Schuckit M A, Morrissey E R
Am J Psychiatry. 1979 Apr;136(4B):611-7.
The authors studied 293 consecutive female admissions to a public detoxification facility. One-half had a primary diagnosis of alcoholism; the rest had primary diagnosis of affective disorder (14%), antisocial personality (14%), drug abuse (6%) or did not meet the criteria for alcoholism (13%). Each subgroup had unique social backgrounds and characteristic histories of involvement with alcohol, drugs, and antisocial problems. The primary alcoholic woman in the detoxification center resembles the primary alcoholic man in the same setting. The authors underscore the importance of socioeconomic strata and primary versus secondary diagnosis in understanding the prognosis for alcoholics.
作者研究了连续入住一家公共戒毒所的293名女性。其中一半的初步诊断为酒精中毒;其余的初步诊断为情感障碍(14%)、反社会人格(14%)、药物滥用(6%)或不符合酒精中毒标准(13%)。每个亚组都有独特的社会背景以及与酒精、药物和反社会问题相关的特征性病史。戒毒所中的原发性酒精中毒女性与同一环境中的原发性酒精中毒男性相似。作者强调了社会经济阶层以及原发性与继发性诊断在理解酒精中毒患者预后方面的重要性。