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因酒精“依赖”和“滥用”住院的人群与其他类似酒精成瘾人群的比较分析:一项对1300名患者的研究

[Comparative analysis of a population hospitalized for alcohol "dependence" and "abuse" with other similar alcoholic populations: a study of 1,300 patients].

作者信息

Conde López V, Pacheco Yáñez L, Pérez Puente C

机构信息

Area de Psiquiatría de la Facultad de Medicina y Psiquiatría del Hospital Clínico Universitario de Valladolid.

出版信息

Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1991 Mar-Apr;19(2):97-114.

PMID:1867135
Abstract

The authors refer on introduction to a former research where they describe results from 150 inpatients diagnosed of "Alcohol Dependence" and "Alcohol Abuse Syndromes" admitted during 1980-1984 at the Psychiatry Department of University Hospital of Valladolid. A comparison of epidemiologic, clinic, diagnostic and care patients patterns is made versus three other studies , where similar groups of alcoholic patients are studied through 47 variables. The first investigation reports findings from 613 alcoholic out patients demanding psychiatric care at University Hospital in Valladolid. The second one study 134 alcoholic patients (70% outpatients and 30% inpatients) at the Hospital General in Burgos. The last one reports finding from 403 alcoholic inpatients at the Psychiatric Service of "Ramón y Cajal" Hospital of Madrid. A group of 130 patients are studied as a whole, 1,127 males (86.89%) and 173 females (13.3%). Fifty per cent of the sample (n = 653) were inpatients and the remainder were outpatients; 28.30% (n = 368) were diagnosed by means of CIE-8a; 61.38% (n = 798) by means of CIE-9a; and 10.30 by DSM-III diagnostic criteria. The variables evaluated were population, age, sex, civil state, place of birth, place of living, level of education, profession, work capability, economical status and current social class, working and marriage adaptation, place composition, first work age, emigration, family psychiatric problems, affective deprivation, personal background, former treatment for drinking problems, start of drinking average age, abuse average time, kind of drinking, drinking day average amount, motive of abuse increments, consultation motive, somatic and psychiatric diagnoses, others drugs consultations, TAC and EEG results, first pharmacologic treatment, inpatient average time, and later hospitalizations. A table, a graphic and 83 bibliographic quotations, part of which belong to a former work, are included.

摘要

作者在引言中提及一项先前的研究,他们描述了1980年至1984年期间在巴利亚多利德大学医院精神病科收治的150例被诊断为“酒精依赖”和“酒精滥用综合征”的住院患者的研究结果。将这些患者的流行病学、临床、诊断和护理模式与其他三项研究进行了比较,在其他三项研究中,通过47个变量对类似的酒精性患者群体进行了研究。第一项调查报道了在巴利亚多利德大学医院寻求精神科护理的613例酒精性门诊患者的研究结果。第二项研究了布尔戈斯综合医院的134例酒精性患者(70%为门诊患者,30%为住院患者)。最后一项报道了马德里“拉蒙·y·卡哈尔”医院精神科服务部403例酒精性住院患者的研究结果。总共研究了1300例患者,其中男性1127例(86.89%),女性173例(13.3%)。样本的50%(n = 653)为住院患者,其余为门诊患者;28.30%(n = 368)通过国际疾病分类第8版进行诊断;61.38%(n = 798)通过国际疾病分类第9版进行诊断;10.30%通过《精神疾病诊断与统计手册》第三版诊断标准进行诊断。评估的变量包括人口、年龄、性别、婚姻状况、出生地、居住地、教育程度、职业、工作能力、经济状况和当前社会阶层、工作和婚姻适应情况、场所构成、首次工作年龄、移民情况、家庭精神问题、情感剥夺、个人背景、先前针对饮酒问题的治疗、开始饮酒的平均年龄、滥用的平均时间、饮酒种类、日均饮酒量、滥用增加的动机、咨询动机、躯体和精神诊断、其他药物咨询、计算机断层扫描和脑电图结果、首次药物治疗、住院平均时间以及后续住院情况。文中包含一个表格、一幅图表和83条参考文献,其中部分属于先前的研究成果。

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