Depressive symptoms and influencing factors of amphetamine-type stimulants abusers
WANG Shanshan1,2, SU Hang2, JIANG Haifeng2, DU Jiang2, XU Ding3, ZHAO Min2
1. Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 2. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China; 3. Shanghai Bureau of Drug Administration, Shanghai 201799, China
Abstract：Objective To investigate the depressive symptoms of amphetamine-type stimulants（ATS）abusers during withdrawal, and analyze their influencing factors. Methods Data of ATS abusers in Shanghai Compulsory Isolation Drug Rehabilitation Center were collected. The 13-item Beck depression inventory（BDI）（BDI-13）was used to evaluate the depressive symptoms of ATS abusers during the withdrawal period. A self-made questionnaire was used to investigate the demographic data and ATS abuse history. According to the BDI scores, ATS abusers were divided into no obvious depressive symptom group （BDI<8） and obvious depressive symptom group （BDI≥8）. Logistic regression was used to analyze the risk factors of depression and their gender differences. Results A total of 1 990 ATS abusers were collected. The average BDI score was 10.75±8.06; men had significantly higher BDI scores than women （11.04±8.25 vs 9.68±7.20, P=0.002）. There were 828 cases （41.6%）in the no obvious depressive symptom group, and 1 162 cases （58.4%）in the obvious depressive symptom group. Logistic regression analysis showed that male, divorce, ATS use frequency ≥3 times/week, forced abstinence times >1 time, and drinking history were the risk factors for ATS abusers to produce depressive symptoms during withdrawal period. The risk factors for depression in males were the education level with junior high school and below, ATS use frequency ≥3 times/week, forced abstinence times >1 time, and drinking history. No female depression was found to be related to the above factors. Conclusion Depression is more common in ATS abusers during withdrawal, and depressive symptoms are more severe in the males. Depressive symptoms may be related to factors such as education level, ATS use frequency, number of forced abstinence, and drinking history.
