海洛因依赖者脱毒后症状自评量表结果分析

A Study of Symptom Checklist 90(SCL-90) of Heroin Addicts after Detoxification

目的:研究海洛因依赖者脱毒后的心理卫生问题。方法:对309例海洛因依赖者在脱毒后作症状自评量表(SCL-90)测评。结果:海洛因依赖者脱毒后各因子分,总分及阳性症状均分均显著高于国内常模,尤以躯体化、抑郁、焦虑、精神病性项目评分为著。其中女性海洛因依赖者的敌对性评分高于男性,而男性海洛因依赖者的精神病性评分高于女性。海洛因依赖者初中文化组在强迫、人际关系、抑郁、焦虑、偏执高于小学文化组,在恐怖分上高于高中文化组。结论:海洛因依赖者脱毒后存在躯体稽延症状,并且可能与焦虑、抑郁情绪有关,需使用有关药物并进行心理社会干预以防复吸。

Objective： To study the mentality of heroin addicts after detoxification. Methods： 309 cases of heroin addicts after detoxification were rated by SCL-90. Results： Heroin addicts after detoxification had significantly higher factor scores, total scores and positive symptom distress level scores compared to Chinese norm, especially in somatization, depression, anxiety, and psychoticism. Among these, the female addicts＇ scores of hostility were higher than those of the males, while the male addicts＇ scores of psychotics were higher than those of the females. It is showed that people with junior high school education level had higher factor scores of obsessive-compulsive, interpersonal sensitivity, depression, anxiety, paranoid ideation compared to people with primary school education level, and higher factor scores of phobia compared to people with senior high school education level. Conclusion： Heroin addicts after detoxification may have continued somatic withdrawal symptoms, which possibly related to anxiety or depressive mood, therefore certain pharmacotherapy and psychosoeial intervention will be needed to prevent the recurrence of drug abuse.