美沙酮维持治疗患者心理状况调查及相关因素分析

Psychological Status of Methadone Outpatients and Related Influencing Factors

目的:探索美沙酮维持治疗患者的心理健康状况及影响因素,为制定有效心理干预方案提供理论依据。方法:采用自制一般情况量表及症状自评量表(Scl-90)对2014年上半年上海市某区美沙酮维持治疗患者进行调查,并对结果进行统计分析。结果:228例美沙酮维持治疗患者中27.63%SCL总分>160分;与全国常模比较,Scl-90总分及包括人际关系敏感、抑郁、焦虑、恐怖、偏执及精神性病性在内的6个因子分显著高于常模(P<0.01);6个因子间均存在显著的相关性(P<0.01),其中抑郁与精神病性、焦虑和恐怖、焦虑和抑郁在前三位。结论:部分美沙酮维持治疗患者存在心理健康问题,呼吁社会关注该群体的心理健康和给予积极的心理治疗。

Objective： To explore the mental health status of heroin addicts in methadone outpatient department and its influencing factors, and to provide the theoretical basis for developing effective psychological intervention program. Methods： Self-made general condition scale and symptom self-rating scale（Scl-90） were used to investigate heroin addiction patients in methadone outpatient department in Shanghai in the first half of 2014, and the results were analyzed by statistical methods. Results： Among the 228 heroin addicts, 27.63% patients had mental health problems. Compared with the national norm, Scl-90 total score and interpersonal sensitivity, depression, anxiety, horror, paranoia and psychopathy（P〈0.01）. The scores of depression and psychosis, anxiety and horror, anxiety and depression were in the first three places, and there were significant correlations among the six factors（P〈0.01）.Conclusion： Lost of Methadone has a mental health problem for heroin addicts in outpatient department, and calls on the community to pay attention to the psychological health and give positive psychological treatment.