Outcomes of co-morbid alcoholic men: a 1-year follow-up.
Outcomes of co-morbid alcoholic men: a 1-year follow-up.
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共病酗酒男性的结果：一年随访。
DOI：
10.1111/j.1530-0277.1992.tb00649.x
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Brown,EF
中科院分区：
文献类型：
--
作者：
Powell,BJ;Penick,EC;Nickel,EJ;Liskow,BI;Riesenmy,KD;Campion,SL;Brown,EF
在这项为期1年的前瞻性研究中，对360名接受住院酒精中毒治疗的男性进行了DSM-III兼容的结构化访谈，并根据并发精神疾病进行了亚型分析。40%的人符合酒精依赖的诊断标准，而27%的人符合酒精依赖和一种额外精神综合征的标准。将双重诊断患者分为：酒依赖合并药物滥用、酒依赖合并反社会人格、酒依赖合并抑郁。在入组时和1年随访时对这些亚型进行了多维度比较。在随访时，所有组在饮酒和心理社会功能方面都有显着改善。结果表明，共病精神障碍的分型酗酒者可能是临床病史的一个很好的预测因子，但饮酒结果的预测效果较差。
In this prospective, 1‐year study, 360 males admitted to an inpatient alcoholism treatment program were administered a DSM‐III compatible structured interview and subtyped by co‐occurring psychiatric disorder. Forty percent satisfied diagnostic criteria for alcohol dependence while 27% met criteria for alcohol dependence and one additional psychiatric syndrome. The dually diagnosed patients were divided into: alcohol dependence plus drug abuse, alcohol dependence plus antisocial personality and alcohol dependence plus depression. These subtypes were compared on multiple dimensions at intake and at 1‐year follow‐up. At follow‐up, all groups showed significant improvement in drinking and psychosocial functioning. The results suggest that subtyping alcoholics by co‐morbid psychiatric disorders may be a good postdictor of clinical history, but a poor predictor of drinking outcome.