Murray M G, Anthenelli R M, Maxwell R A
Department of Psychiatry, University of Cincinnati, College of Medicine, OH, USA.
Psychiatr Serv. 2000 Mar;51(3):380-2. doi: 10.1176/appi.ps.51.3.380.
In a sample of 104 medically stable male veterans with alcohol dependence, rates of health service utilization were compared for 48 patients with a primary diagnosis of antisocial personality disorder and 56 patients without this diagnosis. Patients were diagnosed using DSM-IV lifetime criteria; previous utilization of health services was based on self-reports. Although a similar proportion of both groups reported previous service use, patients with antisocial personality disorder reported using more substance abuse treatment services than those with a primary diagnosis of alcohol dependence. Between-group multiple regression analysis showed that an earlier age at onset of alcoholism and a history of a comorbid substance-induced mental disorder best predicted higher rates of use of substance abuse treatment.
在一个由104名病情稳定的酒精依赖男性退伍军人组成的样本中，对48名初步诊断为反社会人格障碍的患者和56名未患该诊断的患者的医疗服务利用率进行了比较。患者根据《精神疾病诊断与统计手册》第四版（DSM-IV）终身标准进行诊断；之前的医疗服务利用情况基于自我报告。虽然两组中报告曾使用过医疗服务的比例相似，但反社会人格障碍患者报告使用的药物滥用治疗服务比初步诊断为酒精依赖的患者更多。组间多元回归分析表明，酒精中毒发病年龄较早以及存在共病的物质所致精神障碍史最能预测药物滥用治疗的高利用率。
