Alcohol misuse and report of recent depressive symptoms among ED patients

被引：22

作者：

Bazargan-Hejazi, Shahrzad ^{[1
,2
]}

Bazargan, Mohsen ^{[1
,3
]}

Gaines, Tommie ^{[4
]}

Jemanez, Michael ^{[5
]}

机构：

[1] Charles R Drew Univ Med & Sci, Dept Psychiat, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[3] Charles R Drew Univ Med & Sci, Res Ctr Minor Inst, Los Angeles, CA 90095 USA

[4] Univ Calif Los Angeles, Dept Biostat, Los Angeles, CA 90095 USA

[5] Charles R Drew Univ Med & Sci, Sch Med, Los Angeles, CA 90095 USA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2008年 / 26卷 / 05期

关键词：

D O I：

10.1016/j.ajem.2007.08.019

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: This study examined the magnitude of association between alcohol misuse and recent depressive symptoms. Methods: We conducted a cross-sectional study of 412 randomly selected patients at least 18 years old and seeking emergency department (ED) care. Results: Of the patients, 5 1.0% reported depressive symptoms. At-risk drinking was reported by 26.0%, and 28.2% scored positive on the Rapid Alcohol Problems Screen 4. Alcohol abuse and binge drinking were reported by 25.1% and 29%, respectively, of the patients. According to our results, at-risk drinking (odds ratio [OR] = 2.49, 95% confidence interval [CI] = 1.47-4.20, P <= .001), problem drinking (OR = 2.11, 95% CI = 1.27-3.5 1, P <= .004), drinking abuse (OR - 2.58, 95% CI = 1.51-4.40, P <.001), and binge drinking (OR = 1.89, 95% CI = 1.13-3.15, P <.001) were all related to the manifestation of depressive symptoms. Conclusions: The findings of this study yield information that could be used by ED health care practitioners and health educators to educate ED patients at risk for alcohol misuse and depression. (C) 2008 Elsevier Inc. All rights reserved.

引用

页码：537 / 544

页数：8

共 46 条

[1] Is there really a 'J-shaped' curve in the association between alcohol consumption and symptoms of depression and anxiety? Findings from the Mater-University Study of Pregnancy and its outcomes [J].