Co-occurring depression and alcohol-use disorders in South-East Asia: A narrative review.
Co-occurring depression and alcohol-use disorders in South-East Asia: A narrative review.
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DOI：
10.4103/2224-3151.206166
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发表时间：
2017-04-01
影响因子：
--
通讯作者：
Elwadhi, Deeksha
中科院分区：
文献类型：
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作者：
Balhara, Yatan Pal Singh;Gupta, Prashant;Elwadhi, Deeksha
抑郁症和酒精使用障碍经常同时发生，其中一种的存在会加重另一种的不良后果。本文回顾并综合了世界卫生组织（WHO）东南亚地区关于抑郁症和酒精使用障碍的流行病学、筛查工具、干预措施和服务以及政策方面的现有文献。与其他低收入和中等收入地区一样，该地区关于抑郁症和酒精使用障碍并存的数据很少。该区域各国在语言和文化多样性方面的巨大差异，进一步使同时患有抑郁症和酒精使用障碍的人的识别和管理成为一项重大挑战。对患有这两种疾病的个人进行了一系列干预研究。然而，这项工作大部分是在高收入国家进行的，这突出表明有必要探讨世卫组织东南亚区域各种药理和非药理干预措施的有效性和成本效益。该区域大部分地区资源匮乏，缺乏训练有素的人员和资源。由社区卫生工作者提供并纳入初级卫生保健的灵活的跨诊断方法可能是一种务实的方法。这些服务应成为加强本区域各国应对与酒精有关的公共卫生问题的一部分。
Depression and alcohol-use disorders frequently co-occur and the presence of one augments the adverse consequences of the other. This article reviews and synthesizes the available literature on depression and alcohol-use disorders from the World Health Organization (WHO) South-East Asia Region, with respect to epidemiology, screening instruments, interventions and services, and policy. In common with other low- and middle-income settings, data from this region on co-occurring depression and alcohol-use disorders are scarce. The wide variations in language and cultural diversity within the countries of this region further make the identification and management of people with co-occurring depression and alcohol-use disorders a major challenge. A range of interventions for individuals with the two disorders have been studied. However, most of this work has been done in high-income countries, highlighting the need to explore the effectiveness and cost effectiveness of various pharmacological and non-pharmacological interventions in the WHO South-East Asia Region. Much of this region comprises low-resource settings, with a dearth of trained personnel and resources. Flexible transdiagnostic approaches, delivered by community health workers and integrated into primary health care may be a pragmatic approach. Such services should form part of strengthened national responses to alcohol-related public health problems across the region.