Cuadrado Callejo P
SSM Retiro, Consejería de Salud, CAM.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1996 Sep-Oct;24(5):231-44.
We revise the articles dealing with psychiatric comorbidity of alcohol dependence. This study focuses on the epidemiology and on the etiopathogenic involvement. The epidemiologic studies in community samples show that psychiatric comorbidity in alcohol dependence is twice as big as expected and this excess is common in every psychiatric disorder. However, this excess is bigger in antisocial personality, other substance-related disorders and in schizophrenia. This excess of comorbidity can be due to two factors: how alcohol can cause psychiatric disorders, and how psychiatric symptoms can produce an increases of alcohol consumption which can lead to dependence in people with vulnerability.
我们修订了有关酒精依赖的精神科共病的文章。本研究聚焦于流行病学以及病因学方面的关联。社区样本中的流行病学研究表明，酒精依赖中的精神科共病比预期高出两倍，且这种超额情况在每种精神障碍中都很常见。然而，在反社会人格、其他物质相关障碍和精神分裂症中，这种超额情况更为明显。这种共病超额可能归因于两个因素：酒精如何导致精神障碍，以及精神症状如何导致酒精消费增加，进而使易患人群产生依赖。
