The clinical implications of primary diagnostic groups among alcoholics.
The clinical implications of primary diagnostic groups among alcoholics.
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酗酒者主要诊断群体的临床意义。
DOI：
10.1001/archpsyc.1985.01790340021003
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发表时间：
1985
影响因子：
--
通讯作者：
M. Schuckit
中科院分区：
文献类型：
--
作者：
M. Schuckit
与患者和两个资源人员的访谈被用来确定在577个连续的男性进入酒精治疗计划（ATP）在退伍军人医院的主要精神病诊断。12个月后，约95%的样本成功地随访了患者和资源人员访谈，以确定四个人口最多的诊断亚组在一年中的临床病程。在摄入到治疗方案，432组1主要酗酒的男性年龄较大，有一个较晚的年龄在酗酒发作，表现出较低的饮酒强度，有较少的反社会问题，并使用较少的药物种类比60名男性在第2组与主要药物滥用和40名男性在第3组与主要反社会人格障碍。在随访期间，第2组和第3组的男性有更大的吸毒可能性，更多的警察和社会问题，并在临床结果量表上表现出更高（更不利）的结果。在摄入时患有原发性情感障碍的9名第4组男性表现出过去自杀企图和精神病护理的风险增加，并且在一级家庭成员中情感障碍的发生率较高。这些发现强调了区分症状（如悲伤或反社会问题）和诊断的重要性，以及在物质滥用者中建立初级和次级标签的必要性。
Interviews with patients and two resource persons were used to determine primary psychiatric diagnoses in 577 consecutive men entering an alcohol treatment program (ATP) at a veterans hospital. Twelve months later, about 95% of the sample were successfully followed up with a patient and resource person interview to establish the clinical course over the year for the four most populous diagnostic subgroups. At intake into the treatment program, the 432 group 1 primary alcoholic men were older, had a later age at onset of alcoholism, demonstrated a lower intensity of drinking, had fewer antisocial problems, and used fewer categories of drugs than the 60 men in group 2 with primary drug abuse and the 40 men in group 3 with primary antisocial personality disorder. During the follow-up, men in groups 2 and 3 had a greater likelihood of drug use, more police and social problems, and demonstrated higher (more adverse) outcomes on a clinical outcome scale. The nine group 4 men with primary affective disorder at intake demonstrated an increased risk for past suicide attempts and psychiatric care and had a higher rate of affective disorder in first-degree family members. These findings underscore the importance of distinguishing between symptoms (eg, sadness or antisocial problems) and diagnoses and the need to establish primary and secondary labels in substance abusers.
实用的酒精中毒治疗结果量表。
DOI：
10.3109/00952998409002660
发表时间：
1984
期刊：
The American journal of drug and alcohol abuse
影响因子：
--
作者：
Schuckit,MA;Morrison,CR;Gold,EO
通讯作者：
Gold,EO
酒精中毒的精神病学诊断倾向。
影响因子：
7.3
作者：
Lewis,CE;Helzer,J;Cloninger,CR;Croughan,J;Whitman,BY
通讯作者：
Whitman,BY
继发性抑郁症的酗酒患者。
DOI：
10.1176/ajp.140.6.711
发表时间：
1983
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Schuckit,M
通讯作者：
Schuckit,M