https://scholars.lib.ntu.edu.tw/handle/123456789/42643
標題: | RESEARCH REPORT Psychiatric co-morbidity among male heroin addicts: differences between hospital and incarcerated subjects in Taiwan | 作者: | Chen, Chiao-Chicy Tsai, Shang-Ying Su, Lien-Wen Yang, Tien-Wei Tsai, Chang-Jer Hwu, Hai-Gwo |
公開日期: | 1999 | 起(迄)頁: | 825-832 | 來源出版物: | Addiction | 摘要: | Aims. To examine the differences in psychiatric co-morbidity between hospital and incarcerated groups of heroin addicts in Taiwan. Design. Life-time prevalence of DSM-III-R-based coexisting psychiatric disorders, including personality disorders, were surveyed. Settings. A psychiatric hospital and two prisons. Participants. Two hundred and sixty heroin users who were incarcerated in prisons, and 47 heroin users who voluntarily sought help in a psychiatric hospital were interviewed by board-certified psychiatrists. Measurements. Using two psychometric instruments, the Psychiatric Diagnostic Assessment (PDA) and the Structured Interview for DSM-III-R Personality Disorders (SIPD-R), psychiatric co-morbidity was assessed. Findings. Different life-time rates of coexisting psychiatric disorders among heroin addicts in different settings were found: 83% of hospital subjects and 66% of incarcerated subjects were diagnosed as having at least one coexisting axis I or II disorder. The most prevalent coexisting DSM-III-R defined axis I disorders were additional substance use disorders (alcohol and methamphetamine), while the axis II disorder was antisocial personality disorder. The hospital group had a significantly higher prevalence rate of mood disorder (p < 0.001), paranoid personality disorder (p < 0.05) and antisocial personality disorder (p < 0.001) than the incarcerated group. Conclusions. We suggest that heroin addicts with coexisting psychiatric disorders receive relevant psychiatric treatment. Those with personality disorders, especially the antisocial type, should be considered for specialized therapeutic community programmes instead of incarceration. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/172896 | DOI: | 10.1046/j.1360-0443.1999.9468256.x | SDG/關鍵字: | alcohol; diamorphine; methamphetamine; adult; antisocial behavior; article; comorbidity; heroin dependence; human; major clinical study; male; mental disease; mental hospital; mood; personality disorder; prison; psychometry; substance abuse; Taiwan |
顯示於: | 心理學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。