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[惊恐障碍与酒精中毒中的共病(二)。148例惊恐障碍患者样本中的酒精中毒情况]

[Comorbidity in panic disorders and alcoholism (II). Alcoholism in a sample of 148 patients with panic disorders].

作者信息

Segui J, Salvador L, Canet J, Aragón C, Herrera C

机构信息

Hospital Central de la Alianza, Barcelona.

出版信息

Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1995 Nov-Dec;23(6):288-92.

PMID:8585434
Abstract

Among 148 patients presenting Panic Disorder (DSM-III-R), 18.9% have an alcohol disorder, 8.8% present abuse and 10.1% dependence. Mean age of onset of alcoholism was much earlier than panic disorder. Patients with alcoholism: a) are males more frequently (0.001); b) present more alcoholism in first grade relatives (0.05); c) use more often other drugs like: tobacco (0.01), coffee (p < 0.01), cocaine (p < 0.01) and cannabis (p < 0.001), d) patients with alcoholism refer a greater severity of their panic attacks when drinking large amounts of alcohol (25%) than the group without these problems (2.5%) (x2:14.8) (p < 0.001) e) according to the GAS the overall level of performance is lower in alcoholics (p < 0.005); f) present more anxiety measured by the HARS (p < 0.01), and therefore have more comorbid anxiety disorders according to DSM-III-R (p < 0.01). The clinical significance of these findings is discussed.

摘要

在148例患有惊恐障碍(DSM-III-R)的患者中,18.9%存在酒精障碍,8.8%为酒精滥用,10.1%为酒精依赖。酒精中毒的平均发病年龄比惊恐障碍早得多。患有酒精中毒的患者:a)男性更为常见(0.001);b)一级亲属中酒精中毒的情况更多(0.05);c)更常使用其他药物,如:烟草(0.01)、咖啡(p<0.01)、可卡因(p<0.01)和大麻(p<0.001);d)与无这些问题的组相比,酒精中毒患者在大量饮酒时(25%)惊恐发作的严重程度更高,而无这些问题的组为2.5%(x2:14.8)(p<0.001);e)根据大体评定量表(GAS),酒精中毒患者的总体功能水平较低(p<0.005);f)通过汉密尔顿焦虑量表(HARS)测量的焦虑程度更高(p<0.01),因此根据DSM-III-R,共患焦虑障碍的情况更多(p<0.01)。本文讨论了这些发现的临床意义。

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