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E95005
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精神分裂症和躁鬱症合併酒癮是否會彼此影響患者對疾病的病識感高低程度?
Is There Interaction Between the Insight into Schizophrenia and Bipolar Disorders and Alcohol Use Disorders among Patients with Dual Diagnoses?
1.顏正芳
1.Cheng-fang Yen
1.高雄醫學大學醫學系精神科
1.Psychiatry Department, Kaoshiung Medical University
001,002,003,004
1.高雄醫學大學精神科
1.Psychiatry Department, Kaoshiung Medical University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2006-08-01
A.14 計畫執行期間(訖):2007-07-31
2006-08-012007-07-31
A.16 收到日期:2007-08-20
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精神科門診中精神分裂症或躁鬱症合併和未合併酒癮之患者

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177


177
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01
C.2 聯絡日期:2007-09-27
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1.高雄醫學大學醫學系精神科
1.Psychiatry Department, Kaoshiung Medical University
1
C.7 資料公開日期:2012-08-01
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008
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1.病識感
2.酒癮
3.精神分裂症
4.躁鬱症
1.Alcohol Use Disorder
2.Bipolar Disorder
3.Insight
4.Schizophrenia
 本研究的目的是比較精神科門診中精神分裂症或躁鬱症合併和未合併酒癮之患者對於精神疾病的病識感有無差異,以及在精神分裂症或躁鬱症合併有酒癮之患者 中,對於精神疾病的病識感和對於酒癮的病識感之間的關聯。本研究邀請70位合併酒癮和107位未合併酒癮的的精神分裂症或躁鬱症個案接受訪談,以 Schedule of Assessment of Insight-- expanded version(SAI-E)評估個案對於精神疾病的病識感,並以Hanil飲酒問題病識感量表﹙Hanil Alcohol Insight Scale, HAIS﹚評估合併酒癮者對於飲酒問題的病識感,先以analysis of covariance (ANCOVA) 比較合併和未合併酒癮組個案對於精神疾病病識感SAI-E總分之差異,在合併酒癮組中則以Pearson correlation檢驗對於精神疾病和對於飲酒問題的病識感之間的關連性。結果發現:在控制教育年限和PANSS總分後,合併酒癮組的精神分裂症或躁 鬱症個案對於精神疾病的病識感程度較未合併酒癮組個案較低;在合併酒癮組中,若對於精神疾病之病識感越高,對於酒癮問題之病識感也越高。

 Previous studies have found that high proportion of patients who have schizophrenia or bipolar disorders have comorbid alcohol use disorder (AUD). The aims of this study were to examine the impact of comorbid AUD on the insight into mental illnesses in the patients with schizophrenia or bipolar disorders and the relationship between the insight into mental illnesses and the insight into AUD. We recruited 177 subjects who had the diagnosis of schizophrenia or bipolar disorder into this study. Of them, 70 subjects had comorbid AUD (comorbid group) and 107 had no comorbid AUD (non-comorbid group). Insight into mental illnesses was assessed by using the Schedule of Assessment of Insight--expanded version (SAI-E) in both groups. Insight into AUD was assessed by using the Hanil Alcohol Insight Scale (HAIS) in the comorbid group. The results indicated that the comorbid group had poorer insight into mental illnesses than the non-comorbid group in the analysis of covariance (ANCOVA). Meanwhile, insight into mental illnesses was positively correlated with insight into AUD in the comorbid group.

D.16 完成檢誤日期:2010-07-13
D.17 預定釋出日期:2012-08-01
D.18 初次釋出日期:2012-08-01
D.19_1 最新版釋出日期:2012-08-01
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10.6141/TW-SRDA-E95005-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E95005
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