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酒精成瘾:一种实体还是不同实体?基于 DSM-4 的尝试,将酒精成瘾和滥用地域化。

Alcohol Addiction: One Entity or Different Entities? A DSM-4-Based Attempt Toward a Geographicization of Alcohol Addiction and Abuse.

机构信息

Agenzia Regionale di Sanita' Toscana, Firenze 50141, Italy.

Epidemiologia, ASL Toscana Centro, Firenze 50135, Italy.

出版信息

Alcohol Alcohol. 2022 Nov 11;57(6):687-695. doi: 10.1093/alcalc/agac021.

Abstract

AIM

To examine whether in Europe perceptions of 'alcoholism' differ in a discrete manner according to geographical area.

METHOD

Secondary analysis of a data set from a European project carried out in 2013-2014 among 1767 patients treated in alcohol addiction units of nine countries/regions across Europe. The experience of all 11 DSM-4 criteria used for diagnosing 'alcohol dependence' and 'alcohol abuse' were assessed in patient interviews. The analysis was performed through Multiple Correspondence Analysis.

RESULTS

The symptoms of 'alcohol dependence' and 'alcohol abuse', posited by DSM-IV, were distributed according to three discrete geographical patterns: a macro-area mainly centered on drinking beer and spirit, a culture traditionally oriented toward wine and a mixed intermediate alcoholic beverage situation.

CONCLUSION

These patterns of perception seem to parallel the diverse drinking cultures of Europe.

摘要

目的

研究在欧洲,是否根据地理位置的不同,对“酗酒”的看法存在明显差异。

方法

对 2013-2014 年在欧洲的九个国家/地区的 1767 名酒精成瘾患者进行的一项欧洲项目数据进行二次分析。在患者访谈中评估了用于诊断“酒精依赖”和“酒精滥用”的所有 11 项 DSM-4 标准的体验。通过多元对应分析进行分析。

结果

DSM-IV 提出的“酒精依赖”和“酒精滥用”症状分布呈现出三种明显的地理模式:一个主要以饮用啤酒和烈酒为中心的宏观区域,一个传统上以葡萄酒为导向的文化以及一个混合的中间酒精饮料情况。

结论

这些感知模式似乎与欧洲多样化的饮酒文化相呼应。

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