Ojehagen A, Berglund M, Appel C P, Nilsson B, Skjaerris A
Department of Psychiatry, Lund University Hospital, Sweden.
Alcohol Clin Exp Res. 1991 Aug;15(4):640-6. doi: 10.1111/j.1530-0277.1991.tb00572.x.
The importance of psychiatric symptomatology for the treatment course of alcoholics was analyzed in a long-term outpatient treatment study. Seventy-two patients, 60 men and 12 women, were personally interviewed during treatment and after 3 years. Before treatment psychiatric symptoms were rated according to the Comprehensive Psychopathological Rating Scale (CPRS). Women had significantly higher scores than men. Men with many symptoms and women had more psychological benefits from drinking and a more impaired personality structure than men with few symptoms. Men with many symptoms also had a lower level of social functioning. The severity of abuse did not differ between the three groups. Men with many symptoms had a less favorable outcome between 25 and 36 months after start of treatment than men with few symptoms and women. Among men who completed treatment, those with many symptoms showed a less successful course after 6 months and during the 3rd year after start of treatment, while differences after 3 months and during later stages of treatment were less pronounced. It is suggested that before start of treatment a psychiatric evaluation should be performed including psychiatric diagnosis, personality analysis, and an assessment of psychological benefits from drinking.
在一项长期门诊治疗研究中，分析了精神症状学对酗酒者治疗过程的重要性。72名患者，60名男性和12名女性，在治疗期间及3年后接受了个人访谈。治疗前，根据综合精神病理学评定量表（CPRS）对精神症状进行评分。女性得分显著高于男性。症状较多的男性和女性从饮酒中获得的心理益处更多，人格结构受损程度比症状较少的男性更严重。症状较多的男性社会功能水平也较低。三组之间的滥用严重程度没有差异。症状较多的男性在治疗开始后25至36个月的预后比症状较少的男性和女性更差。在完成治疗的男性中，症状较多的男性在治疗开始后6个月及第3年的治疗过程不太成功，而在治疗3个月后及后期阶段差异不太明显。建议在治疗开始前进行精神评估，包括精神诊断、人格分析以及对饮酒心理益处的评估。
