严国建,蒲丽,蒋富贵,胡萱怡,雷家铃,曹悦圣,周顺真,任华,陈佳佳,万姝,罗云兮,周郎斌,宋旭峰,杨俊,纪伟.苯丙胺类兴奋剂所致精神障碍患者肇事肇祸的相关因素[J].四川精神卫生杂志,2021,(4):341-344.
苯丙胺类兴奋剂所致精神障碍患者肇事肇祸的相关因素
Related factors of troublemaking among patients with mental disorders caused by amphetamine-type stimulants
投稿时间:2021-01-30  
DOI:10.11886/scjsws20210130001
中文关键词:  社会支持  苯丙胺类兴奋剂所致精神障碍  肇事肇祸
英文关键词:Social support  Amphetamine-type stimulants-induced mental disorders  Troublemaking behaviors
基金项目:2016年成都市精神卫生专项研究项目(项目名称:新型毒品所致精神障碍患者肇事肇祸影响因素研究,项目编号:201628);2017年成都市医学科研课题(项目名称:高频经颅磁刺激治疗对毒品所致精神障碍认知功能的疗效观察,项目编号:2017029)
作者单位邮编
严国建 成都市第四人民医院四川 成都 610036 610036
蒲丽 成都市第四人民医院四川 成都 610036 610036
蒋富贵 四川省医学科学院·四川省人民医院四川 成都 610000 610000
胡萱怡 成都市第四人民医院四川 成都 610036 610036
雷家铃 成都市第四人民医院四川 成都 610036 610036
曹悦圣 成都市第四人民医院四川 成都 610036 610036
周顺真 成都市第四人民医院四川 成都 610036 610036
任华 成都市第四人民医院四川 成都 610036 610036
陈佳佳 成都市第四人民医院四川 成都 610036 610036
万姝 成都市第四人民医院四川 成都 610036 610036
罗云兮 成都市第四人民医院四川 成都 610036 610036
周郎斌 成都市第四人民医院四川 成都 610036 610036
宋旭峰 成都市第四人民医院四川 成都 610036 610036
杨俊 成都市第四人民医院四川 成都 610036 610036
纪伟 成都市第四人民医院四川 成都 610036 610036
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中文摘要:
      目的 探索苯丙胺类兴奋剂(ATS)所致精神障碍患者肇事肇祸的相关因素,为ATS所致精神障碍患者制定相关干预措施提供参考。方法 纳入符合《国际疾病分类(第10版)》(ICD-10)苯丙胺类兴奋剂所致精神障碍诊断标准的患者105例。分为肇事肇祸组和无肇事肇祸组。收集患者的一般人口学资料和临床资料,采用社会支持评定量表(SSRS)对患者的社会支持情况进行评定,通过单因素分析和多因素Logistic回归模型探索患者出现肇事肇祸的相关因素。结果 肇事肇祸组SSRS总评分[(24.10±6.59)分 vs.(28.94±5.59)分,t=3.364,P=0.001]、客观支持评分[(5.50±1.96)分vs.(8.20±2.13)分,t=5.183,P<0.01]、对支持的利用度评分[(4.60±2.26)分 vs.(6.28±1.90)分,t=3.435,P=0.001]均低于无肇事肇祸组,差异均有统计学意义。多因素Logistic回归分析结果显示,男性(OR=6.061,P=0.014)是ATS所致精神障碍患者发生肇事肇祸的危险因素,高社会支持水平(OR=0.873,P=0.018)是ATS所致精神障碍患者发生肇事肇祸的保护因素。结论 男性和低社会支持的ATS所致精神障碍患者发生肇事肇祸的可能性较大。
英文摘要:
      Objective To explore the related factors of troublemaking behaviors among patients with mental disorders induced by amphetamine-type stimulants (ATS), and to provide references for the formulation of relevant intervention measures for ATS-induced mental disorders.Methods A total of 105 patients who met the diagnostic criteria of International Classification of Diseases, tenth edition (ICD-10) for ATS-induced mental disorders were included, and classified into troublemaking group and non-troublemaking group. The general demographic data and clinical data of the selected individuals were collected, and all patients were assessed using Social Support Rating Scale (SSRS). Then univariate analysis and multivariate Logistic regression model were used to screen the related factors of troublemaking behaviors.Results The scores of SSRS, objective support dimension and social support utilization dimension were significantly lower in troublemaking group than those in non-troublemaking group, with statistical differences [(24.10±6.59) vs. (28.94±5.59), t=3.364, P=0.001; (5.50±1.96) vs. (8.20±2.13), t=5.183, P<0.01; (4.60±2.26) vs. (6.28±1.90), t=3.435, P=0.001]. Multivariate Logistic regression analysis showed that male (OR=6.061, P=0.014) was a risk factor, while high social support level (OR=0.873, P=0.018) was the protective factor for troublemaking behaviors among patients with ATS-induced mental disorders.Conclusion Patients with ATS-induced mental disorders of the males and with low social support level are at high risk of troublemaking behaviors.
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