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Abstract
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BACKGROUND: Mental disorders are often comorbidities with alcohol use disorders. At present,there are few reports on the influencing factors of this phenomenon, and the conclusions are inconsistent. Clinicians pay more attention to the diagnosis of mental disorders and ignore the existence of comorbidity. Comorbidity are often missed.
OBJECTIVE: To investigate the prevalence of alcohol use disorder (AUD) and associated factors among inpatients with mental disorders.
METHODS: We enrolled 710 inpatients with mental disorders from Heibei Mental Health Center,from October 10 to October 17,2016.We employed the diagnostic and statistical manual of mental disorders-fifth edition (DSM-5) to assess the types of mental disorders,and according to the results,assigned 171 with AUD and 539 without to the comorbidity group and non-comorbidity group,respectively.We used a self-developed baseline questionnaire to collect their baseline data 〔including sex,age,marital status,education,living style,family relationship,occupation,pre illness personality,alcohol family history,diagnosis,risk assessment (such as impulsive,outward,self injury,suicide)〕.
RESULTS: The prevalence of AUD in inpatients with schizophrenia spectrum disorders,depressive disorders,bipolar and related disorders,and other types of mental disorders was 19.6% (59 cases),27.2% (44 cases),34.5% (51 cases),17.2% (17 cases),respectively.Inpatients with AUD and those without showed significant differences in the distribution of sex,status of family relations,occupation,family history of alcoholism,distribution of mental disorders and the proportion of impulsiveness (P<0.05).Multivariate Logistic regression analysis showed that male 〔OR=7.57,95%CI (4.63,12.37)〕,inharmonious family relationship 〔OR=2.35,95%CI (1.36,4.08)〕,unemployed 〔OR=3.75,95%CI (1.98,7.10)〕,depressive disorders 〔OR=2.81,95%CI (1.40,5.63)〕and risk of impulse-control disorders 〔OR=1.72,95%CI (1.12,2.65)〕were the associated factors for the prevalence of AUD in inpatients with mental disorders (P<0.05).
CONCLUSION: The prevalence of AUD is high in inpatients with mental disorders.Male,inharmonious family relationship,unemployed,depressive disorders and risk of impulse-control disorders may be the factors associated with it. © 2019 by the Chinese General Practice.
Language: zh |