评估患有酒精依赖障碍的患者的认知功能及其对初级保健的影响:一个横截面研究
Kashyap Shah1, Vijay Niranjan1, Rahul Mathur1
1Department of Psychiatry, M. G. M. Medical College, Indore, Madhya Pradesh, India.
Journal of family medicine and primary care
|December 17, 2025
概括
酒精依赖障碍会导致显著的认知障碍,特别是额叶功能障碍. 在初级保健中通过常规认知评估进行早期检测,对于有效的管理和改善患者结果至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 酒精依赖障碍 (ADD) 给公共卫生带来了重大挑战.
- 认知障碍,特别是额叶功能障碍,很常见,但在ADD中经常被忽视.
- 早期发现和干预对于管理ADD至关重要,特别是在初级保健中.
研究的目的:
- 为了研究ADD在住院患者的认知影响.
- 评估酒精依赖程度和认知功能障碍之间的联系.
- 突出ADD对初级保健管理的影响.
主要方法:
- 对90名年龄在18-65岁之间的住院患者进行的横截面研究,符合ICD-10对ADD的标准.
- 使用蒙特利尔认知评估 (MoCA) 和正面评估电池 (FAB) 评估认知功能.
- 酒精依赖程度的严重程度通过酒精依赖程度问卷 (SAD-Q) 来衡量.
主要成果:
- 严重依赖症患者的MoCA和FAB分数显著降低.
- 高比例的患者得分低于MoCA (72.2%) 和FAB (33.3%) 的既定截止值.
- SAD-Q和MoCA/FAB得分之间的负相关性表明,认知能力下降更大,依赖程度增加.
结论:
- ADD与严重的认知障碍有关,特别是影响前额执行功能.
- 在初级保健机构进行常规认知评估对于早期检测和全面的ADD管理至关重要.
- 整合认知评估可以改善患者的治疗结果,并减少ADD的医疗负担.
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