Saxena Parnika P, Mital A K
Department of Psychiatry, Rajiv Gandhi Medical College, Kalwa, Thane, Maharashtra, India.
Indian J Psychol Med. 2011 Jul;33(2):115-8. doi: 10.4103/0253-7176.92050.
Two co-morbid conditions which have been found in high proportions among treatment-seeking alcohol-dependent subjects are depression and low social support.
We attempted to study both the factors simultaneously in the setting of Alcoholics Anonymous centers in Mumbai. The study intends to understand (1) if pre-existing depression affected the probability of a person abstaining from alcohol and (2) if social support affected the probability of a person abstaining from alcohol. A thorough review of the existing literature was done before initiating the study.
A single-observer, cross-sectional study was conducted. Subjects with a history of alcohol dependence were included. However, those with other substances abuse and those with a history of anti-depressant usage were excluded. Questionnaires were administered. The Hamilton Depression Scale assessed depression. Similarly, social support was assessed by Social Provisions Scale by Weiss.
According to this study depression does not affect alcohol abstinence as the χ(2) test shows an insignificant result. Social support also showed a negative correlation with alcohol abstinence.
This result is consistent with the findings of other studies such as Davidson et al. (1998). However it is not consistent with the results of the studies having a longer follow-up period. The study had some limitations primarily due to time constraints, the main one being that this study would reveal more significant results if done as a longitudinal study as opposed to a cross-sectional study. Also while interacting with subjects in a group like Alcoholics Anonymous it is important to gain the confidence of the group before obtaining confidence of the individual.
在寻求治疗的酒精依赖者中，两种共病情况的比例较高，即抑郁症和社会支持度低。
我们试图在孟买戒酒匿名会中心的环境中同时研究这两个因素。该研究旨在了解：（1）先前存在的抑郁症是否会影响一个人戒酒的可能性；（2）社会支持是否会影响一个人戒酒的可能性。在开展研究之前，对现有文献进行了全面回顾。
进行了一项单观察者横断面研究。纳入有酒精依赖史的受试者。然而，排除有其他物质滥用史和有抗抑郁药使用史的人。发放问卷。用汉密尔顿抑郁量表评估抑郁情况。同样，用韦斯的社会支持量表评估社会支持。
根据本研究，抑郁症并不影响戒酒，因为χ²检验结果不显著。社会支持与戒酒也呈负相关。
这一结果与戴维森等人（1998年）等其他研究的结果一致。然而，它与随访期更长的研究结果不一致。该研究有一些局限性，主要是由于时间限制，主要一点是，如果作为纵向研究而非横断面研究来进行，本研究将揭示更显著的结果。此外，在像戒酒匿名会这样的群体中与受试者互动时，在获得个人信任之前，先获得群体的信任很重要。
