Pristach C A, Smith C M
Department of Psychiatry, State University of New York at Buffalo, USA.
Psychiatr Serv. 1996 Apr;47(4):421-3. doi: 10.1176/ps.47.4.421.
Forty-two acute inpatients with schizophrenia, 23 of whom had a past or current alcohol use disorder, were given a structured interview that focused on reasons for alcohol use and changes in perceived effects of alcohol on psychiatric symptoms from the first episode of illness to the current episode. Drinking for sociability or celebration decreased over time, while drinking to relieve depression or problems increased. Subjects who experienced hallucinations, paranoia, or both significantly more often reported an increase in these symptoms after drinking. Subjects with an alcohol-related diagnosis were significantly more likely than those without such a diagnosis to cite relief of depression and problems or worries as a reason for alcohol use.
42名急性精神分裂症住院患者(其中23人有过去或当前的酒精使用障碍)接受了一次结构化访谈,该访谈聚焦于饮酒原因以及从首次发病到当前发病期间酒精对精神症状的感知影响的变化。出于社交或庆祝目的的饮酒随时间减少,而出于缓解抑郁或问题的饮酒增加。经历幻觉、偏执狂或两者兼有的受试者报告饮酒后这些症状显著增加的情况更为频繁。有酒精相关诊断的受试者比没有此类诊断的受试者更有可能将缓解抑郁、问题或担忧作为饮酒的原因。