Prevalence and identification of alcohol use disorders among nonpsychiatric inpatients in one general hospital

被引:44
作者
Chen, CH
Chen, WJ
Cheng, ATA [1 ]
机构
[1] Acad Sinica, Inst Biomed Sci, Taipei 115, Taiwan
[2] Natl Taiwan Univ, Coll Publ Hlth, Inst Epidemiol, Taipei 10764, Taiwan
[3] Taipei Med Univ, Wan Fang Hosp, Dept Psychiat, Taipei, Taiwan
关键词
alcohol use disorders; two-phase design; screening; prevalence;
D O I
10.1016/j.genhosppsych.2004.01.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Alcohol use disorders (AUDs) are common among inpatients in general hospitals and often cause excess mortality. This study investigates the prevalence of AUDs among nonpsychiatric inpatients in one general hospital and evaluates the ability of medical staff to identify such morbidity. A two-phase case-identification strategy was employed utilizing the Alcohol Use Disorders Identification Test as the first-phase screening tool and the Schedules for Clinical Assessment in Neuropsychiatry as the second-phase diagnostic interview. Among 538 eligible patients, a total of 422 (78.4%) completed the first-phase screening. A subsample (20%) of those screened negative and 90% of those screened positive were interviewed at the second phase. The weighted I-year prevalence rates of alcohol abuse and alcohol dependence were 3.9% and 12.6%, respectively. The overall identification rate of AUDs by medical staff was 25.4% (0% for alcohol abuse and 30% for alcohol dependence). In conclusion, approximately one sixth of nonpsychiatric inpatients in a general hospital have AUDs and have been neglected substantially by medical staff. Implications of the findings for the prevention of AUDs and their physical complications are discussed. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:219 / 225
页数:7
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