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酒精滥用和/或依赖者中的情绪障碍、焦虑及自杀风险:一项基于人群的研究。

Mood disorder, anxiety, and suicide risk among subjects with alcohol abuse and/or dependence: a population-based study.

作者信息

Wiener Carolina D, Moreira Fernanda P, Zago Alethea, Souza Luciano M, Branco Jeronimo C, Oliveira Jacqueline F de, Silva Ricardo A da, Portela Luis V, Lara Diogo R, Jansen Karen, Oses Jean P

机构信息

Programa de Pós-Graduação em Saúde e Comportamento, Centro de Ciências da Vida e da Saúde, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.

Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas (UFPel), Pelotas, RS, Brazil.

出版信息

Braz J Psychiatry. 2018 Jan-Mar;40(1):1-5. doi: 10.1590/1516-4446-2016-2170. Epub 2017 Jun 22.

Abstract

OBJECTIVE

To evaluate the prevalence of alcohol abuse and/or dependence in a population-based sample of young adults and assess the prevalence of comorbid mood disorders, anxiety, and suicide risk in this population.

METHODS

This cross-sectional, population-based study enrolled 1,953 young adults aged 18-35 years. The CAGE questionnaire was used to screen for alcohol abuse and/or dependence, with CAGE scores ≥ 2 considered positive. Psychiatric disorders were investigated through the structured Mini International Neuropsychiatric Interview (MINI).

RESULTS

Alcohol abuse and/or dependence was identified in 187 (9.60%) individuals (5.10% among women and 15.20% among men). Alcohol abuse and/or dependence were more prevalent among men than women, as well as among those who used tobacco, illicit drugs or presented with anxiety disorder, mood disorder, and suicide risk.

CONCLUSION

These findings suggest that alcohol abuse and/or dependence are consistently associated with a higher prevalence of psychiatric comorbidities, could be considered important predictors of other psychiatric disorders, and deserve greater public heath attention, pointing to the need for alcohol abuse prevention programs.

摘要

目的

评估以人群为基础的年轻成年人样本中酒精滥用和/或依赖的患病率,并评估该人群中共病情绪障碍、焦虑和自杀风险的患病率。

方法

这项基于人群的横断面研究纳入了1953名年龄在18至35岁之间的年轻成年人。使用CAGE问卷筛查酒精滥用和/或依赖,CAGE得分≥2被视为阳性。通过结构化的迷你国际神经精神访谈(MINI)调查精神障碍。

结果

187名(9.60%)个体被确定存在酒精滥用和/或依赖(女性中为5.10%,男性中为15.20%)。酒精滥用和/或依赖在男性中比女性更普遍,在使用烟草、非法药物或患有焦虑症、情绪障碍和有自杀风险的人群中也更普遍。

结论

这些发现表明,酒精滥用和/或依赖与精神共病的较高患病率始终相关,可被视为其他精神障碍的重要预测因素,值得公众健康给予更多关注,这表明需要开展酒精滥用预防项目。

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