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首页> 外文期刊>Alcohol >Generalized anxiety disorder is under-recognized in clinical practice in patients with alcohol dependence in France
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Generalized anxiety disorder is under-recognized in clinical practice in patients with alcohol dependence in France

机译：在法国，酒精依赖症患者在临床实践中对广泛性焦虑症认识不足

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Generalized Anxiety Disorder (GAD) is a frequent disabling disorder that often occurs with alcohol dependence. However comorbidity between substance use disorders and psychiatric disorders is often under-diagnosed. This study tried to evaluate an under-recognition of GAD by clinicians in alcoholic inpatients. Two groups of alcohol-dependent inpatients, hospitalized in the same non-academic psychiatric hospital in France, were included. The first group (Group 1) (n = 205) was included retrospectively within all patients hospitalized for alcohol dependence from may to November 2007. A record review was performed to determine the number of GAD (and other psychiatric disorders) diagnosis which was reported on these files by the clinicians. The second group (Group 2) (n = 199) was included prospectively from May to November 2008. GAD diagnosis was screened with the Worry and Anxiety Questionnaire and then confirmed with the Mini International Neurodiagnostic Interview. The two groups were similar in terms of social and demographic variables. GAD prevalence rate was significantly higher in Group 2 (30.7% with Confidence Interval [0.242; 0.371]) than in Group 1 (2.4% with Confidence Interval [0.003; 0.045]). This study confirms our hypothesis of an under-recognition of GAD by clinicians in alcohol dependant inpatients. It also confirms the high prevalence rate of comorbidity between alcohol dependence and GAD.
机译：广泛性焦虑症（GAD）是一种常见的致残性疾病，通常与酒精依赖有关。然而，物质使用障碍和精神障碍之间的合并症常常被诊断不足。这项研究试图评估酒精性住院患者对临床医生对GAD的认识不足。包括两组在法国同一家非学术性精神病医院住院的酒精依赖患者。第一组（第1组）（n = 205）被回顾性纳入从2007年5月至2007年11月所有因酒精依赖而住院的患者。进行了记录回顾，以确定GAD（和其他精神疾病）的诊断数量，该报告报告于这些文件由临床医生提供。第二组（第2组）（n = 199）于2008年5月至11月被纳入研究。GAD诊断通过忧虑和焦虑问卷进行筛选，然后通过Mini International Neurodiagnostic Interview进行确认。两组的社会和人口统计学变量相似。第2组的GAD患病率（置信区间[0.242; 0.371]为30.7％）明显高于第1组（置信区间[0.003; 0.045]为2.4％）。这项研究证实了我们的假设，即酒精依赖患者的临床医生对GAD的认识不足。这也证实了酒精依赖和GAD合并症的高患病率。

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