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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài:Subtyping patients with heroin addiction at treatment entry: factor derived from the Self-Report Symptom Inventory (SCL-90). | Maremmani et al. Annals of General Psychiatry 2010 9 15 http www.annals-general-psychiatry.eom content 9 1 15 ANNALS OF GENERAL PSYCHIATRY PRIMARY RESEARCH Open Access Subtyping patients with heroin addiction at treatment entry factor derived from the Self-Report Symptom Inventory SCL-90 Icro Maremmani 41 2 3 Pier Paolo Pani44 Matteo Pacini41 3 Jacopo V Bizzarri45 Emanuela Trogu44 Angelo GI Maremmani41 2 3 Gilberto Gerra46 Giulio Perugi41 3 and Liliana Dell Osso41 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 addict s 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 selfaggression. 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 symptomatology. Conclusions This study supports the hypothesis that mood anxiety and impulse-control dysregulation are the core of the clinical phenomenology .
