药物依赖性康复妇女的心理和社会状况

M. Abol, Rania Mamdouh, Sherine El Mekawy, Sally El Sheikh
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摘要

目的本文的目的是评估一组依赖物质康复的女性患者是否存在精神障碍,并评估依赖物质康复女性在整个康复过程中的社会能力和支持程度。患者和方法从大开罗的私立医院、私立诊所和私立康复中心连续抽取30名依赖药物的康复妇女作为样本。此外,30名对照者是非物质依赖的志愿者女性。所有参与者都给出了书面同意书,并接受了以下访谈、评估和调查:知情同意书、DSM轴I结构化临床访谈、病例成瘾严重程度指数、社会支持问卷、社会能力量表和病例尿样。结果大多数康复期依赖药物的妇女是单身、离婚和失业。苯二氮卓类药物是最常见的滥用药物,其次是鸦片类药物和酒精。半数病例的清醒期为6个月至1年。成瘾严重程度指数显示,大多数病例都有严重的药物和酒精使用、严重的精神问题,以及由于药物依赖导致的严重社会关系问题,大约一半的病例由于药物依赖而有严重的医疗和法律问题。大多数依赖药物康复的妇女表现出较低的社会能力,在康复过程中得到的社会支持水平有限。所有正在康复的依赖药物的妇女都被诊断为精神病。重度抑郁障碍和创伤后应激障碍是在依赖物质的康复妇女中发现的两种最常见的精神障碍。结论康复期依赖药物的女性患者精神障碍患病率较高。他们的社会能力很低,在整个康复过程中,他们往往只能得到有限的公平社会支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychiatric and social profile of recovering substance-dependent women
Objectives The objective of this article is to estimate the presence of psychiatric disorders among a group of recovering substance-dependents female patients and to assess the degree of social competence and support of the recovering substance-dependent women throughout the process of recovery. Patients and methods A total of 30 recovering substance-dependent women were selected as consecutive samples from private hospitals, private clinics, and private rehabilitation centers in Greater Cairo. Moreover, 30 controls were included who were nonsubstance-dependent volunteer women. All participants gave written consent and were subjected to the following interviews, assessments, and investigations: informed consent, Structured Clinical Interview for DSM axis I, Addiction Severity Index for cases, Social Support Questionnaire, Social Competence Scale, and urine sampling for cases. Results Most recovering substance-dependent women were single, mostly divorced, and unemployed. Benzodiazepines were the most common substance of abuse followed by opiates and alcohol. The period of sobriety was 6 months to 1 year in half of the cases. The addiction severity index revealed most cases had severe drug and alcohol use, severe psychiatric problems, and severe problems in their social relationships owing to drug dependence, and approximately half of the cases had severe medical and legal problems owing to drug dependence. Most of the recovering substance-dependent women showed low social competence and had limited to fair level of social support in their recovery. All recovering substance-dependent women had a psychiatric diagnosis. Major depressive disorder and posttraumatic stress disorder are the two most common psychiatric disorders found in recovering substance-dependent women. Conclusion There is a high prevalence of psychiatric disorders among recovering substance-dependent female patients. Their social competence is low, and they tend to have limited to fair social support throughout the process of recovery.
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