Booth B M, Russell D W, Yates W R, Laughlin P R, Brown K, Reed D
Department of Veterans Affairs Medical Center, Iowa City, IA 52246.
J Subst Abuse. 1992;4(1):57-67. doi: 10.1016/0899-3289(92)90028-v.
Psychiatric comorbidities have been shown to be important predictors of the outcome of alcoholism treatment. This study examines whether perceived lack of social support can be identified as an independent predictor of symptoms of depression experienced during alcoholism treatment over and above the effects of personality characteristics and the severity of alcohol and psychiatric history. We studied 189 alcoholic men in treatment at a rural midwestern Department of Veterans Affairs medical center. Multiple regression analyses found that reduced social support significantly predicted depression (measured by the Beck Depression Inventory) during treatment while controlling for personality characteristics and the alcoholism and psychiatric subscales of the Addiction Severity Index. Although self-esteem, neuroticism, and psychiatric severity also were significantly associated with depression in the hierarchical regression model, social support demonstrated the strongest unique contribution to depression of any of the predictors. These results suggest that social support has an independent association with depression and perhaps may play an important role in improving treatment compliance and the outcome of alcoholism treatment.
精神疾病共病已被证明是酒精使用障碍治疗结果的重要预测指标。本研究探讨了除人格特征以及酒精和精神病史的严重程度之外，感知到的社会支持不足是否可被确定为酒精使用障碍治疗期间所经历的抑郁症状的独立预测指标。我们研究了美国中西部农村地区一家退伍军人事务部医疗中心正在接受治疗的189名男性酒精使用障碍患者。多元回归分析发现，在控制人格特征以及成瘾严重程度指数的酒精使用障碍和精神疾病分量表的情况下，社会支持减少是治疗期间抑郁（通过贝克抑郁量表测量）的显著预测指标。尽管在分层回归模型中自尊、神经质和精神疾病严重程度也与抑郁显著相关，但社会支持对抑郁的独特贡献在所有预测指标中最为显著。这些结果表明，社会支持与抑郁存在独立关联，可能在提高治疗依从性和酒精使用障碍治疗结果方面发挥重要作用。
