Department of Nursing, Bergen University College, Bergen, Norway.
Qual Life Res. 2012 Nov;21(9):1527-36. doi: 10.1007/s11136-011-0080-8. Epub 2012 Jan 5.
The purpose of this study was to investigate possible relationships between drinking patterns, psychological distress and quality of life (QoL) in a general population-based sample in Norway.
A random sample of 4,000 Norwegian citizens, aged 18 to 79, was drawn from the National Register held by Statistics Norway.
Males consumed significantly more alcohol and reported more drinking-related problems with more negative consequences, compared to females. Psychological distress increased, and all QoL domain scores decreased with increasing alcohol consumption within the group drinking alcohol at all. The excessive drinkers demonstrated the highest level of psychological distress and lowest QoL in the psychological, social relationships and environment domains. Non-drinkers reported to have poorest QoL in the physical health domain, whereas light and moderate drinkers demonstrated lowest psychological distress and best QoL. Psychological distress demonstrated substantial more importance for QoL than socio-demographic variables, alcohol consumption, alcohol dependency and negative consequences of alcohol use did.
The findings indicate the need for a focus on psychological distress and its negative impact upon all QoL domains. Attention should also be paid to excessive drinkers who have poor QoL (psychological, social relationships and environment domains) and a high level of psychological distress. In addition, non-drinkers reported poor physical health. Further research is needed concerning the relation between alcohol consumption, psychological distress and QoL both in general population studies and in more specific samples.
本研究旨在调查挪威普通人群中饮酒模式、心理困扰和生活质量(QoL)之间可能存在的关系。
从挪威统计局持有的全国登记册中抽取了 4000 名年龄在 18 至 79 岁的挪威公民作为随机样本。
与女性相比,男性饮酒量显著更多,报告的与饮酒相关的问题更多,且负面后果更多。在所有饮酒的人群中,随着饮酒量的增加,心理困扰增加,所有 QoL 领域的评分都降低。与其他人群相比,过度饮酒者表现出最高水平的心理困扰和最低的心理、社会关系和环境领域的 QoL。不饮酒者报告在身体健康领域的 QoL 最差,而轻度和中度饮酒者表现出最低的心理困扰和最佳的 QoL。心理困扰对 QoL 的重要性比社会人口统计学变量、饮酒量、酒精依赖和酒精使用的负面影响更大。
研究结果表明,需要关注心理困扰及其对所有 QoL 领域的负面影响。还应关注生活质量差(心理、社会关系和环境领域)和心理困扰程度高的过度饮酒者。此外,不饮酒者报告身体健康状况较差。需要进一步研究饮酒、心理困扰和 QoL 之间的关系,包括在一般人群研究和更具体的样本中。