Peace K, Mellsop G
Department of Psychological Medicine, Wellington School of Medicine.
N Z Med J. 1989 Nov 8;102(879):577-80.
Alcohol dependence and abuse have been commonly found to coexist with other psychiatric disorders. In order to further investigate this relationship two populations with combined dysfunctional alcohol use and psychiatric illness were studied, one at an alcohol treatment centre and one at a general hospital psychiatric service. Sixty of the 63 people screened at the alcohol treatment centre and 41 of the 43 people with an alcohol problem at the psychiatric unit, met the combined criteria, thus confirming that a very high proportion of people with alcohol problems, and who present for treatment, also have additional psychiatric disorders. The two sample populations were similar on sociodemographic variables. There were differences in the types of psychiatric disorders occurring at the two treatment centres with depression predominating at the psychiatric unit and anxiety disorders occurring more frequently at the alcohol treatment facility. Both samples showed a high rate of schizophrenia. The sample at the alcohol treatment centre showed higher levels of alcohol consumption and had higher rates of problems associated with alcohol. Service delivery issues are discussed in relation to these results. The importance of psychiatric symptoms in both the genesis of dysfunctional drinking and in service utilisation are highlighted.
人们普遍发现酒精依赖和滥用与其他精神疾病并存。为了进一步研究这种关系，对两组存在酒精使用功能障碍和精神疾病的人群进行了研究，一组在酒精治疗中心，另一组在综合医院精神科。在酒精治疗中心接受筛查的63人中，有60人符合综合标准，在精神科有酒精问题的43人中，有41人符合综合标准，这证实了有酒精问题且前来接受治疗的人群中，有很大比例还患有其他精神疾病。这两个样本群体在社会人口统计学变量方面相似。两个治疗中心出现的精神疾病类型存在差异，精神科以抑郁症为主，而酒精治疗机构焦虑症更为常见。两个样本中精神分裂症的发病率都很高。酒精治疗中心的样本显示出更高的酒精消费量，与酒精相关的问题发生率也更高。针对这些结果讨论了服务提供问题。强调了精神症状在功能失调饮酒的成因以及服务利用方面的重要性。
