Dawes M A, Frank S, Rost K
NIMH Center for Rural Mental Health Care Research, Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock 72205.
Am J Drug Alcohol Abuse. 1993;19(3):377-86. doi: 10.3109/00952999309001627.
Although psychiatric comorbidity and alcoholism severity are risk factors for poor outcomes in treating alcoholism, little is known about whether clinicians assess these conditions accurately. In this study we evaluated four clinicians' assessments of two indicators of alcoholism severity and three psychiatric co-morbidities in 78 inpatients in their third to seventh day of hospitalization in alcohol treatment programs. Clinicians overestimated the number of days drinking in 28% of subjects, and the number of drinks per drinking day in 37% of subjects. Clinicians underestimated alcohol consumption for patients with higher incomes. Clinicians correctly diagnosed 67% of 18 subjects with antisocial personality disorder, 65% of 26 with major depression, and 89% of 28 with drug abuse. These preliminary results need to be replicated in larger samples of clinicians to determine whether interventions are needed to improve the recognition of important prognostic factors in the treatment of alcoholic patients.
尽管精神疾病共病和酒精中毒严重程度是酒精中毒治疗效果不佳的风险因素，但对于临床医生是否能准确评估这些情况却知之甚少。在本研究中，我们评估了四名临床医生对78名入住酒精治疗项目且处于住院第三天至第七天的患者的酒精中毒严重程度的两项指标以及三种精神疾病共病情况的评估。临床医生高估了28%的受试者的饮酒天数，以及37%的受试者每天的饮酒量。临床医生低估了高收入患者的酒精摄入量。临床医生正确诊断出18名反社会人格障碍患者中的67%、26名重度抑郁症患者中的65%以及28名药物滥用患者中的89%。这些初步结果需要在更大规模的临床医生样本中进行重复验证，以确定是否需要采取干预措施来提高对酒精中毒患者治疗中重要预后因素的识别。
