男性憂鬱、酒癮及暴力之相關性及評估

The Relationship and Assessment to Male Depression, Alcoholism and Violence

蔡宗晃(Tsung-Huang Tsai) ； 鄭瑞隆(Jui-Lung Cheng) ； 吴岳秀(Yueh-Hsiu Wu)

《亞洲家庭暴力與性侵害期刊》 1卷1期 (2005/12) Pp. 163-186

https://doi.org/10.29804/AJDVSO.200512.0006

摘要

随著公共衛生领域的快速發展，對男性某些相關的精神疾病，例如憂鬱症、酒癮、及暴力行焉被發现有相富高的共病性。在過去易於發现男性暴力攻擊者常舆酒精使用疾患有高度共病性，但由於專注其行焉方面的徵兆而易於忽略酒癮及暴力的男性所呈现憂鬱症的機轉。本文作者将以精神醫學的層面簡明描述下列概念：(1)暴力在憂鬱症合併酒癮男性當中之公共衛生健康的意涵；(2)具有酒癮、憂鬱症及暴力行焉患者的關键要素；(3)評估工具及鑑别診斷。對於上述疾患之間關係的了解將有助於未来病因的探索及採取有效的治療策略。

關鍵字

憂鬱症 ； 酒癮 ； 暴力 ； 共病性 ； 男性

並列摘要

Along with the rapid development of public health, several mental diseases such as depression, alcoholism and violence are found with high comorbidity to men. The male violent patients were repeatedly found with high comotbidity of alcohol use disorder in past. Direct investigation of the mechanism of depression of alcoholism and violence of men is easily neglected because of only focusing on their behavioral manifestation. In this article, the authors concisely describe these concepts in following aspects of psychiatry: (1) the significence of public health for violence among depressed male with alcoholism; (2) the key elements for patients with alcoholism, depressive disorder and/or violence; (3) assessment instrument and differential diagnosis. The understanding of the relationships among above diseases may benefit further research into its etiology and effective treatment.

並列關鍵字

depressive disorder ； alcoholism ； violence ； comorbility ； male