Relationship of binge drinking to alcohol dependence, other psychiatric disorders, and behavioral problems in an American Indian tribe
Relationship of binge drinking to alcohol dependence, other psychiatric disorders, and behavioral problems in an American Indian tribe
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DOI：
10.1111/j.1530-0277.1998.tb03682.x
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发表时间：
1998-04-01
影响因子：
3.2
通讯作者：
Goldman, D
中科院分区：
文献类型：
--
作者：
Robin, RW;Long, JC;Goldman, D
在美国印第安人中，酗酒是一种良性行为，与酒精依赖、其他精神疾病或问题领域无关，这一假设在 582 名成年西南美洲印第安人男性和女性的样本中进行了测试，这些成年男性和女性来自大型多代谱系。所有信息均来自对 DSM-III-R 诊断进行独立盲评的半结构化精神病学访谈，使用了三种主要结局指标：酗酒与（1）酒精依赖和其他精神疾病之间的关系，（2）药物滥用治疗，以及（3）四种行为问题类别——暴力/无法无天、身体、社会和工作。酗酒和酒精依赖密切相关。大多数铰链饮酒者被诊断为酒精依赖者。然而，当控制远酒精依赖和其他协变量时，酗酒与多种精神疾病以及远社会、工作、身体和暴力/违法行为问题的阳性诊断几率的增加独立相关。总之，酗酒被发现是一个常见且严重的问题，会对多个功能领域产生有害后果。评估工具的设计应能够获取有关酗酒模式的信息以及提供适当治疗的策略。
The hypothesis that binge drinking is a benign behavior not associated with alcohol dependence, other psychiatric disorders, or problem areas, in American Indians, was tested in a sample of 582 adult Southwestern American Indian males and females in large multigenerational pedigrees. All information was obtained from semistructured psychiatric interviews that were independently blind-rated for DSM-III-R diagnoses, Three main outcome measures were used: the relationship between binge drinking and (1) alcohol dependence and other psychiatric disorders, (2) substance abuse treatment, and (3) four behavioral problem categories-violence/lawlessness, physical, social, and work. Binge drinking and alcohol dependence were strongly associated. Most hinge drinkers were diagnosed as alcohol dependent. However, when controlling far alcohol dependence and other covariates, binge drinking was independently associated with an increase in odds for positive diagnoses for multiple psychiatric disorders, and far social, work, physical, and violence/lawlessness behavioral problems. In sum, binge drinking was found to be a common and severe problem with deleterious consequences in multiple domains of functioning. Assessment instruments should be designed to elicit information on binge patterns of drinking and strategies devised to provide appropriate treatment.