看守所在押醉驾者精神障碍调查  

Survey of mental disorders in driving while intoxicated offenders in a detention center

作　　者：王鹏飞 黄亮 邢笑萌 李冰[4] 田成华[4] WANG Pengfei;HUANG Liang;XING Xiaomeng;LI Bing;TIAN Chenghua(The National Clinical Research Center for Mental Disorders&Beijing Key Laboratory of Mental Disorders,Beijing Anding Hospi-tal,Capital Medical University,Beijing 100088,China;Advanced Innovation Center for Human Brain Protection,Capital Medical University,Bejjing 100069,China;Beijing Third Detention Center,Beijing 102628,China;Peking University Sixty Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),the National Clinical Re-search Center for Mental Disorders(Peking University Sixty Hospital),Beijing 100083,China)

机构地区：[1]首都医科大学附属北京安定医院,国家精神心理疾病临床医学研究中心,精神疾病诊断与治疗北京市重点实验室,北京100088 [2]人脑保护高精尖创新中心,首都医科大学,北京100069 [3]北京市沐林教育矫治所,北京102628 [4]北京大学第六医院,北京大学精神卫生研究所,国家精神心理疾病临床医学研究中心,北京100083

出　　处：《中国心理卫生杂志》2022年第11期924-929,共6页Chinese Mental Health Journal

摘　　要：目的:调查看守所在押醉驾者的精神障碍患病情况及饮酒特点。方法:采用非随机取样法纳入北京市某看守所于2012年12月1日-2013年3月31日期间收押的135例醉驾者(车辆驾驶人员每100 mL血液中酒精含量大于或等于20mg,且小于80mg为饮酒驾车,即酒驾;每100mL血液中酒精含量大于或等于80mg为醉酒驾车,即醉驾。89例为首次醉驾者,46例为非首次醉驾者,后者既往有至少1次酒驾或醉驾);采用简明国际神经精神访谈对部分醉驾者进行精神障碍患病情况筛查。结果:106例醉驾者中精神障碍筛查阳性者92例(86.8%),其中酒滥用46.2%,酒依赖35.9%,心境障碍27.4%;与首次醉驾者相比,非首次醉驾者末次饮酒量更高,精神障碍筛查阳性率、酒依赖及心境障碍阳性率更高(P<0.05);Logistic回归分析显示患心境障碍(OR=12.28,P<0.05)、酒依赖(OR=3.03,P<0.05)、末次饮酒量高(OR=1.11,P<0.05)是发生多次酒驾/醉驾的危险因素。结论:醉驾者中精神障碍筛查阳性率较高,部分醉驾人群可能需要医学干预,以降低发生再次酒驾、醉驾的风险。Objectives:To survey the prevalence of mental disorders and characteristics of drinking in driving while intoxicated(DWI)offenders at a detention center.Methods:A total of 135 DWI offenders with a blood alco-hol content(BAC)of above 80 mg/100 mL were non-randomly selected from a given detention center in Beijing.Eighty-nine of them were first offenders,and the rest were recidivists[DWI or driving under the influence of alcohol(DUI)at least once in the past].Their mental status was examined with the Mini-International Neuropsy-chiatric Interview(MINI).Results:Ninety-two out of 106 examinees(86.8%)were diagnosed as mental disor-ders.Among them,46.2%were considered alcohol abuse,while 35.9%as alcohol dependence and 27.4%as mood disorders.Apart from the larger amount of alcohol intake in the last drink,the recidivists showed higher posi-tive rate during mental screening as well as increased prevalence of alcohol dependence and mood disorders(P<0.05).These three were determined as risk factors for repeated DWI DUI by logistic regression analysis(OR=12.28,P<0.05 for mood disorders;OR=3.03,P<0.05 for alcohol dependence,and OR=1.11,P<0.05 for larger amount of alcohol intake inthelastdrink).Conclusion:Mental disorders are prevalent in driving while intoxicated offenders.Medical assistance may be needed to reduce repeat DWI/DUI.

关 键 词：醉酒驾车 酒后驾车 饮酒 精神障碍 共病 

分 类 号：R595.6[医药卫生—内科学] R749.62[医药卫生—临床医学]