酒依赖患者戒酒治疗1年后复饮程度的影响因素分析  

Analysis of factors influencing the degree of relapse after 1 year of alcohol dependent treatment

作　　者：文春 全军 刘娟 WEN Chun;QUAN Jun;LIU Juan(the Mental Health Center of West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院

出　　处：《临床精神医学杂志》2019年第4期276-279,共4页Journal of Clinical Psychiatry

摘　　要：目的:探究酒依赖患者出院1年后复饮程度的影响因素。 方法:对257例酒依赖患者戒酒治疗出院1年后进行随访,应用酒精使用障碍筛查量表(AUDIT)评分将患者分为低风险饮酒组(7例)、高风险饮酒组(38例)、有害饮酒组(43例)、酒依赖组(169例);对各组患者进行一般情况调查及抑郁自评量表(SDS)、焦虑自评量表(SAS)、睡眠状况自评量表(SRSS)、孤独量表(UCLA)、社会支持量表(SSRS)评估;应用Logistic回归分析患者复饮程度的影响因素。结果:各组间年龄、SDS、SAS、SRSS、UCLA、SSRS评分差异有统计学意义(P<0.05或P<0.01);年龄越大(OR=0.970,P=0.014)、SSRS评分越高(OR=0.887,P=0.012)的患者复饮程度越低;SDS(OR=1.210,P=0.001)、SRSS(OR=1.158,P=0.010)、UCLA(OR=1.264,P=0.008)评分越高的患者的复饮程度越严重。 结论:酒依赖患者的抑郁情绪、睡眠问题及孤独感是加重患者复饮程度的危险因素,而患者年龄增加和良好的社会支持是保护性因素。Objective: To investigate the influencing factors of the degree of relapse after 1 year of alcohol dependent treatment. Method: Two hundred and fifty-seven alcohol dependent patients were followed-up after 1 year of dischange. According to the score of alcohol use disorders identification test (AUDIT),they were divided into low-risk drinking group (7 cases),high-risk drinking group(38 cases),harmful drinking group(43 cases),and alcohol dependence group(169 cases).The ordinary circumstances of the patients was surveyed and the patients were assessed by self-rating depression scale(SDS),self-rating anxiety scale (SAS),self-rating scale of sleep(SRSS),university of California loneliness scale (UCLA) and social support rating scale(SSRS).Logitsic regression was used to analyze the influencing factors of the degree of relapse. Results: The age,scores of SDS,SAS,SRSS,UCLA,SSRS among the 4 groups were significantly different( P <0.05 or P <0.01). The older the patient, the higher the SSRS score,the lower the degree of relapse ( OR=0.970,P=0.014;OR=0.887,P =0.012).The higher the score of SDS,RSS,and UCLA,the more serious the degree of relapse ( OR=1.210,P=0.001;OR=1.158,P=0.010;OR=1.264,P =0.008). Conclusion: Depression,sleep problems and loneliness in alcohol-dependent patients are the risk factors that aggravate the degree of relapse while the increasing age of patients and good social support are protective factors.

关 键 词：酒依赖 复饮 危险因素 

分 类 号：R749.6[医药卫生—神经病学与精神病学]