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酒癮患者憂鬱之研究

A Study of Depression in Alcoholic Patients

摘要


本研究以個案對照研究法,探討酒癮患者之憂鬱。臨床就醫的酒依賴個案,計70位(男性65人,女性5人);另以年齡、性別與教育程度配對,在同一醫學中心選取健康檢查病房病患爲對照組,計68位。結果顯示酒依賴個案多爲低社經地位。以BDI (Beck depression inven-tory)測量發現,睡眠障礙、失效、愧疚感、悲觀與憎恨自己等項是酒癮患者較明顯之憂鬱情緒;以憂鬱得分14分以上(以下),標認高(低)憂鬱組,68.2%的酒癮個案組有高憂鬱現象,其中68.9%目前仍維持飮酒習慣。羅輯迴歸分析發現酒癮患者高憂鬱之危險指標爲目前的飮酒習慣;且目前有飮酒習慣的酒癮患者,發生高憂鬱的可能性,是沒有飮酒習慣的3.44倍(95% CI: 1.15-10.34)。

並列摘要


The purpose of this study is to explore depression in alcoholic patients. A case-control research design was adopted. The Beck depression inventory and social demographic variables were measured on seventy alcoholics and sixty-eight control patients. The results were as follows: (1) Female drinkers had more depressive symptoms than males, but there was no significant difference; (2) High levels of depression were found in 68.2% alcoholics, and 68.9% of these were still drinking currently. (3)The likelihood of higher depression was 3.44 (95% CI: 1.15-0.34) times higher in alcoholics with a current drinking habit than in those without.

參考文獻


Beck, A. T.,Ward, C. H.,Mendelson, M.,Mock, J.,Erbargh, J.(1961).An inventory of measuring depression.Archives of General Psychiatry.4,561-571.
Benishek, L. A.,Bieschke, K. J.,Stoffelmayr, B. E.,Mavis, B. E.,Humphreys, K. A.(1922).Gender differences in depression and anxiety among alcoholics.Journal of Substance Abuse.4(3),235-245.
Blankfield, A.(1986).Psychiatric symptoms in alcohol dependence: Diagnostic and treatment implications.Journal of Substance Abuse Treatment.3(4),275-278.
Bromet, E. I.,Parkinson, D. K.,Curtis, E. C.,Schiulberg, H. C.,Blane, H.,Dunn, L. O.,Phelan, J.(1990).Epidemiology of depression and alcohol abuse / dependence in a managerial and professional work force.Journal of Occupational Medicine.32(10),985-995.
Brown, S. A.,Irwin, M.,Schuckit, M. A.(1991).Changes in anxiety among abstinent male alcoholics.Journal of Studies on Alcohol.52(1),55-61.

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