Rindom H
Psykiatrisk afdeling P., Amtssygehuset i Glostrup.
Ugeskr Laeger. 1994 May 30;156(22):3324-8.
The general objectives of this study were to describe the alcohol consumption and the long term effect on social development in a group of heavy alcohol abusers. All the patients were discharged from a special psychiatric department for the treatment of alcohol abuse in 1975. In 1987-1988 they were interviewed and subjected to the Michigan Alcohol Screening Test (MAST). On basis of the MAST-test the patients could be classified as belonging either to the Alcohol-Problem-Free (APF) or the Alcohol-Problem (AP) group. The two groups were compared with regard to conditions during adolescence, social status and alcohol consumption. Of the 206 patients 63 had died by 1987 and 113 were interviewed. The APF-group totaled 19.7% of the cohort. The APF group had had better conditions during adolescence and the main factors for stopping the alcohol abuse were a new marriage, their own will power or religious revival. The AP-group had a considerably reduced alcohol consumption since 1975, mainly because of failing health. Forty-two point five percent of all patients found that detoxification during hospitalization was a great help to them. In conclusion it is found that reasons why 19.7% of the patients stopped their alcohol abuse cannot readily be applied to new therapeutic strategies.
本研究的总体目标是描述一组重度酗酒者的酒精消费情况及其对社会发展的长期影响。所有患者均于1975年从一家专门治疗酒精滥用问题的精神科出院。1987年至1988年期间,对他们进行了访谈,并让他们接受密歇根酒精筛查测试(MAST)。根据MAST测试结果,患者可被分为无酒精问题(APF)组或有酒精问题(AP)组。对这两组在青春期的状况、社会地位和酒精消费情况进行了比较。到1987年,206名患者中有63人死亡,113人接受了访谈。APF组占该队列的19.7%。APF组在青春期的状况较好,戒酒的主要因素是新婚、自身意志力或宗教复兴。自1975年以来,AP组的酒精消费量大幅减少,主要是因为健康状况不佳。42.5%的患者认为住院期间的解毒治疗对他们帮助很大。总之,研究发现,19.7%的患者戒酒的原因难以直接应用于新的治疗策略。