摘要
目的 调查酒精依赖患者饮酒情况、既往伴发精神症状情况,探讨酒精依赖患者冲动性不同维度的危险性因素.方法 选取酒精依赖患者92名,进行临床资料及精神状况调查,并使用Barratt-11量表测试评估其冲动性.结果 有精神症状组与无精神症状组在受教育年限、性格特点、初次饮酒年龄、持续饮酒年限、日均饮酒量、BIS-11总分及各分量表评分比较,差别均有统计学意义(P<0.05).Logistic回归显示伴发精神症状为BIS-11总分、行动冲动性、认知冲动性及无计划冲动性的危险因素.性格组成是行动冲动性、认知冲动性的危险因素.初次饮酒年龄为认知冲动性的危险因素.结论 精神症状是酒精依赖患者冲动风险高的危险因素.
Abstract
Objective To investigate the drinking status of patients with alcohol dependence and past mental symptoms,and to explore the risk factors of impulsivity in patients with alcohol dependence from multiple dimensions.Methods Ninety-two alcohol dependent patients were selected for clinical data and mental status investigation,and their impulsivity was evaluated using the Barratt-11 scale.Results There were statistically significant differences between the group with mental symptoms and the group without mental symptoms in terms of years of education,personality characteristics,age of first drinking,years of continuous drinking,average daily alcohol intake,total BIS-11 score and scores of each subscale(P<0.05).Results of logistic regression showed that psychiatric symptoms were risk factors of BIS-11 total score,impulsivity behavior,cognitive impulse,and unplanned impulse.Personality composition is a risk factor of impulsivity and cognitive impulse.The age of first drinking is a risk factor of cognitive impulsivity.Conclusion Mental symptoms are risk factors of high impulsive risk in alcohol dependent patients.
基金项目
山东省医药卫生科技发展计划(2021)(202003090418)