A NATIONWIDE REPRESENTATIVE SAMPLE OF TREATMENT-SEEKING ALCOHOLICS - A STUDY OF PSYCHIATRIC COMORBIDITY
A NATIONWIDE REPRESENTATIVE SAMPLE OF TREATMENT-SEEKING ALCOHOLICS - A STUDY OF PSYCHIATRIC COMORBIDITY
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DOI：
10.1111/j.1600-0447.1995.tb09600.x
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发表时间：
1995-11-01
影响因子：
6.7
通讯作者：
VAGLUM, P
中科院分区：
文献类型：
--
作者：
TOMASSON, K;VAGLUM, P
为了阐明酒精和其他物质使用障碍治疗患者的精神共病，我们检查了冰岛此类患者的代表性样本（249名男性和102名女性）。超过70%的纯酒精成瘾者和超过90%的多种物质使用者有共病诊断，患病率高于美国流行病学集水区研究，但与北美的临床研究相似。最常见的障碍是：情感（33%），焦虑（65%），反社会人格障碍（28%）和性心理功能障碍（20%）。在精神共病研究中，纯酗酒者和多种物质使用者应分开。焦虑和情感障碍影响治疗寻求。关于精神科合并症对病程影响的研究结果在北美和欧洲之间应该是可比的。
In order to elucidate the psychiatric comorbidity of patients in alcohol and other substance use disorder treatment we examined a representative sample of such patients in Iceland (249 men and 102 women). Over 70% of pure alcoholics and over 90% of polysubstance users had comorbid diagnoses, a prevalence higher than in the Epidemiological Catchment Area study in the United States, but similar to clinical studies from North America. The most prevalent disorders were: affective (33%), anxiety (65%), antisocial personality disorder (28%) and psychosexual dysfunction (20%). Pure alcoholics and polysubstance users in studies on psychiatric comorbidity should be separated. Anxiety and affective disorders influence treatment seeking. Findings concerning the impact of psychiatric comorbidity on course should be comparable between North America and Europe.