关于酒精依赖治疗目标的医生与酒精依赖患者调查

[Survey of physicians and alcohol-dependent patients in regard to the goals of treatment of alcohol dependence].

作者信息

Maesato Hitoshi, Sakuma Hiroshi, Kimura Mitsuru, Nakayama Hideki, Takimura Tsuyoshi, Yoshimura Atsushi, Azukizawa Kouji, Nakai Minori, Tounai Atsumi, Fukuda Takahiro, Fujie Masatomo, Murakami Masaru, Yuzuriha Takefumi, Higuchi Susumu

机构信息

National Hospital Organization, Kurihama Medical and Addiction Center, 5-3-1 Nobi, Yokosuka, Kanagawa 239-0841, Japan.

出版信息

Nihon Arukoru Yakubutsu Igakkai Zasshi. 2013 Feb;48(1):64-9; quiz 70-5.

PMID:23659007

Abstract

We conducted a survey of alcohol-dependent patients at the time of their first visit and physicians in regard to the goals of treatment of alcohol dependence. There were 99 replies from patients, and replies from physicians related to 64 of the patients' replies were also received, and in 25.0% of them it was judged possible to make reducing the amount of alcohol consumed a temporary or final goal. Having a mild drinking problem, the absence of a personality disorder or mental retardation, the presence of a strong motivation in regard to treatment, etc., were cited as reasons for the physicians' judgments. In addition, the number of diagnostic criteria of the ICD-10 for dependence syndrome that applied was shown to be significantly related to the judgments regarding treatment goals. However, as for Alcohol Dependence Scale (ADS), there was no significant relationship with the treatment goal.

摘要

我们针对酒精依赖患者首次就诊时以及医生对酒精依赖治疗目标的看法进行了一项调查。共收到99份患者回复，还收到了与其中64份患者回复相关的医生回复，其中25.0%的回复被判定有可能将减少酒精摄入量作为临时或最终目标。医生做出上述判断的理由包括存在轻度饮酒问题、不存在人格障碍或智力障碍、对治疗有强烈动机等。此外，国际疾病分类第10版（ICD - 10）中适用的依赖综合征诊断标准数量与治疗目标的判断存在显著相关性。然而，对于酒精依赖量表（ADS），其与治疗目标并无显著关系。