药物使用、心理健康和怀孕期间的双重障碍:一个发达国家的患病率和治疗率结果。

IF 1.8 4区 医学 Q3 SUBSTANCE ABUSE
Rodrigo Carmona Camacho, Nayara López Carpintero, María Luisa Barrigón, Cristina Ruiz Nogales, Inés Menéndez, Montserrat Sánchez Alonso, Irene Caro Cañizares, Juan José Hernández Aguado, Benjamin Le Cook, Margarita Alegría, Ricardo Saviron Cornudella, Javier Plaza, Enrique Baca-García
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引用次数: 1

摘要

怀孕期间吸烟和使用药物是可预防的主要死亡和发病原因,与母亲和儿童的精神健康有着双向的有害关系。作为WOMAP(妇女怀孕心理健康和成瘾)倡议的一部分,我们的研究旨在描述同时发生的精神疾病和物质使用问题的患病率,诊断和严重程度,以及被认为有风险的治疗率。使用AC-OK量表对2014名孕妇进行了筛查,并询问了她们的吸烟习惯和心理健康/药物滥用服务的使用情况。其中,170名妇女被认为有同时发生精神疾病和物质使用问题的风险(ac - ok -精神健康量表≥2项阳性反应,ac - ok -物质滥用量表≥1项阳性反应和/或每月吸烟一次以上,未使用专门服务),并通过更广泛的一系列措施(患者健康问卷[PHQ-9],一般焦虑症[GAD-7],创伤后应激障碍[PTSD] DSM-5检查表[PCL-5],酒精使用障碍鉴定试验[AUDIT]、药物滥用筛选试验[DAST]和Fagerström)。去年,614名女性(30.5%)吸烟(每天42.5%),9.8%的女性在药物使用和精神疾病方面都呈阳性。其中只有11.1%在前三个月接受过特别治疗,另有13.6%订于其后一个月接受治疗。从深度评估的子样本中,62人(36.5%)认可至少中度抑郁,35人(20.6%)认可至少中度焦虑,32人(18.8%)在PCL上认可创伤后应激障碍,88名酒精使用者中有37人在审计中得分高于阈值(≥3)。总之,高患病率和低治疗率表明应将有效的检测机制整合到日常护理中,允许早期干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Substance use, mental health and dual disorders on pregnancy: Results of prevalence and treatment rates in a developed country.

Smoking and substance use during pregnancy are major preventable causes of mortality and morbidity, having a bidirectional and deleterious relationship with the mental health of the mother and child. As part of the WOMAP (Woman Mental Health and Addictions on Pregnancy) initiative, our study aimed to describe the prevalence of co-occurring mental illness and substance use problems, diagnoses and severity of those considered at risk and rates of treatment.A screening of 2,014 pregnant women was done using the AC-OK scale and they were asked about their smoking habits and services use for mental health/substance abuse. Of these, 170 women were considered at risk of co-occurring mental illness and substance use problems (≥ 2 positive responses to the AC-OK-Mental Health subscale, ≥ 1 positive response to the AC-OK-Substance Abuse subscale and/or smoking more than once a month and no use of specialized services) and were assessed with a more extensive battery of measures (Patient Health Questionnaire [PHQ-9], General Anxiety Disorder [GAD-7], Posttraumatic stress disorder [PTSD] Checklist for DSM-5 [PCL-5], Alcohol Use Disorders Identification Test [AUDIT], Drug Abuse Screening Test [DAST] and Fagerström).In the last year, 614 women (30.5%) smoked tobacco (42.5% daily) and 9.8% were positive for both substance use and mental illness per the AC-OK. Only 11.1% of them received specific treatment in the previous three months while another 13.6% were scheduled to attend services in the following month. From the subsample assessed in depth, 62(36.5%) endorsed at least moderate depression, 35(20.6%) endorsed at least moderate anxiety, 32(18.8%) endorsed PTSD on the PCL, and 37 out of 88 alcohol users scored above the threshold in AUDIT (≥ 3). In conclusion, high prevalence and low treatment rates suggest that effective detection mechanisms should be integrated into usual care, allowing for early interventions.

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来源期刊
Adicciones
Adicciones SUBSTANCE ABUSE-
CiteScore
4.00
自引率
10.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Adicciones publica artículos originales sobre el tratamiento, la prevención, estudios básicos y descriptivos en el campo de las adicciones, como son las drogas ilegales, el alcohol, el tabaco o cualquier otra adicción, procedentes de distintas disciplinas (medicina, psicología, investigación básica, investigación social, etc.). Todos los artículos son seleccionados después de pasar un proceso de revisión anónimo hecho por expertos en ese tema.
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