Clinical Characteristics of Primary Alcoholics with Secondary Diagnoses
Clinical Characteristics of Primary Alcoholics with Secondary Diagnoses
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二次诊断的酗酒者的临床特征
DOI：
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发表时间：
1991
期刊：
影响因子：
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通讯作者：
M. Schuckit
中科院分区：
文献类型：
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作者：
John W. Tsuane;M. Irwin;T. W. Smith;M. Schuckit
酒精中毒可能是一种具有多种亚型的异质性疾病。本研究纳入423名酗酒者，评估继发诊断不同的原发性酗酒者组间的特征和预后差异。原发性酗酒者分为三组：仅原发性酒精中毒且无继发诊断者（n = 309）、继发药物滥用者（n = 30）和继发抑郁症者（n = 84）。继发性药物滥用的酗酒者开始酗酒的年龄更小，进入酒精治疗方案的年龄更小，更多的儿童犯罪，更多的精神健康访问，以及更多的与酒精有关的生活问题。继发抑郁的酗酒者比没有继发抑郁标签的原发性酗酒者有更多的心理健康就诊。尽管在接受治疗方案时存在这些临床差异，但在3个月的随访中，两组之间的酒精复发率相似。
AbstractAlcoholism is likely to be a heterogeneous disorder with various subtypes. In this study involving 423 alcoholics, the characteristics and prognostic differences between groups of primary alcoholics who differ in secondary diagnoses were evaluated. The primary alcoholics were divided into three groups: those with only primary alcoholism and no secondary diagnosis (n = 309), those with secondary drug abuse (n = 30), and those with secondary depression (n = 84). Alcoholics with secondary drug abuse had a younger age of onset for alcoholism, younger age at entrance into the alcohol treatment program, more childhood criminality, a higher number of mental health visits, and a greater number of alcohol-related life problems. Alcoholics with secondary depression had a greater number of mental health visits than the primary alcoholics with no secondary labels. Despite these clinical differences upon admission to a treatment program, the rate of alcohol relapse at 3 months follow-up was similar between the...