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海洛因依赖者伪装和制造疾病临床研究(附221例分析)
引用本文:吴乐平,张迪然,黄莉,何国庆,郭鹏翔,杨秀林,胡如印,戴峻.海洛因依赖者伪装和制造疾病临床研究(附221例分析)[J].临床精神医学杂志,2004,14(2):82-83.
作者姓名:吴乐平  张迪然  黄莉  何国庆  郭鹏翔  杨秀林  胡如印  戴峻
作者单位:1. 550004,贵阳,贵州省安宁医院精神科
2. 贵阳医学院附属医院检验科
3. 贵州省人民医院普外科
4. 贵州省人民医院血液内科
5. 贵州省人民医院急诊内科
6. 贵州省人民医院骨科
7. 贵阳中医学院附二院妇产科
摘    要:目的:了解海洛因依赖者在脱毒过程中伪装和制造疾病的原因和临床表现。方法:对符合中国精神疾病分类方案与诊断标准第2版修订本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22l例诈病,发生率4.6%,以青年男性、未婚、初中以下文化、无业占多数,吸毒时间长、多药滥用、涉嫌违法犯罪问题者较多。其动机依次是企图逃避法律惩罚、企图提前解除强戒.骗取成瘾药物、受人唆使胁迫等。方式有说谎、伪装、造伤等。结论:海洛因依赖诈病者较多,应引起注意。

关 键 词:海洛因依赖者  诈病
文章编号:1005-3220(2004)02-0082-02
修稿时间:2003年6月19日

Analysis of 221 cases of heroin dependence accompanied with malingering
WU Le-ping,ZHANG Di-ran,HUANG Li,et al..Analysis of 221 cases of heroin dependence accompanied with malingering[J].Journal of Clinical Psychological Medicine,2004,14(2):82-83.
Authors:WU Le-ping  ZHANG Di-ran  HUANG Li  
Institution:WU Le-ping,ZHANG Di-ran,HUANG Li,et al.Department of Psychiatry of Anning Hospital of Guizhou,Guiyang 550004
Abstract:Objective:To study the clinical features and its impactive factors of heroin addicts with malingering. Method: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:Results showed that the 221 cases heroin addicts(4.6%)suffered from severe malingering.The majority of them were young,unmarried and unemployed male.The characteristics of heroin addicts including :the year of heroin dependence were increasing;polydrug abuse was serious and more drug varieties appeared;more heroin dependence related crimes occurred.Most of them wanted to escape from punishment of law by malingering. Conclusion:Heroin addicts are easy to accompany with malingering.More attention should be paid to this problem.
Keywords:Heroin addict  Malingering
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