Bazargan-Hejazi Shahrzad, Bazargan Mohsen, Gaines Tommie, Jemanez Michael
Department of Psychiatry, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA.
Am J Emerg Med. 2008 Jun;26(5):537-44. doi: 10.1016/j.ajem.2007.08.019.
This study examined the magnitude of association between alcohol misuse and recent depressive symptoms.
We conducted a cross-sectional study of 412 randomly selected patients at least 18 years old and seeking emergency department (ED) care.
Of the patients, 51.0% reported depressive symptoms. At-risk drinking was reported by 26.0%, and 28.2% scored positive on the Rapid Alcohol Problems Screen 4. Alcohol abuse and binge drinking were reported by 25.1% and 28%, respectively, of the patients. According to our results, at-risk drinking (odds ratio [OR] = 2.49, 95% confidence interval [CI] = 1.47-4.20, P < or = .001), problem drinking (OR = 2.11, 95% CI = 1.27-3.51, P < or = .004), drinking abuse (OR = 2.58, 95% CI = 1.51-4.40, P < .001), and binge drinking (OR = 1.89, 95% CI = 1.13-3.15, P < .001) were all related to the manifestation of depressive symptoms.
The findings of this study yield information that could be used by ED health care practitioners and health educators to educate ED patients at risk for alcohol misuse and depression.
本研究探讨了酒精滥用与近期抑郁症状之间的关联程度。
我们对412名随机选取的、年龄至少18岁且寻求急诊科(ED)护理的患者进行了横断面研究。
在这些患者中,51.0%报告有抑郁症状。26.0%的患者报告有危险饮酒行为,28.2%在快速酒精问题筛查4上得分呈阳性。分别有25.1%和28%的患者报告有酒精滥用和暴饮行为。根据我们的结果,危险饮酒(优势比[OR]=2.49,95%置信区间[CI]=1.47 - 4.20,P≤0.001)、问题饮酒(OR = 2.11,95% CI = 1.27 - 3.51,P≤0.004)、酒精滥用(OR = 2.58,95% CI = 1.51 - 4.40,P < 0.001)和暴饮(OR = 1.89,95% CI = 1.13 - 3.15,P < 0.001)均与抑郁症状的表现相关。
本研究结果可为急诊科医护人员和健康教育工作者提供信息,用于对有酒精滥用和抑郁风险的急诊科患者进行教育。