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題名：使用毒品的青少年犯之精神疾病
書刊名：臺灣精神醫學
作者：顏正芳／張明永／劉雅惠／孫榕檀
作者(外文)：Yen, Cheng-fang／Chong, Mian-yoon／Liu, Ya-hui／Sun, Jung-tan
出版日期：1999
卷期：13:4
頁次：頁71-81
主題關鍵詞：青少年；物質使用疾患；共病診斷；性別；Juvenile drug offenders；Substance use disorder；Comorbidity；Gender
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:16
  • 點閱點閱:141
　　　　　目的：探討使用非法物質的青少年使用物質的種類，和是否己達物質使用疾患的 病態標準，以及合併精神疾病的種類和比例，並進行男女之間的比較。方法：自某少年觀 護所選取100位因使用非法物質入所的青少年，由兒童青少年精神科醫師依據中文版Kiddie- SADS確診過往至今曾有的物質使用疾患和合併的精神疾病，並調查社會人口學和物質使用資 料。結果：個案所具有的非法物質使用疾患包括安非他命（56%）和海洛英（3%）；合法物 質使用疾患則有香煙（90%）、檳榔（30%）、酒精（26%）和安眠藥╱鎮靜劑（3%）。男性 有香煙和檳榔使用疾患者明顯多於女性，女性有安眠藥╱鎮靜劑使用疾患者則多於男性。 合併的精神疾患包括：行為偏差疾患（36%）、注意力不足╱過動症候群（13%）、焦慮症 （12%）、憂鬱性疾患（11%）等。女性合併有重型憂鬱症之比例顯著高於男性。有非法物 質使用疾患者明顯有較多合併憂鬱性疾患。結論：使用毒品的青少年犯罹患有合法或非法 物質使用疾患的比例相當高，所合併之精神疾病種類、比例和性別差異與國外的研究並不 完全相同。
　　　　　Objective: Psychiatric morbidity has often been neglected in drug offenders; either at facilities for prisoners on remand (awaiting trial) or in prison for convicted offenders. This study investigated the extent of substance use and pssychiatric morbidity among juvenile drug offenders in a custodial facility. Methods: One hundred juvenile drug offenders at a detention center were assessed for substance use disorder and psychiatric morbidity by a child psychiatrist using the Chinese version of Kiddie-SADS. Their sociodemographic characteristics, and patterns of drug and substance use were collected and analyzed to determine their relation to psychiatric morbidity. Results: Amphetamine (56%) and heroin (3%) were the most common illicit substanceas used by these juvenile offenders. Among the legal substances used, nicotine (90%) was the most prevalent followed by betel nut (30%), alcohol (26%) and hypnotic/sedative drugs (3%). A higher incidence of nicotine and betel nut use was found in males, while females had a higher incidence of hypnotic/sedative drug use. Comorbid psychiatric disorders included conduct disorder (36%), attention deficit/ hyperactivity disorder (13%), anxiety disorder(12%) and depressive disorder (11%). significantly higher rates of comorbid major depressive discorders were found in females, and higher rates of comorbid depressive disorder were found among subjects with drug dependency. Conclusion: A high prevalence of substance use disorders (dependence/abuse) was found in this series of juvenile drug offenders in Taiwan. There were higher rates of comorbid depressive disorders in females and insubjects with drug dependency. (Full Text in Chinese)
期刊論文
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32.Deykin, E. Y.、Levy, J.、Wells, V.(1987)。Adolescent depression, alcohol and drug abuse。Am J Public Health，77(2)，178-182。  new window
33.Yang, M. S.、Su, I. H.、Wen, J. K.、Ko, Y. C.(1996)。Prevalence and relative risk factors of betel quid chewing by adolescent students in southern Taiwan。J Oral Pathol Med，25，69-71。  new window
34.蘇東平(19820900)。管束機構內青少年濫用藥物之流行病學研究第一部份：青少年濫用藥物之臨床研究。中華醫學雜誌，30(3)，195-208。  延伸查詢new window
35.蘇東平(19821000)。管束機構內青少年濫用藥物之流行病學研究(2)：青少年濫用藥物之社會心理因素研究。中華醫學雜誌，30(4)，269-284。  延伸查詢new window
36.簡莉盈、鄭泰安(19950200)。社會危險因子與青少年藥物濫用。中華心理衛生學刊，8(1)，7-12。new window  延伸查詢new window
研究報告
1.刑事替察局(1996)。台灣刑事統計。台北：內政部署政署。  延伸查詢new window
圖書
1.Puig-Antich, J.、Chambers, W. J.(1978)。The Schedule for Affective Disorders and Schizophrenia for School Age Children (Kiddie-SADS)。New York：New York State Psychiatric Institute。  new window
2.American Psychiatric Association(1994)。Diagnostic and Statistical Manual of Mental Disorder: DSM-IV。Washington, D.C.：American Psychiatric Association。  new window
圖書論文
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2.Cambor, R. L.、Millman, R. B.(1996)。Alcohol and drug abuse in adolescent。Child and adolescent psychiatry: a comprehensive textbook。Baltimore：Williams & Wilkins。  new window
3.Miller, N. S.、Fine, J.(1997)。Epidemiology of comorbidity in addiction psychiatry。The Principles and Practice of Addictions in Psychiatry。Philadelphia：W.B. Saunders Company。  new window
4.Lewis, D. O.(1996)。Conduct disorder。Child and Adolescent Psychiatry: a Comprehensive Textbook。Baltimore：Williams & WQkins。  new window
5.Weiss, G.(1996)。Attention deficit hyperactivity disorder。Child and Adolescent Psychiatry: A Comprehensive Textbook。Baltimore：Williams & Wilkins。  new window
6.Livingston, R.(1996)。Anxiety disorder。Child and Adolescent Psychiatry: a Comprehensive Textbook。Baltimore：Williams & Wilkins。  new window
 
 
 
 
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