东莞市美沙酮维持治疗门诊海洛因成瘾者心理健康及社会支持情况调查

An Investigation of Mental Health of Heroine Addicts and the Social Support System in Dongguan

目的了解东莞市美沙酮维持治疗门诊海洛因成瘾者的心理健康及社会支持情况,为采取进一步的干预措施提供依据。方法采用症状自评量表SCL-90和社会支持量表对2007年4月至2008年8月在美沙酮维持治疗门诊就诊的海洛因成瘾者进行调查。结果除阳性均分外,该人群的症状总分、总均分、阳性项目数、躯体化、强迫、人际关系、抑郁、焦虑、敌意、恐怖、偏执、精神病性因子得分均显著高于全国常模(P<0.001)。其社会支持总分与全国常模比较差异无统计学意义(P>0.05)。结论接受调查的东莞市美沙酮治疗门诊的海洛因成瘾者存在感觉、情绪、行为、人际关系、饮食睡眠等方面的心理问题,但该人群近期获得的社会支持良好。应进一步加大对该人群的尊重、关爱、支持和鼓励的力度,同时有必要对该人群的心理健康和社会支持情况进行动态测定和分析。

Objective To evaluate the state of mental health of heroine addicts and social support system in Dongguan and to provide the data for implementing the prevention measures. Methods Investigation was carried out in the methadone maintenance treatment （MMT） clinics between April 2007 and August 2008. The evaluation was conduction using the symptom check list 90 （SCL-90） and the social support evaluation scale. Results With the exception of positive symptom distress level,the total score,score of general Symptomatic index,positive items number, somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, photic anxiety, paranoididefition,psychotieism and additional items are all significantly higher than the normal national values.No significant difference of the total score of social support was found between the study group and the normal group. Conclusions Sensation, feeling, behavior, personal relationship, eating and sleeping are the major factors affecting the heroin addicts in MMT clinics. The social support system for this group of people is good. Social support system, with the emphasis on the caring and respecting this group of people, should further be strengthened.