美沙酮维持治疗海洛因依赖者心理状况调查与分析

Analysis of the psychological status of heroin addicts treated with MMT

目的:了解海洛因依赖者的心理健康状况。方法:采用抑郁自评量表(self rating depression scale,SDS)、焦虑自评量表(self rating anxiety scale,SAS)、症状自评量表(symptomchecklist90,SCL-90)对69名在我院精神卫生中心美沙酮维持治疗(methadone maintenance treatment,MMT)的海洛因依赖住院患者进行调查分析。结果:海洛因依赖者MMT治疗前SDS、SAS和SCL-90各因子分、阳性项目均分及总分均非常显著地高于常模(P<0.01),MMT治疗后与治疗前上述各项比较具有显著差异(P<0.05),但SDS、SAS、人际关系敏感、抑郁、焦虑、阳性项目均分仍非常显著地高于常模(P<0.01)。结论:海洛因依赖者MMT治疗具有一定效果,但海洛因依赖者的心理健康问题较正常人群明显严重,在MMT过程中,应加强社会心理干预。

Objective：To know the psychological status of the heroin addicts. Methods： Self rating depression scale （ SDS）, self rating anxiety scale （SAS） and symptom checklist 90 （SCL-90） are employed to investigate and analyze the 69 hospitalized heroin addicts treated with methadone maintenance treatment （MMT） in our Center. Results： Before MMT, every factor points, positive item average points and total points of SDS, SAS and SCL-90 are remarkably higher than the norm （P 〈0. 01 ）. After MMT, each points mentioned have significant deviations from the norm （P 〈 0. 05 ） compared with the points before MMT. However, SDS, SAS, sensitivity of interpersonal relationship, depression, anxiety and positive item average points are still highly above the norm （P 〈 0. 01 ）. Con- clusion： MMT has certain effects on the treatment of heroin addicts but the psychological problems of them are obviously severer than normal people. In the process of MMT social psychological intervention should be reinforced.