Gubucz-Pálfalvi Sejla, Kurimay Tamás, Danis Ildikó
1 Semmelweis Egyetem, Mentális Egészségtudományok Doktori Iskola Budapest Magyarország.
2 Észak-budai Szent János Centrumkórház, Budai Családközpontú Lelki Egészség Centrum Budapest Magyarország.
Orv Hetil. 2023 Oct 15;164(41):1628-1636. doi: 10.1556/650.2023.32865.
Alcohol use disorder and its consequences are a major public health problem not only worldwide, but in Hungary as well. The problem is aggravated by the low rate of admission to treatment, and by the high dropout rate of the treatment prior to its completion date. The relapse rate is also high, up to more than half of the patients are not able to maintain their abstinence following the first few months after their treatment. Although most patients enrolling in the addiction care system are over the age of 35, the causes of alcohol use disorder often stem from early childhood experiences. Long-term traumas in early childhood are significantly associated with somatic and mental health problems later in life such as substance use, including alcohol dependence. The article begins with reviewing the prevalence of alcohol dependence and defining childhood maltreatment and adverse childhood experiences, then discusses the effects and mechanisms of adverse childhood experiences in light of the development of alcohol use disorders in adults and their low treatment rates. The article also aims to raise awareness of the importance of trauma-focused thinking and trauma-informed approaches in the healthcare system and in planning addiction interventions and services. Orv Hetil. 2023; 164(41): 1628-1636.
酒精使用障碍及其后果不仅是全球范围内的一个主要公共卫生问题，在匈牙利也是如此。治疗入院率低以及治疗在完成日期前的高辍学率加剧了这一问题。复发率也很高，多达一半以上的患者在治疗后的头几个月后无法保持戒酒状态。虽然加入成瘾护理系统的大多数患者年龄超过35岁，但酒精使用障碍的原因往往源于童年早期经历。童年早期的长期创伤与生命后期的躯体和心理健康问题（如物质使用，包括酒精依赖）显著相关。本文首先回顾酒精依赖的患病率并定义童年期虐待和不良童年经历，然后根据成人酒精使用障碍的发展及其低治疗率讨论不良童年经历的影响和机制。本文还旨在提高人们对以创伤为重点的思维和创伤知情方法在医疗保健系统以及规划成瘾干预措施和服务中的重要性的认识。《匈牙利医学周报》。2023年；164(41):1628 - 1636。
