Tyburski Ernest M, Sokolowski Andrzej, Samochowiec Jerzy, Samochowiec Agnieszka
Department of Clinical Psychology, Institute of Psychology, Szczecin University, Poland.
Institute of Psychology, Adam Mickiewicz University, Poznan, Poland.
Arch Med Sci. 2014 Dec 22;10(6):1191-7. doi: 10.5114/aoms.2014.47829.
The study is aimed at presenting new diagnostic and therapeutic proposals for patients with alcohol use disorders. The revised ICD-11 which is currently being updated is coming closer to American standards in disease classification. The latest update of the American DSM-5 has been a notable step forward as it integrates alcohol abuse and alcohol dependence into a single disorder called alcohol use disorder. Recent developments in research into diagnostic tools have brought changes in the approach to therapy. According to most international guidelines, the form of treatment should be customised to the individual patient, with consideration given to his/her mental and physical condition, personality and natural setting. A significant change is the recommendation of a harm reduction strategy as a useful alternative to total abstinence in alcohol dependence treatment for some patients.
这项研究旨在为酒精使用障碍患者提出新的诊断和治疗建议。目前正在更新的修订版ICD - 11在疾病分类方面正越来越接近美国标准。美国《精神疾病诊断与统计手册》第5版（DSM - 5）的最新更新是向前迈出的显著一步，因为它将酒精滥用和酒精依赖合并为一种称为酒精使用障碍的单一疾病。诊断工具研究的最新进展给治疗方法带来了变化。根据大多数国际指南，治疗形式应根据个体患者进行定制，同时要考虑其心理和身体状况、个性以及自然环境。一个重大变化是，对于某些酒精依赖治疗的患者，推荐采用减少伤害策略作为完全戒酒的一种有效替代方法。
