Ramsay A, Vredenburgh J, Gallagher R M
J Fam Pract. 1983 Nov;17(5):829-32.
The prevalence of psychiatric disorders associated with alcoholism is reported to be as high as 65 percent. A retrospective chart study was performed to determine whether physicians in a primary care center were adequately evaluating for alcoholism their patients with psychiatric problems. Thirty-five percent of the patients with psychiatric problems seen over a six-month period were not questioned about alcohol use. Younger patients and those with a nonspecific psychiatric diagnosis were questioned even less frequently. In a review of the charts for signs of alcohol abuse, 23 percent of the psychiatric patients had signs of possible alcoholism, and 6 percent were definite alcoholics. Since the presence of alcoholism may significantly alter the approach to therapy, primary care physicians should fully evaluate all patients for this problem, especially if they present with a psychiatric disorder.
据报道，与酒精中毒相关的精神障碍患病率高达65%。进行了一项回顾性病历研究，以确定初级保健中心的医生是否对患有精神问题的患者进行了充分的酒精中毒评估。在六个月期间就诊的有精神问题的患者中，35%未被询问饮酒情况。年轻患者和那些患有非特异性精神疾病诊断的患者被询问的频率更低。在审查病历以寻找酒精滥用迹象时，23%的精神科患者有可能酒精中毒的迹象，6%是确诊的酗酒者。由于酒精中毒的存在可能会显著改变治疗方法，初级保健医生应该对所有患者进行这个问题的全面评估，尤其是那些患有精神障碍的患者。
