NAJČEŠĆI REGISTROVANI KOMORBIDITET KOD ŽENA ZAVISNICA OD ALKOHOLA

  • Slađana V Milošević Beograd, Institut za mentalno zdravlje
  • Sanja Mihajlović
  • Nikola Arsić Apoteka Vita-pharm, Paraćin
Ključne reči: žene, alkoholizam, komorbiditet

Sažetak


Cilj:Osnovni cilj istraživanja je utvrđivanje komorbiditeta kod žena zavisnica od alkohola koje su se lečile u Klinici za bolesti zavisnosti Instituta za mentalno zdravlje Beograd.

Metode: Istraživanje je sprovedeno  januara 2018. godine,retrospektivom studijom  prikupljeni su  podaci za potrebe istraživanja  pregledom dostupne medicinske dokumentacije – otpusnih lista.   Istraživački uzorak čini 136 žena zavisnica od alkohola uzrasta od 18 do 68. godina  koje su se lečile na Klinici za bolesti zavisnosti  u periodu od 2007. do 2017.godine. Za potrebe istraživanja, a polazeći od istraživačkih varijabli, sačinjena je posebna matrica za analizu sadržaja koja je popunjavana za svaku pacijentkinju obuhvaćenu istraživačkim uzorkom.

Rezulati. Među  zavisnicama od alkohola u 17 ,6%  je kao komorbiditet registrovana depresija, 5,9% je imalo suicidene ideacije i 11,8% anksioni poremećaj.

Zaključak. Proučavanje komorbiditeta ima  značajne imlikacije, najpre zbog   eventualne modifikacije lečenja osnovnog poremećaja i prilagođavanja terapijskog postupka komorbidnom poremećaju. Shodno tome, pravovremeno dijagnostikovanje i lečenje komorbidnih oboljenja utiče na lakši  tok i bolju prognozu osnovnog oboljenja  s jedne strane,ali i  smanjenju troškova   lečenja i rasterećuje zdravstvenog  sistema , s druge strane.

