心理健康服务的利用与12个月内出现问题饮酒的风险
Utilization of mental health services and risk of 12-month problematic alcohol use.
作者信息
Encrenaz Gaëlle, Kovess-Masféty Viviane, Sapinho David, Chee Christine Chan, Messiah Antoine
机构信息
Institut National de la Santé et de la Recherche Médicale, Institut Fédératif de Recherche en Santé Publique (IFR INSERM 99), Victor Segalen Bordeaux 2 University, France.
出版信息
Am J Health Behav. 2007 Jul-Aug;31(4):392-401. doi: 10.5555/ajhb.2007.31.4.392.
OBJECTIVE
To examine whether mental health service utilization modifies the association between lifetime anxiety or depressive disorders (ADD) and risk of 12-month problematic alcohol use.
METHODS
Randomly selected members (n=6518) of a mutual health-insurance company were evaluated for lifetime ADD (DSM-IV), mental health service utilization for ADD, and risk of 12-month problematic alcohol use (DSM-IV and CAGE).
RESULTS
Risk of 12-month problematic alcohol use was reduced when mental health services had been used for several ADD (OR=3.3 vs 5.8), but not for one ADD.
CONCLUSIONS
These results show the importance of taking mental health service use into account as a potential effect-modifier of psychiatric comorbidity.
目的
探讨心理健康服务的使用是否会改变终生焦虑或抑郁障碍（ADD）与12个月问题饮酒风险之间的关联。
方法
对一家互助健康保险公司随机抽取的成员（n = 6518）进行评估，以确定其终生ADD（DSM-IV）、ADD的心理健康服务使用情况以及12个月问题饮酒风险（DSM-IV和CAGE）。
结果
当针对多种ADD使用心理健康服务时，12个月问题饮酒风险降低（比值比=3.3对5.8），但针对单一ADD使用时则不然。
结论
这些结果表明，将心理健康服务的使用作为精神疾病共病的潜在效应修饰因素加以考虑具有重要意义。
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