Miller N S, Fine J
Department of Psychiatry, University of Illinois, Chicago College of Medicine 60612.
Psychiatr Clin North Am. 1993 Mar;16(1):1-10.
Some major epidemiologic studies have assumed that treatment of the psychiatric symptoms will result in a lowered morbidity and mortality from the addictive disorders or, more specifically, that the addictive disorders are dependent on the psychiatric disorders and etiologically linked to them as an effect or secondary consequence. There is little systematic evidence beyond anecdotal and intuitive supposition to support this popular and only hypothetic position. The consequence is that to insist on the priority of the psychiatric disorder in diagnosis and treatment is to perpetuate artifactual prevalence rates for psychiatric comorbidity in addictive disorders, and to preclude the definitive treatment to reduce the psychiatric morbidity and mortality caused by addictive disorders.
一些主要的流行病学研究假定，对精神症状的治疗将降低成瘾性疾病的发病率和死亡率，或者更具体地说，成瘾性疾病依赖于精神疾病，并在病因上与其相关联，是其一种效应或次要后果。除了轶事和直观的推测之外，几乎没有系统的证据支持这一流行但只是假设的观点。其后果是，坚持在诊断和治疗中精神疾病的优先地位，会使成瘾性疾病中精神共病的人为患病率持续存在，并排除为降低成瘾性疾病所致精神疾病发病率和死亡率的确定性治疗方法。
