Herz L R, Volicer L, D'Angelo N, Gadish D
Psychiatry Service, Edith Nourse Rogers Memorial Veterans Administration Hospital, Bedford, MA 01730.
Compr Psychiatry. 1990 Jan-Feb;31(1):72-9. doi: 10.1016/0010-440x(90)90056-x.
Seventy-four male veterans entering an alcohol abuse treatment program were screened for additional psychiatric diagnoses using the Diagnostic Interview Schedule (DIS). Fifty-four of these also completed a questionnaire on personal and family drinking history. Over half (54.1%) had another diagnosis. The most common syndromes other than substance abuse were antisocial personality disorder, phobic disorder, and depression. In each of these cases, the presence of the additional disorder accelerated the course of the alcohol problem significantly. The difference in course between syndromes was dwarfed by the time of presentation by the difference between "pure" alcoholism and alcoholism with another diagnosis. The primary versus secondary distinction appeared to account for only a part of this effect.
对74名进入酒精滥用治疗项目的男性退伍军人，使用诊断访谈表（DIS）进行额外精神疾病诊断筛查。其中54人还完成了一份关于个人及家族饮酒史的问卷。超过半数（54.1%）有其他诊断。除物质滥用外，最常见的综合征是反社会人格障碍、恐惧症和抑郁症。在这些案例中，每种额外疾病的存在都显著加速了酒精问题的病程。综合征之间病程的差异，与“单纯”酒精中毒和伴有其他诊断的酒精中毒在就诊时间上的差异相比微不足道。原发性与继发性的区分似乎仅能解释这种影响的一部分。
