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酒精使用障碍和精神疾病共病患者的行为反应:与成瘾严重程度的相关性。

Behavioral responses in people affected by alcohol use disorder and psychiatric comorbidity: correlations with addiction severity.

作者信息

Coriale Giovanna, Battagliese Gemma, Pisciotta Fabiola, Attilia Maria Luisa, Porrari Raffaella, De Rosa Francesca, Vitali Mario, Carito Valentina, Messina Marisa Patrizia, Greco Antonio, Fiore Marco, Ceccanti Mauro

机构信息

Centro Riferimento Alcologico Regione Lazio, Sapienza Università di Roma, Rome, Italy.

ASUR Marche, AV4, Ancona, Italy.

出版信息

Ann Ist Super Sanita. 2019 Apr-Jun;55(2):131-142. doi: 10.4415/ANN_19_02_05.

Abstract

AIM

In this study, we investigated in people suffering from alcohol use disorder (AUD) with or without dual diagnosis (concomitant psychiatric disability) how they feel their dependence condition. We predicted that AUD people with a dual diagnosis could feel potentiated their addiction.

METHODS

Alcohol habits and psychiatric conditions of 183 AUD men and 62 AUD women were measured by using the DSM-5, the severity of alcohol dependence questionnaire (SADQ), the alcohol anamnesis and psychiatric examination by the symptom check list 90-R (SCL-90-R).

RESULTS

We have shown that alcohol drinking does not correlate with both psychiatric examination and self-reported psychopathology. SADQ shows that severe alcohol dependence correlates with highest psychiatric symptoms and with the levels of alcohol consumption.

CONCLUSIONS

This finding suggests that high SADQ scores may represent a tool to early disclose only patients with dual diagnosis. SADQ may provide information to address pharmacological interventions because revealing aspects of the dark side of addiction potentiated by AUD associated psychopathology.

摘要

目的

在本研究中,我们调查了患有酒精使用障碍(AUD)且伴有或不伴有双重诊断(并发精神障碍)的人群对自身成瘾状况的感受。我们预测,患有双重诊断的酒精使用障碍患者可能会觉得其成瘾情况更为严重。

方法

通过使用《精神疾病诊断与统计手册》第5版(DSM - 5)、酒精依赖严重程度问卷(SADQ)、酒精病史以及采用症状自评量表90修订版(SCL - 90 - R)进行的精神检查,对183名男性和62名女性酒精使用障碍患者的饮酒习惯和精神状况进行了测量。

结果

我们发现饮酒与精神检查及自我报告的精神病理学均无关联。SADQ显示,严重酒精依赖与最高的精神症状以及饮酒量相关。

结论

这一发现表明,高SADQ分数可能是一种仅用于早期发现双重诊断患者的工具。SADQ可能为药物干预提供信息,因为它揭示了由酒精使用障碍相关精神病理学加剧的成瘾阴暗面的各个方面。

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