Alcohol Dependence in Primary Care: Which Patients are Diagnosed?

作者：Kuitunen Paul Soeren; Manthey Jakob; Trautmann Sebastian; Pieper Lars; Wittchen Hans Ulrich; Rehm Juergen

来源：Suchttherapie, 2017, 18(2): 82-89.

DOI：10.1055/s-0042-113143

• alcohol dependence
• general practitioners assessment
• standardized clinical assessment

Aim The access to the specialized addiction treatment system is limited when general practitioners do not identify alcohol dependence in patients. We tested how well physicians' diagnoses match results of a standardized diagnostic interview.
Method The German sample of the Europe-wide APC-Study comprises N = 1 356 patients and their diagnoses based on judgements of N = 76 German general practitioners and self-reports in the Composite International Diagnostic Interview (CIDI). Diagnoses from both sources were compared using weighted regression analysis.
Results German general practitioners identified as many cases as the CIDI-interview, with small overlap. General practitioners identified mostly male and higher-aged patients. Cases with psychiatric comorbidities, risky consumption patterns or disability in everyday activities were diagnosed equivalenty.
Conclusion Standardized diagnostic methods may enhance the identification of younger and female alcohol-dependent primary care patients.

• 出版日期2017-5
• 单位河北医科大学