Finlayson R E, Hurt R D, Davis L J, Morse R M
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1988 Aug;63(8):761-8. doi: 10.1016/s0025-6196(12)62355-6.
The medical records of 216 elderly persons, admitted to the hospital for treatment of alcoholism, were reviewed. Concern of family and friends was the most common factor motivating patients for admission. Patients with late-onset alcoholism reported an association between a life event and problem drinking more frequently than did the early-onset alcoholics. The most common associated psychiatric disorders were tobacco dependence (67%), organic brain syndrome (25%), atypical or mixed organic brain syndrome (19%), and affective disorder (12%). Fourteen percent of patients also had a drug abuse or dependence problem, all using legally prescribed drugs. Psychiatric diagnoses and results of psychologic testing did not differ between early-onset and late-onset alcoholism groups. In a 60-patient cohort studied for correlation of outcome of treatment for alcoholism with major psychiatric diagnoses, no associations were found.
对216名因酒精中毒入院治疗的老年人的病历进行了回顾。家人和朋友的关心是促使患者入院的最常见因素。晚发性酒精中毒患者比早发性酒精中毒患者更频繁地报告生活事件与问题饮酒之间的关联。最常见的相关精神障碍是烟草依赖（67%）、器质性脑综合征（25%）、非典型或混合性器质性脑综合征（19%）和情感障碍（12%）。14%的患者还存在药物滥用或依赖问题，均使用合法处方药物。早发性和晚发性酒精中毒组之间的精神科诊断和心理测试结果没有差异。在一个研究酒精中毒治疗结果与主要精神科诊断相关性的60名患者队列中，未发现关联。
