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饮酒与随后精神障碍住院风险的关系:前瞻性队列研究。

Alcohol consumption and later risk of hospitalization with psychiatric disorders: prospective cohort study.

机构信息

National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5, 1399 København K, Denmark.

出版信息

Psychiatry Res. 2011 May 15;187(1-2):214-9. doi: 10.1016/j.psychres.2010.11.016. Epub 2010 Dec 13.

Abstract

The potential effects of alcohol intake upon the risk of psychiatric disorders have not often been investigated. The purpose of this study was to investigate, in a population sample, the association between self-reported amount of alcohol intake and the later risk of being registered in a Danish hospital with a psychiatric disorder. The prospective cohort study, the Copenhagen City Heart Study (n=18,146), was used, containing three updated sets of alcohol intake and lifestyle covariates and up to 26 years follow-up. Alcohol intake was measured by self-report while psychiatric disorders were measured through registers. For women, the overall pattern showed that drinking above the sensible limits increased the risk of psychiatric disorders in general, especially for anxiety disorders where women drinking above the sensible drinking limits had a risk of 2.00 (confidence interval: 1.31-3.04) compared to women drinking below the sensible drinking limits. For men, the risk functions were slightly U-shaped; thus, a weekly low or moderate alcohol intake seemed to have a protective effect towards developing psychiatric disorders. The findings suggest sex differences in the association between alcohol consumption and risk of psychiatric disorders.

摘要

酒精摄入对精神障碍风险的潜在影响尚未得到充分研究。本研究旨在调查人群样本中,自我报告的酒精摄入量与随后在丹麦医院被诊断为精神障碍的风险之间的关联。本前瞻性队列研究使用了哥本哈根城市心脏研究(n=18146),其中包含了三批更新的酒精摄入量和生活方式协变量以及长达 26 年的随访。酒精摄入量通过自我报告进行测量,而精神障碍则通过登记来测量。对于女性,总体模式表明,饮酒超过适量会增加一般精神障碍的风险,尤其是焦虑障碍,饮酒超过适量的女性患病风险是饮酒低于适量的女性的 2.00 倍(置信区间:1.31-3.04)。对于男性,风险函数呈轻微的 U 形;因此,每周低或中度饮酒似乎对发展精神障碍具有保护作用。研究结果表明,酒精摄入与精神障碍风险之间的关联存在性别差异。

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