Reference

1. Agrawal, A., Constantino, A.M.,Bucholz, K. K.,Glowinski, A., Madden, P. A. F., Heath, A. C.,& Lynskey, M. T. (2013). Characterizing Alcohol Use Disorders and Suicidal Ideation in Young Women. Journal of Studies on Alcohol and Drugs, 74(3) :406–412.
2. Berglund, M.(1984). Suicide in alcoholism, a prospective study of 88 suicides: I. The multi dimensional diagnosis at first admission. Arch Gen Psychiatry. 41: 888-891
3. Brière, F. N., Rohde, P.,Seeley, J. R., Klein, D.,&Lewinsohn, P.M. (2014). Comorbidity between major depression and alcohol use disorder from adolescence to adulthood. Comprehensive Psychiatry, 55(3): 526–533.
4. Brown, C. G., & Stewart, S. H. (2008). Exploring Perceptions of Alcohol Use as Self-Medication for Depression Among Women Receiving Community-Based Treatment for Alcohol Problems. Journal of Prevention & Intervention in the Community, 35(2): 33–47.
5. Brown, S. A., &Schuckit, M .A .(1988). Changes in depression among abstinent alcoholics.. Journal of Studies on Alcohol, 49(5) :412–417.
6. Buljan D., Kovak-Muftić, A. Gašpar, V., Ljubičić, R. (2010). Psihijatrijski komorbiditet alkoholizma (dvojne dijagnoze). Alkohološki glasnik. Zajednica klubova liječenih alkoholičara,180(6):4-14.
7. Ceylan-Isik ,A.F., McBride,S,M., & Ren,J. (2010). Sex difference in alcoholism: Who is at a greater risk for development of alcoholic complication?. Life Sciences , 87(5-6):133–138.
8. Cornelius, J.R., Salloum, I.M. , Mezzich, J., Cornelius, M.D., H Fabrega,H., Jr, Ehler,J.G., Ulrich, M. E .,& Thase, J .J. (1995). Disproportionate suicidality in patients with comorbid major depression and alcoholism. Am J Psychiatry. 152 :358-364
9. Crnić, K., Todorović,M., Marković,S., Kastratović, D.,i Timotijević,I.( 2016).Addiction and depression comorbidity approaches .Hospital Pharmacology. 3(3):440-446
10. Gomberg, E S (1989). Suicide risk among women with alcohol problems.. American Journal of Public Health, 79(10): 1363–1365.
11. Harrison, C., Fortin ,M.,Van den Akker,M., Mair,F.,Calderon-Larranaga, A., Boland, F., Wallace,E.Jani, B.,& Smith,S.(2021). Comorbidity versus multimorbidity: Why it matters. Journal of Multimorbidity and Comorbidity, 11: 1-3
12. Helzer, J.E., Pryzbeck, T.R. (1988).The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment. J Stud Alcohol. 49(3):219–224.
13. Hommer , D.W.(2003).Male and female sensitivity to alcohol-induced brain damage Alcohol Res Health 27(2) :181-185.
14. Horčička, T.(2016). Alkoholizam u žena. PhD Thesis. University of Zagreb. School of Medicine. Chair of Family Medicine.
15. Kendler, K. S., Heath, A. C., Neale, M. C., Kessler, R. C., & Eaves, L. J. (1993). Alcoholism and major depression in women: A twin study of the causes of comorbidity. Archives of General Psychiatry, 50(9): 690–698.
16. Kranzler, H .R.,&. Rosenthal, R.N. (2003). Dual Diagnosis: Alcoholism and Co-Morbid Psychiatric Disorders. , 12(Supplement s1): 26-40.
17. Lang, T., Degoulet, P., Aime, F., Devries, C., Jacquinet-Salord, M. C., &Fouriaud, C. (1987).Relationship between alcohol consumption and hypertension prevalence and control in a French population. J Chron Dis. 40,:713-720
18. Mandić Gajić, G.(2005). Sekundarna depresija kod alkoholičara-klinički značaj. Vojnosanitetski pregled, 62(9):671-677
19. Merikangas, K.R. , Stevens, D.E., Fenton, B. et al.(1998) Co-morbidity and familial aggregations of alcoholism and anxiety disorders.Psychol Med, 28,:773-788.
20. Payne, A.R., Back, E.S., Wright,T., Hartwell,K., & Brady.,T.K(2009).Alcohol dependence in women: Comorbidities can complicate treatment Curr Psychiatr. 8(6) :52-59.
21. Salom, C. L., Betts, K. S., Williams, G. M., Najman, J. M., Scott, J. G., & Alati, R.(2014). Do young people with comorbid mental and alcohol disorders experience worse behavioural problems? Psychiatry Research, 219(2):372–379.
22. Schuckit, M.A., Tipp, J. E., Bergman M., Reich, W., Hesselbrock, V. M., & Smith, T.L.(1997). Comparison of induced and independent major depressive disorders in 2,945 alcoholics. Am. J. Psychiatry 154(7): 948–957
23. Sellers, B. (2005).Unique effects of Alcoholism in Women. Primary Psychiatry, 12(1): 47-51.
24. Sher, L., Oquendo, M.A., Galfalvy,H. C. , Grunebaum , M. F., Burke, A. K. , Zalsman, G. et al.,(2005). The relationship of aggression to suicidal behavior in depressed patients with a history of alcoholism.Addict. Behav. 30(6): 1144–1153
25. Swendsen, J., Conway, K.P., Degenhardt, L., Dierker, L., Glanez, M., Jin ,R., Merikangas, K.R., Sampson S., &Kessler, R.C.(2009). Sociodemographic risc factors for alcochol and drug dependence: The 10-year follow-up of the National comorbidity survey. Addiction. 104(8) :1346-1355.
26. Thomas, S. E., Randall, C.L.,& Carrigan, M.H. (2003) Drinking to cope in socially anxious individuals: A controlled study. Alcohol Clin Exp Res. 27:1937– 1943
27. Vuković, O., Cvetić,T.,i Zebić , M.(2007). Komorbiditet bolesti zavisnosti i mentalnih poremećajia:konceptualni modeli i terapijske imlikacije . Engrami 1-2 :87-105
28. Weihai, Z., Shaboltas, V. A., Skochilov, V.R., Kozlov, P.A., Krasnoselskikh,V.T &Abdala ,N.(2012). Gender Differences in the Relationship between Alcohol Use and Depressive Symptoms in St. Petersburg, Russia. Journal of Addiction Research & Therapy, 3(2):1–11.

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2022/03/17
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