Booth B M, Yates W R, Petty F, Brown K
Health Services Research & Development Field Program, Department of Veterans Affairs Medical Center, Iowa City Iowa 52246.
J Stud Alcohol. 1991 Jan;52(1):37-43. doi: 10.15288/jsa.1991.52.37.
The current study was undertaken primarily to identify whether psychiatric co-morbidity was associated with the rate and time of alcohol-related inpatient readmissions for a group of 255 patients discharged from alcoholism treatment at a midwestern rural medical center. A structured interview obtained information regarding psychiatric disorders, including depression, antisocial personality disorders and polysubstance abuse, as well as alcohol history and sociodemographics. Ninety-eight subjects (38.4% of sample) were readmitted for alcoholism-related diagnoses within 15 months of discharge. Patients with a long history of heavy drinking, high daily alcohol consumption and history of previous alcoholism treatment were most likely to be readmitted with an alcoholism-related primary diagnosis. Once these variables were controlled for, other major psychiatric disorders, polysubstances abuse and sociodemographic variables did not appear to predict time to readmission. However, other potentially more sensitive outcome measures such as return to drinking were not evaluated in the present study.
本研究主要旨在确定精神共病是否与一组255名从美国中西部农村医疗中心酒精成瘾治疗中出院的患者与酒精相关的住院再入院率和时间有关。通过结构化访谈获取了有关精神疾病的信息，包括抑郁症、反社会人格障碍和多种物质滥用，以及饮酒史和社会人口统计学信息。98名受试者（占样本的38.4%）在出院后15个月内因与酒精成瘾相关的诊断再次入院。有长期大量饮酒史、每日酒精消费量高以及既往酒精成瘾治疗史的患者最有可能因与酒精成瘾相关的主要诊断再次入院。一旦对这些变量进行控制，其他主要精神疾病、多种物质滥用和社会人口统计学变量似乎并不能预测再入院时间。然而，本研究未评估其他潜在更敏感的结局指标，如恢复饮酒情况。
