296例海洛因依赖者广义诈病临床表现分析

目的:调查海洛因依赖者在脱毒过程中发生诈病的原因和临床特点,以便于鉴别预防.方法:对符合CCMD-2-R有关诈病诊断标准的海洛因依赖者进行回顾性研究.结果:发现296例诈病,发生率6.19%,以青年男性、未婚、初中以下文化、无业占多数,并呈现吸毒时间长,多药滥用情况严重,涉嫌违法犯罪的问题多等特征.其动机依次是企图逃避法律惩罚(62.8%),企图提前解除强戒(9.8%),骗取成瘾药物(8.1%),受人唆使胁迫(6.7%)等.诈病方式有说谎(31.4%)、伪装(28.7%)、造伤(14.5%)、否认(17.9%)和隐瞒(7.4%)等.结论:海洛因依赖者诈病的目的多为了逃避法律惩处.为减少其发生率,脱毒中加强法制教育和心理治疗十分必要.

An Analysis of 296 Cases of Heroin Dependence Accompanied with Clinical Features of Malingering

Objective: To study the clinical features and its impactive factors of heroin addicts with malingering for further identifying and prevention. Methods: 296 heroin addicts were surveyed during their compulsory detoxification to find out their mental status and further study was conducted on those who were diagnosed to have malingering according to CCMD-2-R. Results: The data show that 296 cases (6.19%) heroin addicts suffered from severe malingering. The majority of them were: the period of heroin dependence was long; the condition of multi-drugs abuse was serious; heroin dependence related crimes had occurred repeatedly. Most of them (72.6%) wanted to escape from social punishment using malingering. Conclusion: There was a positive relationship between malingering and social punishment. It means a tendency of malingering accompanying heroin dependence among heroin abusers to which attention should be paid during detoxification. It is very important to strengthen psychological education in detoxification settings.