Angelini G, Bogetto F, Borio R, Meluzzi A, Mucci P, Patria D, Ricciardi G, Torta R
Istituto di Clinica Psichiatrica, Università di Torino.
Minerva Psichiatr. 1990 Jan-Mar;31(1):41-5.
The presence of depressive symptomatology in alcoholics has frequently been encountered in clinical practice, but the relationship running between the two pathologies remains a subject for discussion. The methodological difficulty of this evaluation is seen in a major discordance of reported data. Against this background, a group of subjects hospitalized in a neuropsychiatric environment has been assessed for incidence of alcoholic and depressive pathologies and their possible correlations. Of 428 hospitalizations for alcoholism, 350 (82%) presented a depressive pathology. These patients were distinguished by DSM III into three groups [a) adaptation disturbance with depressed mood; b) dysthymic disturbance; c) atypical depression]. Within these groups, the incidence of prior stress-inducing psychosocial events was assessed according to the criterion of growing seriousness of DSM III. The results after statistical processing are discussed and compared with reported data.
酒精成瘾者中出现抑郁症状在临床实践中屡见不鲜，但这两种病症之间的关系仍是一个有待探讨的话题。这种评估的方法学难点在于报告数据存在重大不一致性。在此背景下，对一组在神经精神科环境中住院的受试者进行了酒精成瘾和抑郁病症的发病率及其可能相关性的评估。在428例酒精成瘾住院病例中，350例（82%）存在抑郁病症。这些患者根据《精神疾病诊断与统计手册》第三版（DSM III）被分为三组：[a）伴有情绪低落的适应障碍；b）恶劣心境障碍；c）非典型抑郁症]。在这些组内，根据DSM III中日益严重的标准评估了先前诱发压力的社会心理事件的发生率。对统计处理后的结果进行了讨论，并与报告数据进行了比较。
