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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 and influencing factors of methadone maintenance treatment in patients, and to provide a theoretical basis for the development of effective psychological intervention programs. Methods: Methadone maintenance treatment was conducted in a district of Shanghai in the first half of 2014 using the self-made general situation scale and symptom self-rating scale (Scl-90), and the results were statistically analyzed. Results: The total score of 27.63% of SCLs in 228 patients receiving methadone maintenance therapy was> 160 points. Compared with the national norm, the Scl-90 score, including interpersonal sensitivity, depression, anxiety, horror, paranoid and psychosis, (P <0.01). There were significant correlations among the six factors (P <0.01), among which the top three were depression and psychosis, anxiety and terror, anxiety and depression. Conclusion: Some patients with methadone maintenance have mental health problems, and they call for social attention to the group’s mental health and positive psychotherapy.