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우울장애 환자에서 양극성 성향에 따른 문제음주행동 비교

Comparison of Problematic Drinking between Depressive Patients with Bipolarity and without Bipolarity

이영민|최윤미|정희정|이정진|이병대|박제민|문은수|강태욱|이덕기
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2015.02|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제21권 제1호|pp. 5-12

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참고문헌

키워드

양극성 성향AUDITBipolarityDrinking behavior음주 행동기분장애 선별검사지알코올 사용 장애 선별검사MDQ
주제분류정신과학

초록

Objectives :Patients with bipolar disorder have high rate of comorbid of alcohol use disorder. However, there are lack of evidences about the different patterns of alcohol consumption between depressive patients with bipolarity and without bipolarity in Korea. We aimed to compare problematic drinking according to bipolarity in depressive patients. Methods :We recruited Seventy three patients who have experienced depressive disorders. Bipolarity was evaluated by using the Mood Disorder Questionnaire(MDQ). Problematic drinking behavior was measured by using Alcohol Use Disorder Identification Test(AUDIT). The AUDIT score was compared between depressive patients with positive and negative screening in MDQ using independent t-test and analysis of covariance(ANCOVA) in SPSS version 18.0, to adjust the influence of age. Results :Patients with depressive disorders who screened positive on MDQ showed higher AUDIT scores than those with negative MDQ scores.(independent t-test t=-2.767, p=.007) After controlling age, difference of AUDIT score was still significant between two groups.(ANCOVA F=7.160, p=.009)Conclusion :These results suggest that the presence of bipolarity in depressive patients may accompanies more problematic drinking behaviors than the absence of bipolarity group. Consideration of bipolarity measured by MDQ may be necessary in the detection of high risk group of problematic drinking in depressive patients. Large-scale study would be needed to confirm these results.

Abstract

Objectives :Patients with bipolar disorder have high rate of comorbid of alcohol use disorder. However, there are lack of evidences about the different patterns of alcohol consumption between depressive patients with bipolarity and without bipolarity in Korea. We aimed to compare problematic drinking according to bipolarity in depressive patients. Methods :We recruited Seventy three patients who have experienced depressive disorders. Bipolarity was evaluated by using the Mood Disorder Questionnaire(MDQ). Problematic drinking behavior was measured by using Alcohol Use Disorder Identification Test(AUDIT). The AUDIT score was compared between depressive patients with positive and negative screening in MDQ using independent t-test and analysis of covariance(ANCOVA) in SPSS version 18.0, to adjust the influence of age. Results :Patients with depressive disorders who screened positive on MDQ showed higher AUDIT scores than those with negative MDQ scores.(independent t-test t=-2.767, p=.007) After controlling age, difference of AUDIT score was still significant between two groups.(ANCOVA F=7.160, p=.009)Conclusion :These results suggest that the presence of bipolarity in depressive patients may accompanies more problematic drinking behaviors than the absence of bipolarity group. Consideration of bipolarity measured by MDQ may be necessary in the detection of high risk group of problematic drinking in depressive patients. Large-scale study would be needed to confirm these results.

참고문헌 (35)

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