Drake R E, Osher F C, Wallach M A
Department of Psychiatry, Cambridge Hospital, Harvard Medical School, Massachusetts.
J Nerv Ment Dis. 1989 Jul;177(7):408-14. doi: 10.1097/00005053-198907000-00004.
The authors examined patterns of alcohol use among 115 DSM-III schizophrenics discharged from the state hospital and participating in an urban aftercare program. According to ratings by mobile outreach clinicians, 45% of the patients used alcohol, and 22% were clearly abusing alcohol. Alcohol use was associated with younger age, male sex, street drug use, medication noncompliance, lack of psychosocial supports, increased symptomatology, chronic medical problems, and a higher rate of rehospitalization. Even minimal drinking, not considered alcohol abuse by clinicians, predicted rehospitalization during 1-year prospective follow-up.
作者对115名从州立医院出院并参与一项城市后续护理项目的DSM-III精神分裂症患者的饮酒模式进行了研究。根据外展流动临床医生的评级，45%的患者饮酒，22%的患者明显存在酒精滥用问题。饮酒与年龄较小、男性、使用街头毒品、不遵医嘱、缺乏心理社会支持、症状加重、慢性医疗问题以及更高的再住院率相关。即使是临床医生不认为属于酒精滥用的少量饮酒，在为期1年的前瞻性随访中也预示着会再住院。
