| 孟丽,梁睿雯,张成霜,张雪文,巩莎,刘传新.男性甲基苯丙胺强制隔离戒断者抑郁状况及其影响因素[J].济宁医学院学报,2020,43(5):342-346 |
| 男性甲基苯丙胺强制隔离戒断者抑郁状况及其影响因素 |
| A study on depression and its influencing factors in male methamphetamine addicts in compulsory isolation |
| 投稿时间：2020-07-09 |
| DOI：10.3969/j.issn.1000-9760.2020.05.009 |
| 中文关键词: 甲基苯丙胺;强制隔离戒断者;抑郁;影响因素;男性 |
| 英文关键词: Methamphetamine;Addicts in compulsory isolation;Depression;Influencing factors;Male |
| 基金项目:济宁医学院2019年大学生创新训练计划项目（cx2019114）］ |
| 作者 | 单位 | E-mail | | 孟丽 | 济宁医学院第二临床医学院, 济宁 272000 | | | 梁睿雯 | 济宁医学院第二临床医学院, 济宁 272000 | | | 张成霜 | 济宁医学院临床医学院, 济宁 272000 | | | 张雪文 | 济宁医学院中西医结合学院, 济宁 272000 | | | 巩莎 | 济宁医学院临床医学院, 济宁 272000 | | | 刘传新 | 济宁医学院国际教育学院, 济宁 272000 | liuchuanxin@mai.jnmu.edu.cn |
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| 中文摘要: |
| 目的 毒品的使用已经成为世界性的关注问题，戒毒已经成为一个世界性的难题。本文旨在探究男性甲基苯丙胺强制隔离戒断者抑郁状况，并分析其影响因素。方法 选取济宁强制戒毒所478名男性甲基苯丙胺强制隔离戒断者进行现况调查。基本情况调查表调查其一般情况和吸毒情况，抑郁自评量表（SDS）评估其抑郁情况。结果 男性甲基苯丙胺强制隔离戒断者的抑郁评分为（56.22±10.13）分，高于全国常模，SDS标准分≥53者占69%。logistic回归模型分析显示，酗酒（OR=2.678，95% CI=1.590~4.509，P<0.001）、吸毒花费10万以上（OR=1.904，95% CI=1.079~3.360，P=0.026）、焦虑（OR=3.542，95% CI=1.851~6.778，P<0.001）是抑郁的危险因素。有工作（OR=0.215，95% CI=0.128~0.361，P<0.001）相比于无工作是抑郁的保护因素。与对毒品的非常依赖相比，毒品比较依赖（OR=0.358，95% CI=0.178~0.722，P=0.004）和一般依赖（OR=0.207，95% CI=0.114~0.375，P<0.001）是保护因素，即毒品依赖程度下降，发生抑郁的风险下降。结论 男性甲基苯丙胺强制隔离戒断者抑郁发生率较高，戒毒所应积极地采用多元化措施对其进行心理干预，提高其心理健康状况，增强战胜毒品依赖的信心，防止戒毒后复吸，协助其有效地回归社会。 |
| 英文摘要: |
| Objective Drug use has become a worldwide concern,and detoxification has become a worldwide problem.This study explored the depressive situation of male methamphetamine addicts who are in compulsory isolation and analyzed its influencing factors.Methods A total of 478 addicts at Ji Ning compulsory drug rehabilitation center was selected for the current situation investigation.The general situation and drug abuse situation was investigated by basic information questionnaire.Self-rating Depression Scale (SDS) was used to evaluate the depression.Results The depression score of drug addicts was (56.21±10.13),higher than the national norm,and the standard score of SDS≥53 accounted for 69%.Logistic regression model analysis showed that alcoholism (OR=2.678,95%CI=1.590~4.509,P<0.001),drug expenses more than 100000 (OR=1.904,95%CI=1.079~3.360,P=0.026),anxiety (OR=3.542,95%CI=1.851~6.778,P<0.001) were risk factors for depression.Being in employment (OR=0.215,95%CI=0.128~0.361,P<0.001) was a protective factor for depression compared with unemployment.Compared with the much dependence on drugs,comparative drug dependence (OR=0.358,95%CI=0.178~0.722,P=0.004) and common dependence (OR=0.207, 95%CI=0.114~0.375,P<0.001) were protective factors,that is,when the degree of drug dependence decreased,the risk of depression decreased.Conclusion The incidence of depression is higher among male methamphetamine addicts who are forced to withdraw from the drug addiction.And drug rehabilitation centers should actively adopt diversified measures to provide psychological intervention to male methamphetamine addicts,improving their mental health,help them to establish confidence against drug dependence,prevent them from relapse after rehabilitation,and assist them to effectively return to society. |
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