Deykin E Y, Levy J C, Wells V
Am J Public Health. 1987 Feb;77(2):178-82. doi: 10.2105/ajph.77.2.178.
The Diagnostic Interview Schedule was employed to ascertain the prevalence of major depressive disorder (MDD), alcohol and substance abuse in a sample of 424 college students aged 16 to 19 years. Applying DSM III criteria, the prevalence of MDD was 6.8 per cent; of alcohol abuse, 8.2 per cent; and of substance abuse 9.4 per cent. Alcohol abuse was associated with MDD, but not with other psychiatric diagnoses. Substance abuse was associated both with MDD and with other psychiatric diagnoses as well. The onset of MDD almost always preceded alcohol or substance abuse suggesting the possibility of self-medication as a factor in the development of alcohol or substance abuse.
采用诊断访谈表来确定424名年龄在16至19岁的大学生样本中重度抑郁症(MDD)、酒精和药物滥用的患病率。应用《精神疾病诊断与统计手册》第三版标准,MDD的患病率为6.8%;酒精滥用为8.2%;药物滥用为9.4%。酒精滥用与MDD相关,但与其他精神疾病诊断无关。药物滥用既与MDD相关,也与其他精神疾病诊断相关。MDD的发病几乎总是先于酒精或药物滥用,这表明自我用药可能是酒精或药物滥用发展过程中的一个因素。