Department of Addictive Behavior and Addiction Medicine, Division of Biostatistics, Central Institute of Mental Health, Mannheim, University of Heidelberg, Mannheim, Germany.
Psychosomatics. 2009 Nov-Dec;50(6):599-604. doi: 10.1176/appi.psy.50.6.599.
In the general hospital setting, alcohol-use disorders very commonly remain undetected.
The authors hypothesized that including a consultation-liaison (C-L) psychiatrist in primary-care rounds would improve detection rates of alcohol-use-disorders.
Patients (N=165) on two medical wards were screened by means of the Alcohol Use Disorders Identification Test. Diagnoses were confirmed with the International Diagnostic Checklists and compared with physicians' detection rates. C-L intervention included demonstrations of standardized diagnostic procedures in order to change primary-care physicians' behavior.
Primary-care-physicians' detection rates of alcohol-use disorders increased significantly after implementation of the C-L service, whereas no significant differences were observed on the control ward.
Tentative data thus underscore the efficacy of C-L psychiatry for detection and intervention in alcohol-use disorders.
在综合医院环境中，酒精使用障碍通常未被发现。
作者假设在初级保健查房中纳入联络精神病学医生将提高酒精使用障碍的检出率。
通过酒精使用障碍识别测试对两个内科病房的患者（N=165）进行筛查。使用国际诊断清单对诊断进行确认，并与医生的检出率进行比较。联络干预包括演示标准化诊断程序，以改变初级保健医生的行为。
实施联络服务后，初级保健医生对酒精使用障碍的检出率显著增加，而对照组病房则没有显著差异。
初步数据因此强调了联络精神病学对酒精使用障碍的检测和干预的疗效。
Zotero 插件