Prevalence and Identification of Alcohol Use Disorders among Severe Mental Illness Inpatients in Taiwan

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TMUIR > College of Medicine > Department of Medicine > Department of Psychiatry > Periodical Article > Item 987654321/3963

Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/3963

Title:	Prevalence and Identification of Alcohol Use Disorders among Severe Mental Illness Inpatients in Taiwan
Authors:	陳俊興 Huang MC;Yu CH;Chen CT;Chen CC;Shen WW;Chen CH
Contributors:	醫學系精神學科
Date:	2009
Issue Date:	2009-08-25 14:47:41 (UTC+8)
Abstract:	AIMS: A higher prevalence of alcohol use disorders (AUD) among psychiatric patients has been reported previously and the identification rate is relatively low. This study was designed to investigate the prevalence and identification of AUD among acute psychiatric inpatients with severe mental illness in a psychiatric hospital in Taiwan. METHODS: In a two-phase case identification strategy, the Alcohol Use Disorders Identification Test (AUDIT) was used as the first phase screening tool and the Structured Clinical Interview for DSM-IV-TR as the second phase diagnostic interview. The definition of identification was diagnosis of AUD on medical record at discharge. RESULTS: Of 400 respondents, 42 screened positive and 358 screened negative. All screen-positive respondents and 35 screen-negative respondents entered the second phase interview. The weighted lifetime prevalence of alcohol dependence was 8.3% (95% confidence interval [CI]: 4.6-11.9%); alcohol abuse, 1.5% (95%CI: 0.2-2.8%); and AUD, 9.8% (95%CI: 5.7-13.8%). The overall identification rate of AUD by medical staff was 28.2% (0% for alcohol abuse and 33.3% for alcohol dependence). Patients with mood disorders were prone to being undetected as having AUD. CONCLUSION: AUD comorbidity was common among inpatients with severe mental illness in Taiwan and was easily neglected by medical staff. It is necessary to use a validated screening questionnaire, such as AUDIT, to detect high-risk patients and then give appropriate interventions to enhance treatment outcome.
Relation:	Psychiat Clin Neurosci.(63):94-100.
Data Type:	article
Appears in Collections:	[Department of Psychiatry] Periodical Article

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