CAJ | 학술논문

目的：了解美沙酮维持治疗（MMT）者抑郁发生现状及其相关影响因素。方法采用自设问卷调查九江市MMT门诊收治的海洛因成瘾者出现抑郁症状的情况，并根据调查结果将调查对象分为抑郁组和对照组，比较两组一般情况、社会交往、经济压力的差异，同时将是否抑郁作为因变量，进行多因素非条件logistic回归分析。结果332名被调查者抑郁自评量表标准评分为（58.55±10.09）分，抑郁症状检出率为59.6%。选择逐步法进行筛选，以P <0.05水平为限，最终进入到logistic模型的变量为居住状态、自我感觉与家人的关系以及职业状态。结论失业患者为抑郁高危人群，在治疗过程中可以通过政府改善就业状况、家庭为患者提供更多支持和门诊咨询、经验交流等措施来改善和预防患者抑郁症的发生。
목적：료해미사동유지치료（MMT）자억욱발생현상급기상관영향인소。방법채용자설문권조사구강시MMT문진수치적해락인성은자출현억욱증상적정황，병근거조사결과장조사대상분위억욱조화대조조，비교량조일반정황、사회교왕、경제압력적차이，동시장시부억욱작위인변량，진행다인소비조건logistic회귀분석。결과332명피조사자억욱자평량표표준평분위（58.55±10.09）분，억욱증상검출솔위59.6%。선택축보법진행사선，이P <0.05수평위한，최종진입도logistic모형적변량위거주상태、자아감각여가인적관계이급직업상태。결론실업환자위억욱고위인군，재치료과정중가이통과정부개선취업상황、가정위환자제공경다지지화문진자순、경험교류등조시래개선화예방환자억욱증적발생。
Objective To understand the prevalence and social influential factors of depression among heroin addicts receiving methadone maintenance treatment (MMT). Method A self-made questionnaire was used to investigate the drug abusers attending MMT in clinic from June 2010 to December 2013. According to the outcome of the questionnaire, we divided the respondents into depressed group and no-depression group, and compared the differences in demographic and social characters between two groups. Multivariate logistic regression model were used to analyze the associated factors of depression. Results The overall prevalence of depression was 59.6% in heroin addicts receiving methadone maintenance treatment. The mean score of depression was 58.55±10.09 in 332 respondents. Choosing filtered method step by step with P < 0.05 level, the variables of dwelling, employment state and the relationship with family and friends entered the regression logistic model. Conclusions The unemployed were a high-risk population in occurence of depression. The government should improve the employment status and the families should provide more support to the patients and the clinics should promote drug users to exchange their experience to prevent depression in heroin addicts receiving methadone maintenance treatment.