自愿和劳教戒毒中海洛因依赖者抑郁发病情况的调查分析

ANALYSIS OF DEPRESSION IN HEROIN DEPENDENT PATIENTS ON VOLUNTARY DETOXIFICATION AND COMPULSORY DETOXIFICATION

目的:调查自愿和劳教戒毒中海洛因依赖者伴发抑郁症状的情况,并分析两种不同戒毒模式对抑郁症状的影响。方法:采用Beck抑郁自评问卷(BDI-13),对自愿戒毒423例、劳教戒毒108例(共531例)海洛因依赖者进行调查分析,并将自愿戒毒和劳教戒毒者的检测结果进行比较。结果:531例海洛因依赖者中,伴有抑郁症状的488例,占被调查者的91.9%;自愿戒毒机构和劳教戒毒机构中分别有91.25%(386/423)和94.44%(102/108)伴有抑郁症状;轻度抑郁者分别占13.7%(58/423)和5.6%(6/108),中度抑郁分别占35.7%(151/423)和35.2%(38/108),重度抑郁分别占41.8%(177/423)和53.7%(58/108)。自愿与劳教两种戒毒模式中抑郁症状的发病与严重程度的比较差异有统计学意义(χ2=8.57,P<0.05)。婚姻状况与抑郁程度无显著相关性,但离异者中抑郁程度较重。结论:海洛因依赖者中抑郁症状发生率较高,呈中、重度程度,离异者中抑郁程度较重,劳教戒毒者的抑郁症状更明显。

Objective：To survey and analyze the depressive symptoms in heroin dependent patients on voluntary detoxification and compulsory detoxification and the impact of the two treatment methods on depressive symptoms of the patients.Methods：Beck Depression Inventory（BDI-13）was adopted for the test of 423 heroin dependent patients on voluntary detoxification and 108 patients on compulsory detoxification（totally 531 patients）.The results of the two groups were compared.Results：Totally 488 patients（91.9%）were found having depressive symptoms,including 91.25%（386/423）from voluntary treatment and 94.44%（102/108）from compulsory treatment.13.7%（58/423）,35.7%（151/423）and41.8%（177/423）from voluntary treatment had light,moderate and severe depressive disorders,respectively;5.6%（6/108）,35.2%（38/108）and 53.7%（58/108）from compulsory treatment had light,moderate and severe depressive disorders,respectively.An obvious difference was observed in the occurrence and severity of depression（P0.05）between the heroin dependent patients on voluntary detoxification and compulsory detoxification.The severity of depression had a lot to do with marriage.Conclusion：There is high occurrence of depression in heroin dependent patients,indicating moderate and severe degrees.Sever depression is closely related to marriage status.The depressive symptoms are even worse in those patients who receive compulsory detoxification.