临床精神医学杂志
臨床精神醫學雜誌
림상정신의학잡지
JOURNAL OF CLINICAL PSYCHOLOGICAL MEDICINE
2015年
1期
42-43
,共2页
酒依赖综合征%复饮%危险因素
酒依賴綜閤徵%複飲%危險因素
주의뢰종합정%복음%위험인소
alcohol dependence patients%relapse%risk factors
目的：探讨酒依赖患者戒酒1年内复饮的危险因素。方法：228例戒酒治疗后1年的酒依赖综合征患者按过去1年内是否有复饮分为复饮组（128例）及非复饮组（100例）；比较两组患者人口学及临床资料，并给予艾森克个性量表（ EPQ）及汉密尔顿抑郁量表（ HAMD）评分。结果：复饮组受教育年限明显少于非复饮组（t＝9.92，P＝0.00）；饮酒年限明显长于非复饮组（t＝－2.05，P＝0.042）；既往饮酒量明显多于非复饮组（χ2＝17.21，P＝0.00）；EPQ-精神质评分（t＝－15.14，P＝0.00）、神经质评分（t＝－7.36，P＝0.00）以及HAMD评分（t＝－14.12，P＝0.00）明显高于非复饮组。多因素非条件Logistic回归分析显示，EPQ-精神质评分、HAMD-24评分和教育年限的回归系数β分别为0.476、0.296、－0.509，具有统计学意义（ P均﹤0.01）。结论：不良人格及抑郁特征是酒依赖患者戒酒1年内复饮危险因素，较高的文化教育水平是复饮的保护因素。
目的：探討酒依賴患者戒酒1年內複飲的危險因素。方法：228例戒酒治療後1年的酒依賴綜閤徵患者按過去1年內是否有複飲分為複飲組（128例）及非複飲組（100例）；比較兩組患者人口學及臨床資料，併給予艾森剋箇性量錶（ EPQ）及漢密爾頓抑鬱量錶（ HAMD）評分。結果：複飲組受教育年限明顯少于非複飲組（t＝9.92，P＝0.00）；飲酒年限明顯長于非複飲組（t＝－2.05，P＝0.042）；既往飲酒量明顯多于非複飲組（χ2＝17.21，P＝0.00）；EPQ-精神質評分（t＝－15.14，P＝0.00）、神經質評分（t＝－7.36，P＝0.00）以及HAMD評分（t＝－14.12，P＝0.00）明顯高于非複飲組。多因素非條件Logistic迴歸分析顯示，EPQ-精神質評分、HAMD-24評分和教育年限的迴歸繫數β分彆為0.476、0.296、－0.509，具有統計學意義（ P均﹤0.01）。結論：不良人格及抑鬱特徵是酒依賴患者戒酒1年內複飲危險因素，較高的文化教育水平是複飲的保護因素。
목적：탐토주의뢰환자계주1년내복음적위험인소。방법：228례계주치료후1년적주의뢰종합정환자안과거1년내시부유복음분위복음조（128례）급비복음조（100례）；비교량조환자인구학급림상자료，병급여애삼극개성량표（ EPQ）급한밀이돈억욱량표（ HAMD）평분。결과：복음조수교육년한명현소우비복음조（t＝9.92，P＝0.00）；음주년한명현장우비복음조（t＝－2.05，P＝0.042）；기왕음주량명현다우비복음조（χ2＝17.21，P＝0.00）；EPQ-정신질평분（t＝－15.14，P＝0.00）、신경질평분（t＝－7.36，P＝0.00）이급HAMD평분（t＝－14.12，P＝0.00）명현고우비복음조。다인소비조건Logistic회귀분석현시，EPQ-정신질평분、HAMD-24평분화교육년한적회귀계수β분별위0.476、0.296、－0.509，구유통계학의의（ P균﹤0.01）。결론：불량인격급억욱특정시주의뢰환자계주1년내복음위험인소，교고적문화교육수평시복음적보호인소。
Objective:To explore the risk factors analysis of relapse in patients with alcohol dependence after 1 year of alcoholism treatment. Method:According to drink relapse in the past year,the 228 alcohol de-pendence patients who had alcoholism treatment were difided into relapse group(128 cases)and no-relapse group(100 cases). The demographic and clincial data of the two groups were collected. All of the patients were assessed by Eysenck personality infentory( EPQ),Hamilton depression scale( HAMD). Results:Compared to the no-relapse group,in the relapse group,the degree of education was significantly lower( t=9. 92,P=0. 00),the history of drinking alcohol was remarkable longer(t= -2. 05,P=0. 042),the quantity of drink was more(χ2 =17.21,P=0. 00);the scores of EPQ-P(t = -15. 14,P =0. 00),EPQ-N(t = -7. 36,P =0. 00)and HAMD(t= -14. 12,P=0. 00)were significntly higher. Multi-factor unconditioned Logistic regres-sion analysis showed,the regression coefficient β of scores of EPQ-P,HAMD and the degree of education were 0. 476,0. 296,-0. 509;and had statistically significant(all P﹤0. 001). Conclusion:The risk factors of re-lapse in alcohol dependence patients are the adferse personality and depressife feature. The high degree of edu-cation is the protection factor after alcoholism treatment.
