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男性精神科住院患者的生活应激事件与饮酒严重程度

Stressful life events and severity of alcohol consumption in male psychiatric inpatients.

作者信息

Saha Amitabh, Chaudhury Suprakash, Saldanha Daniel, Srivastava Kalpana

机构信息

Department of Psychiatry, Armed Forces Medical College, Pune, India.

Department of Psychiatry, Dr. D. Y. Patil Medical College, Pimpri, Maharashtra, India.

出版信息

Ind Psychiatry J. 2017 Jan-Jun;26(1):13-18. doi: 10.4103/ipj.ipj_6_16.

Abstract

AIM

To assess the levels of alcohol consumption and the level of stress faced by male patients hospitalized with psychiatric disorders in a military hospital.

MATERIALS AND METHODS

This cross-sectional study was conducted on 100 consecutive patients admitted to a tertiary care psychiatric center and 100 controls. The patients with psychiatric ailments were first stabilized mentally and physically and then assessed. For the collection of demographic data, a questionnaire was prepared which was administered to all patients. The Armed Forces Medical College Life Events scale was used for the assessment of stressful life events. The Michigan Alcohol Screening Test (MAST) was applied as a screening procedure for alcohol use disorder. For assessing the severity of alcohol consumption, the Hilton Drinking Behavior Questionnaire (HDBQ) was utilized.

RESULTS

Analysis revealed that 16% of the psychiatric patients scored above the cutoff score on the MAST compared to 2% of controls. On the HDBQ, 22% of the psychiatric patients had a significant score compared to 4% of controls. Patients with psychiatric disorders experienced significantly more number of life events compared to the controls irrespective of the length of service. The Psychiatric group experienced significantly more life change units both in 1-year prior and in lifetime period.

CONCLUSION

Psychiatric patients face significantly higher stressful life events, experience significantly more life changes, and consume significantly more alcohol as compared to healthy participants.

摘要

目的

评估一家军队医院中因精神疾病住院的男性患者的饮酒水平以及所面临的压力水平。

材料与方法

这项横断面研究对一家三级护理精神科中心连续收治的100例患者和100名对照者进行。患有精神疾病的患者首先在精神和身体上得到稳定,然后进行评估。为收集人口统计学数据,准备了一份问卷并发放给所有患者。使用武装部队医学院生活事件量表评估应激性生活事件。密歇根酒精筛查测试(MAST)用作酒精使用障碍的筛查程序。为评估饮酒的严重程度,采用了希尔顿饮酒行为问卷(HDBQ)。

结果

分析显示,16%的精神科患者MAST得分高于临界值,而对照组为2%。在HDBQ上,22%的精神科患者得分显著,而对照组为4%。无论服役年限如何,患有精神疾病的患者经历的生活事件数量均显著多于对照组。精神科组在过去1年和一生中经历的生活变化单位均显著更多。

结论

与健康参与者相比,精神科患者面临的应激性生活事件显著更高,经历的生活变化显著更多,饮酒量也显著更多。

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