首次饮酒年龄与酒精依赖严重程度。
Age at first drink and severity of alcohol dependence.
作者信息
Chatterjee K, Dwivedi A K, Singh R
机构信息
Consultant & Professor and Head (Psychiatry), INHS Asvini, Colaba, Mumbai, India.
Graded Specialist (Psychiatry), Base Hospital, Delhi Cantt, India.
出版信息
Med J Armed Forces India. 2021 Jan;77(1):70-74. doi: 10.1016/j.mjafi.2019.05.003. Epub 2019 Oct 16.
BACKGROUND
Early age at first drink (AFD) has been linked to early onset and increased severity of alcohol dependence in various studies. Few Indian studies on AFD have shown a negative correlation between AFD and severity of alcohol dependence. Our study aimed to explore this relationship in patients with alcohol dependence syndrome (ADS) diagnosed using ICD-10 criteria.
METHODS
One hundred fifty-one consecutive patients freshly diagnosed with ADS were included in the study, which was conducted at the psychiatry unit of a tertiary care, multispecialty hospital. The Addiction Severity Index (ASI) was used to assess severity of alcohol dependence.
RESULTS
Mean AFD was 24.85 years (range = 13-40 years). Median ASI score was 36 (range = 21 to 57). The study yielded a weak negative correlation (ρ = -.105) between AFD and ASI, which was statistically not significant.
CONCLUSIONS
We found no correlation between AFD and severity of alcohol dependence at detection in Indian Armed Forces personnel, which is contrary to what has been reported worldwide and in previous Indian studies. Delayed initiation of alcohol use among those enrolling in the Indian Armed Forces and early detection of alcohol dependence within the military environment are possible explanations.
背景
在各项研究中，首次饮酒年龄（AFD）与酒精依赖的早发及严重程度增加有关。印度关于AFD的研究较少，其中一些研究表明AFD与酒精依赖严重程度之间存在负相关。我们的研究旨在探讨使用国际疾病分类第10版（ICD - 10）标准诊断的酒精依赖综合征（ADS）患者中的这种关系。
方法
本研究纳入了151例新诊断为ADS的连续患者，研究在一家三级医疗多专科医院的精神科进行。使用成瘾严重程度指数（ASI）评估酒精依赖的严重程度。
结果
平均AFD为24.85岁（范围 = 13 - 40岁）。ASI评分中位数为36（范围 = 21至57）。该研究得出AFD与ASI之间存在弱负相关（ρ = -0.105），但在统计学上不显著。
结论
我们发现印度武装部队人员在检测时AFD与酒精依赖严重程度之间无相关性，这与全球及以往印度研究的报道相反。印度武装部队人员饮酒起始延迟以及在军事环境中酒精依赖的早期检测可能是原因。
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