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目的:了解美沙酮维持治疗者的情绪和社会支持情况,对开展针对性的干预措施提供依据。方法:采用病例对照研究的方法,对86例美沙酮社区维持治疗海洛因依赖者(MMT组)与93例社区对照者(社区对照组)分别用自评焦虑量表、抑郁自评量表、社会支持量表和应对方式问卷进行评估。结果:MMT组SDS总分比社区对照组高(52.7±11.4vs39.9±6.4,P<0.01);MMT组的社会支持总分及客观支持、主观支持、对支持的利用度三个因子分均低于社区对照组([17.9±6.5vs20.3±7.8]、[5.2±1.7vs7.4±1.4],P<0.05);MMT组应对方式的解决问题因子分和求助因子分均低于社区对照组(分别为[0.74±0.18vs0.91±0.06]、[0.64±0.20vs0.69±0.06],P<0.05)。结论:MMT患者存在较高的抑郁症状,社会支持程度较低,较少采用解决问题与求助的方式。
OBJECTIVE: To understand the emotional and social support of methadone maintenance treatment and to provide basis for carrying out targeted interventions. Methods: A case-control study was conducted in 86 MMT patients and 93 community controls (community-based control group) with self-rated anxiety scale, self-rating depression scale, social support Scale and coping style questionnaire to assess. Results: The total score of SDS in MMT group was 52.7 ± 11.4 vs 39.9 ± 6.4 (P <0.01) higher than that of community control group. The total score of social support, objective support, subjective support and supportive utilization of MMT were (17.9 ± 6.5 vs. 20.3 ± 7.8, [5.2 ± 1.7 vs 7.4 ± 1.4], P <0.05). The scores of coping style and help-seeking factor of MMT group were lower than those of community control group (0.74 ± 0.18 vs 0.91 ± 0.06, [0.64 ± 0.20 vs 0.69 ± 0.06], P <0.05, respectively). Conclusion: Patients with MMT have higher depressive symptoms, lower social support, and less ways to solve problems and seek help.