|
|
Effects of depression on relapse rate and quality of life in chronic alcohol dependent patients |
ZHAO Zhiqiang1 XIA Yeling2▲ JI Xiangping3 XU Qiong1 FU Hui1 |
1.Department of Addiction Medicine, Xinjiang Mental Health Center (Urumqi Fourth People′s Hospital), Xinjiang Uygur Autonomous Region, Urumqi 830002, China; 2.Department of Psychological Evaluation Center, Xinjiang Mental Health Center (Urumqi Fourth People′s Hospital), Xinjiang Uygur Autonomous Region, Urumqi 830002, China;
3.Department of Outpatient, Xinjiang Mental Health Center (Urumqi Fourth People′s Hospital), Xinjiang Uygur Autonomous Region, Urumqi 830002, China |
|
|
Abstract Objective To investigate the effect of depression on the relapse rate and quality of life in chronic alcohol dependent patients. Methods From January to December 2016, a total of 275 patients diagnosed as “chronic alcohol dependence” by the Department of Addiction Medicine of Xinjiang Mental Health Center (the Fourth People′s Hospital of Urumqi) were selected. According to whether they drank again or not, they were divided into the relapse group (165 cases) and the non-relapse group (110 cases). The general situation questionnaire and Hamilton depression rating scale (HAMD) and 36-item short form health survey (SF-36) were used to measure the patients. Results The HAMD score of depression scale and the final score of SF-36 in the quality of life scale was significantly lower than that in the non-relapse group (P < 0.05). There was no statistically significant difference in the final score of relapse rate and quality of life between the HAMD score < 7 and > 24 (P > 0.05). The final scores of the two groups with HAMD score < 7 and 7-24 showed statistically significant differences in the rate of relapse and quality of life (P < 0.05). The final scores of relapse rate and quality of life in the HAMD scores of 7-24 and > 24 showed statistically significant differences (P < 0.05). Conclusion Depression can lead to increased relapse rates and decreased quality of life in patients with chronic alcohol dependence. However, mild to moderate depression may have a more serious impact on the relapse rate and quality of life of patients with chronic alcohol dependence. Therefore, more attention should be paid in chronic alcohol dependent patients accompanied by mild to moderate depression in future work.
|
|
|
|
|
[1] Hao W,Chen H,Su Z. China:alcohol today [J]. Addiction,2005,100(6):737-741.DOI:10.1111/j.1360-0443.2005. 01036.x.
[2] Lowman C,Allen J,Stour RL. Replication and extension of Marlatt′s taxonomy of relapse precipitants;overview of procedures and results. The Relapse Research Group [J]. Addiction,1996,91(Suppl):S51-S71.
[3] Sour SF,Taylor MJ,Alhassoon OM,et al. Frontal white matter integrity predictors of adult alcohol treatment outcome [J]. Biol Psychiatry,2012,71(3):262-268.
[4] 汤士林,朱珠,杨振宇.慢性酒精中毒性精神障碍55例临床特点[J].中国医药导报,2017,4(24):113-114.
[5] 沈渔邨.精神病学[M].6版.北京:人民卫生出版社,2017:446.
[6] 郝伟.酒精相关障碍的诊断与治疗指南[M].北京:人民卫生出版社,2018:18-19,204-205.
[7] 世界卫生组织.ICD-10精神与行为分类临床描述与诊断要点[M].范肖东,汪向东,于欣,等,译.北京:人民卫生出版社,1993.
[8] 李鲁,王红妹,沈毅,等.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[9] 汪向东,王希林,马弘,等.心理卫生测评评定量表[M].增订版.北京:中国心理卫生杂志社,1999:161-164.
[10] 曾玲芸,曹长安,许玉梅,等.102例男性酒精依赖患者临床特征的现况调查[J].四川精神卫生,2017,30(3):276-278.
[11] Hasin DS,Goodwin RD,Stinson FS,et al. Epidemiology of major depressive disorder:results from the National Epidemiologic Surnery on Alcoholism and Related Conditions [J]. Arch General Psychiatry,2005,62(10):1097-1106.
[12] Hasin DS,Stinson FS,Ogburn E,et al. Prevalance correlates,disability,and comorbidity of DSM-IV alcohol abuse and dependence in the Unites States:results from the National Epidemiologic Survey on Alcohol and Relates Conditions [J]. Arch General Psychiatry,2007,64(7):830-842.
[13] Lv W,Wu Q,Liu X,et al. Cue Reactivity in Nicotine and Alcohol Addiction:A Cross-Cultural View [J]. Frontiers in Psychology,2016,7:1335.
[14] Lee MR,Weerts EM. Oxytocin for the treatment of drug and alcohol use disorders [J]. Behav Pharmacol,2016,27(8):640-648.
[15] Burns L,Muhonen LH,Lahti J,et al. Serotonin transporter polymorphism as a predictor for escitalopram treatment of major depressive disorder comorbid with alcohol dependence [J]. Psychiatry Res,2018,186:53-57.
[16] Martin RA,Maisto SA,Roos CR,et al. Do Alcohol Relapse Episodes During Treatment Predict Long‐Term Outcomes? Investigating the Validity of Existing Definitions of Alcohol Use Disorder Relapse [J]. Alcohol Clin & Experimental Res,2016,40(10):2180-2189.
[17] 席巧真,刘玉兰,周雷.酒依赖患者心理健康状况及应对方式分析[J].中国药物滥用防治杂志,2015,21(5):270-272.
[18] 徐文静,柳学华,王涌,等.酒精依赖患者配偶应对方式与生活质量的相关性研究[J].中华现代护理杂志,2017, 23(13):1762-1766.
[19] 曹龙飞,周晓波,高哲,等.男性酒精依赖患者复饮相关因素研究[J].中国药物滥用防治杂志,2016,22(6),330-332.
[20] 吕圆圆,陈宝嫦,许律琴.酒精依赖与双相情感障碍共病患者的临床特征及生活质量调查[J].海南医学,2019, 30(8),1076-1078.
[21] 兰滨,李梅花,黄少鹏.奥沙西泮治疗酒精依赖综合征的疗效分析[J].当代医学,2018,24(12):172-174.
[22] 李杰,宋炜,张蓬川,等.老年酒精成瘾男性腔隙性脑梗死复发的危险因素分析[J].中国医药导报,2019,16(20):88-90. |
|
|
|