RTI International, Behavioral Health Epidemiology, Research Triangle Park, NC 27709-2194, USA.
J Stud Alcohol Drugs. 2012 Jul;73(4):635-46. doi: 10.15288/jsad.2012.73.635.
Only a fraction of individuals with alcohol use disorders (AUDs) receive any AUD treatment during a given year. If a substantial proportion of individuals with unmet need for AUD treatment are receiving mental health treatment, accessibility of AUD treatment could potentially be improved by implementing strategies to ensure that individuals receiving mental health care are referred to the AUD sector or by increasing rates of AUD treatment in individuals receiving mental health treatment.
We assessed patterns and predictors of mental health treatment and AUD treatment among individuals with 12-month AUDs, using secondary data analyses from two national surveys, the National Survey on Drug Use and Health (NSDUH; n = 4,545 individuals with AUDs) and the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; n = 3,327 individuals with AUDs).
In both NSDUH and NESARC, 8% of individuals with AUDs reported past-year AUD treatment. Among individuals with AUDs, mental health treatment was more common than AUD treatment, with 20% of NSDUH respondents and 11% of NESARC respondents reporting receiving mental health treatment. Greater mental health morbidity increased the odds of mental health treatment, and AUD severity increased the odds of AUD treatment. Mental health morbidity also increased the odds of AUD treatment, mainly by increasing the odds of receiving the category of both AUD and mental health treatment.
Because individuals with AUDs are more likely to receive mental health treatment than AUD treatment, a key opportunity to improve the overall accessibility of treatment for AUDs may be to focus on improving AUD treatment among individuals receiving mental health treatment.
在给定的一年中，只有一小部分酒精使用障碍（AUD）患者接受任何 AUD 治疗。如果未满足 AUD 治疗需求的大量患者正在接受心理健康治疗，那么通过实施确保接受心理健康护理的患者被转介到 AUD 部门的策略，或者通过提高接受心理健康治疗的个体的 AUD 治疗率，可能会提高 AUD 治疗的可及性。
我们使用两项全国性调查的二级数据分析评估了有 12 个月 AUD 的个体的心理健康治疗和 AUD 治疗的模式和预测因素，这两项调查分别是全国药物使用和健康调查（NSDUH；n=4545 名 AUD 患者）和全国酒精相关状况流行病学调查（NESARC；n=3327 名 AUD 患者）。
在 NSDUH 和 NESARC 中，有 8%的 AUD 患者报告了过去一年的 AUD 治疗。在 AUD 患者中，心理健康治疗比 AUD 治疗更为常见，20%的 NSDUH 受访者和 11%的 NESARC 受访者报告接受了心理健康治疗。更高的心理健康发病增加了接受心理健康治疗的可能性，而 AUD 的严重程度增加了接受 AUD 治疗的可能性。心理健康发病也增加了接受 AUD 治疗的可能性，主要是通过增加同时接受 AUD 和心理健康治疗的可能性。
由于 AUD 患者更有可能接受心理健康治疗而不是 AUD 治疗，因此提高 AUD 治疗总体可及性的一个关键机会可能是专注于改善接受心理健康治疗的个体的 AUD 治疗。
