社区美沙酮维持治疗者心理健康状况及对保持治疗的影响 第一部分:社区美沙酮维持治疗患者心理健康状况的动态研究

目的:探讨社区美沙酮维持治疗患者心理健康状况的动态变化。方法:应用症状自评量表(SCL-90)、抑郁自评量表(SDS)和焦虑自评量表(SAS)对139例美沙酮维持治疗患者在入组时和维持治疗一个月后进行自评测查。结果:患者入组时SCL-90各因子分显著高于维持治疗一个月后和全国常模因子分,维持治疗一个月后SCL-90仍有多个因子分显著升高。SDS表明入组时患者抑郁发生率为93.4%,维持治疗一个月后为85.3%,两者无显著差异(χ2=2.403,P=0.121)。SAS表明入组时患者焦虑发生率为47.8%,维持治疗一个月后为34.6%,入组时焦虑发生率显著高于维持治疗一个月(χ2=4.499,P=0.034)。结论:社区美沙酮维持治疗患者心理健康水平不佳,应采取措施改善患者的心理状况,减少其不利影响。

Mental health status of the patients with methadone maintenance treatment and its influence on retentionPart one: dynamic study in the psychological heath state of the patients on methadone maintenance treatment

Objective：To explore mental health status of the patients in methadone maintenance therapy. Methods： 139 cases in methadone maintenance therapy received assessment of Symptom Checklist 90 （SCL-90）, Self-rating depression scale （SDS） and Selfrating anxiety scale （SAS） when they accepted into the group and after maintenance therapy for 1 month. Results：All factors of SCL-90 of the patients accepted treatment is significant higher than that after maintenance therapy for 1 month and that of the Chinese normal people, many factors of SCL-90 were significant higher after 1 month treatment. SDS assessment showed depression incidence was 93.4% when accepted into the group, and 85.3% after maintenance therapy for 1 month, there is no significant difference （χ2 = 2. 403,P =0. 121）. The assessment of SAS showed anxiety incidence was 47.8% when the patients accepted into the group, and 34. 6% after maintenance therapy for 1 month, the anxiety incidence accepted into the group is significant higher than that of maintenance therapy for 1 month （ χ2 = 4. 499, P = 0. 034 ）. Conclusions： The patients in community methadone maintenance therapy have poor mental health, measures should be taken to improve their mental status, and reduce its negative effects.