stimulant use disorders were identified using binary logistic regression models. Stimulant users with and without stimulant use disorders were compared to non-stimulant users via multinomial logistic regression models. Results: Compared to Australians without stimulant use disorder, people with stimulant use disorders were younger, more likely to be male, of non-heterosexual orientation and born in Australia, but were not more socially disadvantaged. Lifetime comorbidity rates were high: 79% of persons with stimulant use disorders had a lifetime alcohol use disorder, 73% a lifetime cannabis use disorder, and more than one third a lifetime mood or anxiety disorder. Stimulant use disorders were associated with a family history of substance use, affective disorders and psychosis. One in five people with lifetime stimulant use disorders had been imprisoned, homeless or hospitalised for substance or mental health problems, and 13% reported at least one symptom of psychosis. Nearly half had sought help for substance or mental health problems, primarily from General Practitioners (GPs), psychologists or psychiatrists. Conclusions: Stimulant use disorders in a representative population sample are associated with significant comorbidity and harm. Many persons with stimulant use disorders had sought care and found this helpful. There is scope for screening and intervention in this group.
机译：目的：描述兴奋剂使用障碍（滥用，依赖）在澳大利亚人口样本中的相关性，比较兴奋剂用户的特点，无论有兴奋剂使用障碍，并描述兴奋剂的人们使用和寻求帮助的人使用障碍。方法：从2007年的全国精神健康和福利调查中汲取了数据，2007年澳大利亚的私人住宅居民采样了8841年。使用综合，从采访者进行的访谈中获得终身DSM-IV物质使用和精神障碍诊断国际诊断访谈（CIDI）。使用二元逻辑回归模型鉴定了兴奋剂使用障碍的社会人群，社会经济和临床关联。通过多项式逻辑回归模型将具有和不具有兴奋剂使用障碍的兴奋剂用户进行比较。结果：与澳大利亚人没有兴奋剂使用障碍，有兴奋剂使用障碍的人更年轻，更可能是男性，非异性恋的定位和出生在澳大利亚，但并不是更具社会弱势群体。寿命合并症率高：79％具有兴奋剂使用障碍的人有终身酒精使用障碍，73％的终身大麻使用障碍，并且超过三分之一的终身情绪或焦虑症。兴奋剂使用障碍与物质使用，情感障碍和精神病的家族史有关。五分之一的人患有终身兴奋剂使用障碍被监禁，无家可归或住院物质或心理健康问题，13％的人报告至少有一种精神病症状。近一半寻求有助于物质或精神健康问题，主要来自普通从业者（GPS），心理学家或精神科医生。结论：代表性人口样本中的兴奋剂使用障碍与显着的合并症和危害有关。许多伴有兴奋剂使用障碍的人都寻求护理，发现这有用。该组有筛选和干预的范围。

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