Detecting alcohol use disorders in the severely mentally ill.
Detecting alcohol use disorders in the severely mentally ill.
复制标题
检测严重精神病患者的酒精使用障碍。
DOI：
10.1023/a:1018793002740
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发表时间：
1998
影响因子：
2.7
通讯作者：
Crum,RM
中科院分区：
文献类型：
--
作者：
Breakey,WR;Calabrese,L;Rosenblatt,A;Crum,RM
酒精中毒与严重精神疾病(“双重诊断”)的频繁并存要求临床医生能够认识到其在致残性精神疾病患者中的发生率。这项研究表明，专业人员往往会错过诊断，但他们检测酗酒的能力可以通过使用一个简单的筛查工具来大大提高。城市心理社会康复计划的成员在附属门诊接受精神治疗后，他们的临床治疗师和康复顾问被问及有关他们的一般健康和物质使用情况的问题后，接受了采访。这些成员接受了CAGE和SMAST两种筛查测试的采访，并建立了酒精使用障碍的临床DSMIII-R诊断。SMAST和CAGE都具有良好的灵敏度，并且增加了筛选器，提高了临床医生检测酒精使用障碍的能力。
The frequent co-occurrence of alcoholism withserious mental illnesses (“dual diagnosis”)necessitates that clinicians are able to recognize itspresence in people with disabling mental illnesses. This study demonstrates that professionals oftenmiss the diagnosis, but that their ability to detectalcoholism can be greatly enhanced by the use of asimple screening tool. Members of an urban psychosocial rehabilitation program who received psychiatrictreatment in an affiliated outpatient clinic wereinterviewed after their clinic therapists andrehabilitation counselors had been asked questionspertaining to their general health and substance use. Themembers were interviewed with two screening tests, theCAGE and the SMAST, and a clinical DSMIII-R diagnosis ofalcohol use disorder was established. Both the SMAST and CAGE had good sensitivity and theaddition of a screener enhanced the clinicians' abilityto detect alcohol use disorders.