subtyping patients with heroin addiction at treatment entry factor derived from the self-report symptom inventory (scl-90)子类型化海洛因成瘾患者在治疗条目因素来源于自我报告症状量表(scl - 90).pdf

Maremmani et al. Annals of Gene ral Psychiatry 2010, 9:15 /content/9/1/15 P R I M A R Y R E S E A R C H Open Access Primary research Subtyping patients with heroin addiction at treatment entry: factor derived from the Self-Report Symptom Inventory (SCL-90) Icro Maremmani*†1,2,3, Pier Paolo Pani†4, Matteo Pacini†1,3, Jacopo V Bizzarri†5, Emanuela Trogu†4, Angelo GI Maremmani†1,2,3, Gilberto Gerra†6, Giulio Perugi†1,3 and Liliana DellOsso†1 Abstract Background: Addiction is a relapsing chronic condition in which psychiatric phenomena play a crucial role. Psychopathological symptoms in patients with heroin addiction are generally considered to be part of the drug addicts personality, or else to be related to the presence of psychiatric comorbidity, raising doubts about whether patients with long-term abuse of opioids actually possess specific psychopathological dimensions. Methods: Using the Self-Report Symptom Inventory (SCL-90), we studied the psychopathological dimensions of 1,055 patients with heroin addiction (884 males and 171 females) aged between 16 and 59 years at the beginning of treatment, and their relationship to age, sex and duration of dependence. Results: A total of 150 (14.2%) patients with heroin addiction showed depressive symptomatology characterised by feelings of worthlessness and being trapped or caught; 257 (24.4%) had somatisation symptoms, 205 (19.4%) interpersonal sensitivity and psychotic symptoms, 235 (22.3%) panic symptomatology, 208 (19.7%) violence and self- aggression. These dimensions were not correlated with sex or duration of dependence. Younger patients with heroin addiction were characterised by higher scores for violence-suicide, sensitivity and panic anxiety symptomatology. Older patients with heroin addiction showed higher scores for somatisation and worthlessness-being trapped sympto