513例精神分裂症住院患者院前饮酒调查

THE PREVALENCE OF DRINKING AND THE COMORBID RATE OF ALCOHOL USE DISORDER IN 513 INPATIENTS WITH SCHIZOPHRENIA BEFORE THEIR ADMISSION

目的:了解精神分裂症患者住院前的饮酒状况及其酒精使用障碍的共病率。方法:使用自编饮酒调查表、酒精使用障碍筛查量表(AUDIT)对542名住院精神分裂症患者院前的饮酒状况进行调查,根据美国精神障碍诊断与统计手册第5版(DSM-5)酒精使用障碍标准对筛查阳性者(AUDIT≥7)进行诊断。结果:精神分裂症患者男、女及总样本终生饮酒率分别是65.1%、42.2%、55.9%,年饮酒率分别是40.4%、27.2%、35.1%;年饮酒者中男、女及总样本AUDIT阳性率分别是40.3%、12.5%、31.7%。男、女及总样本酒精使用障碍时点共病率分别是9.1%、2.0%、6.2%,男性高于女性(χ~2=10.86,P=0.001)。结论:本地区精神分裂症患者的饮酒率低于普通人群,且合并酒精使用障碍的诊断率低于西方发达国家。

Objective： To describe the prevalence of drinking and the comorbid of alcohol use disorder among the inpatients with schizophrenia before their admission.Methods： A total of 542 inpatients with schizophrenia were surveyed by a self-developed questionnaire to collect the general information and alcohol use.180 drinkers were screened for alcohol dependence by Alcohol Use Disorders Identification Test （AUDIT） .57 participants who were screened positive （AUDIT ≥ 7） for alcohol dependence were diagnosed by trained psychiatrists with the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition （DSM-5） criteria.Results： The data of 513 participants whose information were complete were analysis.The total lifetime prevalence in the sample was 55.9% .The lifetime prevalence in male was 65.1% where female was 42.2% .The total one-year drinking-rate was 35.1% .The one-year drinking-rate in male was 40.4% where female was 27.2% .The point prevalence rates of patients screened positive （AUDIT ≥7） were 40.3% ,12.5% and 31.7% for male,female and the whole sample respectively in the one-year drinking patients.The point comorbid rate of alcohol use disorder were6.2% ,and rate in male was higher than that in female （9.1% VS 2.0% ,χ^2= 10.86,P =0.001） .Conclusion： The prevalence of drinking among patients with schizophrenia were lower than the general population,and the prevalence of alcohol use disorder were lower than developed countries.