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首页> 外文期刊>Nordic journal of psychiatry. >Psychiatric comorbidity among substance misusing mothers
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Psychiatric comorbidity among substance misusing mothers

机译：滥用药物母亲之间的精神病合并症

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Background: Approximately half of patients suffering from a significant drug or alcohol related disorder also match the criteria of some other psychiatric disorder. Yet, little is known about comorbidity among substance misusing pregnant women. Aims: To estimate the prevalence of psychiatric diseases among mothers with substance misuse severe enough to end up in an assessment at a specialized addiction clinic and to compare their backgrounds to the controls. Methods: Between 1 June 2003 and 31 December 2005, the maternity clinics in Pirkanmaa health district were asked to refer mothers with possible substance misuse to Tampere University Addiction Psychiatric Clinic, where 119/217 patients were considered misusers. Of these, 49/119 (41.2%) participated in the whole study. At baseline, the assessment was made using the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and at the end of the study, 6-12 months after delivery, with the Structured Clinical Interview for DSM-IV (SCID). The comparison group (n = 74) filled a postal survey concerning their background and substance use. Results: 57% of substance misusing pregnant women had psychiatric illnesses; 6-12 months after delivery the number of substance use-related diagnoses was 40%. However, the number, spectrum and severity of psychiatric diagnoses were high in this group. Conclusions: Psychiatric comorbidity is common among substance misusing mothers. Their social situation is often very difficult and support needs vary a lot. In order to offer them best possible treatment, diagnosing these disorders should be a routine part of evaluation during pregnancy.
机译：背景：大约有一半的患有严重药物或酒精相关疾病的患者也符合其他一些精神疾病的标准。然而，对于滥用药物的孕妇中的合并症知之甚少。目的：评估严重滥用药物的母亲中的精神病患病率，以至于无法通过专门的成瘾诊所进行评估，并将其背景与对照者进行比较。方法：在2003年6月1日至2005年12月31日期间，要求在Pirkanmaa卫生区的产科诊所将可能滥用药物的母亲转诊至坦佩雷大学成瘾精神病学诊所，其中119/217患者被视为滥用者。其中，49/119（41.2％）参与了整个研究。在基线时，使用国际疾病和相关健康问题统计分类法（ICD-10）进行评估，并在研究结束时，分娩后6-12个月进行DSM-IV结构性临床访谈（SCID） 。比较组（n = 74）填写了有关其背景和物质使用情况的邮政调查。结果：滥用药物的孕妇中有57％患有精神疾病;分娩后6-12个月，与药物使用有关的诊断为40％。但是，该组的精神病诊断数量，频谱和严重程度较高。结论：滥用药物的母亲中常见精神病合并症。他们的社会状况通常非常困难，支持需求也相差很大。为了给他们提供最佳的治疗，诊断这些疾病应该是怀孕期间评估的常规步骤。

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