Hansen S S, Munk-Jørgensen P, Guldbaek B, Solgård T, Lauszus K S, Albrechtsen N, Borg L, Egander A, Faurholdt K, Gilberg A, Gosden N P, Lorenzen J, Richelsen B, Weischer K, Bertelsen A
Department of Psychiatric Demography, Institute for Basic Psychiatric Research, Psychiatric Hospital in Aarhus, Risskov, Denmark.
Acta Psychiatr Scand. 2000 Dec;102(6):432-8. doi: 10.1034/j.1600-0447.2000.102006432.x.
To estimate the prevalence and possible under-diagnosing of substance use disorders and to consider factors that might influence diagnosing of substance use disorders.
Data collected from case records and PSE interviews of psychiatric in-patients from 12 psychiatric departments in Denmark admitted during October 1996 were compared with data from the Danish Psychiatric Register.
A substantially lower prevalence of substance use diagnoses were found in the register (26.1%) than in the research data (50.0%). A high prevalence of co-occurrence between substance use disorders and mental disorders other than substance use disorders was found (37.3%). In the majority of cases knowledge of the substance use disorders was present in the case records, although they had not resulted in a diagnosis.
The under-diagnosis of substance use disorders is due not only to concealed diagnostic signs and symptoms but also to an under-diagnosis by the psychiatrists, in spite of the fact that information on the substance use was accessible.
评估物质使用障碍的患病率及可能存在的诊断不足情况，并探讨可能影响物质使用障碍诊断的因素。
将1996年10月丹麦12个精神科收治的住院精神科患者的病例记录和PSE访谈收集的数据与丹麦精神病学登记册的数据进行比较。
登记册中物质使用障碍的患病率（26.1%）显著低于研究数据中的患病率（50.0%）。发现物质使用障碍与非物质使用障碍的精神障碍共病率很高（37.3%）。在大多数病例中，病例记录中存在物质使用障碍的相关信息，尽管这些信息并未导致诊断。
物质使用障碍的诊断不足不仅是由于隐匿的诊断体征和症状，还由于精神科医生的诊断不足，尽管有关于物质使用的信息可供获取。
