Young M E, Rintala D H, Rossi C D, Hart K A, Fuhrer M J
Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
Arch Phys Med Rehabil. 1995 Jun;76(6):525-32. doi: 10.1016/s0003-9993(95)80506-0.
The prevalence of self-reported alcohol and marijuana use, along with alcohol abuse as measured by the Short Michigan Alcoholism Screening Test, was assessed for a community-based sample (n = 123) of persons with spinal cord injury (SCI). Correlates of alcohol and marijuana use and alcohol abuse also were examined, including demographic variables, measures of impairment, disability, and handicap, SCI medical complications, and measures of subjective assessment such as health rating, health maintenance behaviors, depression, life satisfaction, perceived stress, pain, and social support. Prevalence of alcohol use (59%) and marijuana use (16%) in persons with SCI was less than that of comparison groups in the general population. However, prevalence of alcohol abuse (21%) exceeded that of general population studies. Participants who abused alcohol shared the following criteria: (1) perceived their overall health as worse than those who did not abuse alcohol; (2) were more depressed; and (3) experienced more stress in their lives than those who did not abuse alcohol. Participants who used marijuana were younger at the time of the study and were younger at injury. They were also more depressed and more stressed. The indications of alcohol abuse in one in five persons with SCI living in the community mandates that screening, treatment, and referrals be part of any rehabilitation treatment program.
通过对一个以社区为基础的脊髓损伤（SCI）患者样本（n = 123）进行调查，评估了自我报告的酒精和大麻使用情况，以及通过密歇根酒精ism筛查测试简版测量的酒精滥用情况。还研究了酒精和大麻使用以及酒精滥用的相关因素，包括人口统计学变量、损伤、残疾和障碍的测量指标、SCI医疗并发症，以及健康评级、健康维护行为、抑郁、生活满意度、感知压力、疼痛和社会支持等主观评估指标。SCI患者中酒精使用（59%）和大麻使用（16%）的患病率低于一般人群中的对照组。然而，酒精滥用的患病率（21%）超过了一般人群研究中的患病率。滥用酒精的参与者具有以下共同特征：（1）认为自己的整体健康状况比不滥用酒精的人差；（2）更抑郁；（3）生活中比不滥用酒精的人经历更多压力。使用大麻的参与者在研究时年龄更小，受伤时年龄也更小。他们也更抑郁，压力更大。居住在社区中的五分之一SCI患者存在酒精滥用迹象，这就要求筛查、治疗和转诊应成为任何康复治疗计划的一部分。
