广州市美沙酮维持治疗者抑郁现状和影响因素分析

发布时间：2018-01-10 11:25

  本文关键词：广州市美沙酮维持治疗者抑郁现状和影响因素分析　出处：《中国艾滋病性病》2017年08期 　论文类型：期刊论文

  更多相关文章： 美沙酮维持治疗 抑郁 社会心理因素

【摘要】：目的了解美沙酮维持治疗(MMT)者的抑郁现状,以及其他因素对抑郁发生的影响。方法以219名自愿参加MMT的海洛因成瘾者为研究对象,采用自制问卷调查美沙酮维持治疗者的抑郁情况。将抑郁作为应变量,构建非条件Logistic回归模型进行多因素分析相关影响因素。结果 (1)共调查广州市MMT者218例,检出有抑郁症状者92例,检出率为42.20%。(2)单因素分析结果:教育程度(χ~2=3.33,P0.1)、月收入(χ~2=4.62,P0.1)、工作情况(χ~2=4.40,P0.1)、感染艾滋病病毒(HIV)情况(χ~2=3.03,P0.1)、有无注射吸毒(χ~2=2.93,P0.1)、生活满意度(χ~2=0.08,P0.1)、生活态度(χ~2=4.74,P0.1)、社会支持度(χ~2=13.85,P0.1)、正向(χ~2=7.46,P0.1)和负向(χ~2=63.75,P0.1)生活情绪,均会对MMT者抑郁产生影响,差异有统计学意义。其他社会人口学特征、药物滥用史和社会心理因素,对抑郁影响均无统计学意义。(3)应用逐步法进行筛选,最终进入模型的变量为月收入和正负向情绪。结论广州市MMT者抑郁患病率较高,低于吸毒人群但高于正常人群;教育程度、月收入、工作情况、HIV感染情况、注射吸毒、生活满意度、生活态度、社会支持度、正向负向情绪,是可能影响抑郁的因素。低收入者为抑郁的高危人群。在治疗过程中通过医师、患者和社会三方面合作共同努力,改善患者生活情绪,可预防抑郁的发生,降低MMT者复吸率。
[Abstract]:Objective to investigate the depression status of patients with methadone maintenance therapy and the influence of other factors on depression. Methods 219 heroin addicts who volunteered to participate in MMT were studied. Self-made questionnaire survey was used to maintain depression in patients treated with methadone. Depression was regarded as a dependent variable. The non-conditional Logistic regression model was constructed to analyze the related factors. Results: a total of 218 cases of MMT in Guangzhou were investigated and 92 cases with depressive symptoms were detected. The results of univariate analysis showed that the educational level was 3.33% (蠂 ~ 2 / 2) and the monthly income was (蠂 ~ (2) 2.20 / 4.62 / P _ (0.1)). Work status (蠂 ~ 2 / 2 / 4.40 / P _ (0.1), HIV / AIDS) (蠂 ~ (2 / 2) 3.03 / P ~ (0.1)), whether injecting drug use or not (蠂 ~ 2 / 2 / 2 / 93). P _ (0.1), life satisfaction (蠂 ~ (20.08) / P _ (0.1)), attitude to life (蠂 ~ (2) 4.74), social support (蠂 ~ (2) = 13.85 / P _ (0.1)). Positive (蠂 2 + 7.46) (P 0.1) and negative (蠂 2) (63.75) (P 0.1) life emotions all had an effect on depression in patients with MMT. The difference was statistically significant. Other social demographic characteristics, history of drug abuse and psychosocial factors were not statistically significant. Conclusion the prevalence of depression in MMT patients in Guangzhou is higher than that in drug users but higher than that in normal subjects. Education, monthly income, work status, HIV infection, injecting drug use, life satisfaction, life attitude, social support, positive negative mood. Low income group is the high risk group of depression. In the course of treatment, doctors, patients and society work together to improve the patients' life mood and prevent the occurrence of depression. The relapse rate of MMT patients was decreased.
【作者单位】： 中山大学公共卫生学院预防医学系;中山大学公共卫生学院医学统计与流行病学系;
【分类号】：R749.4;R749.64
【正文快照】： 美沙酮维持治疗(Methadone MaintenanceTreatment,MMT)可以减轻海洛因成瘾者的药物滥用、降低犯罪率和吸毒相关危险行为的发生率,并具有防止艾滋病(AIDS)传播、改善成瘾者健康状况、提升其社会家庭功能等作用[1]。MMT虽然可以解决成瘾者对海洛因的躯体依赖,但吸毒相关的社会心，

本文编号：1405097