Author/Editor		Lazar-Erznožnik, Anka; Pišljar, Marko
Title		Zdravljenje depresije pri odvisnih od alkohola
Type		članek
Source		Viceversa
Vol. and No.		, št. 33
Publication year		2001
Volume		str. 5-11
Language		slo
Abstract		Depression is with patients who are alcohol addicts a fairly common phenomenon although it does not always require special treatment. In most cases treatment of addiction itself is sufficient since the secondary depression spontaneously disappears during the period of the first four weeks of abstinence. 5-15% of patient-alcohol addicts have an independent-primary extensive depressive episode. Clinical distinction between both types of depression is important in order to predict the course and the choice of the patients, who are alcohol addicts and at the same time suffer from depression, require greater effort in their treatment. 363 patients (62 women and 301 men) were included in the research, all of them being patients at the Ward for addiction treatment at the Psychiatric Hospital in Idrija during the time between 1st January, 1995 and 31st December, 1996. 9 % of addicts (24 men and 9 women) were treated with antidepressants. We observed several recidivisms amongst them.
Summary		Depresivnost je pri osebah, odvisnih od alkohola, dokaj pogost pojav, ki pa ne zahteva vedno posebne obravnave. Večinoma zadostuje zdravljenje odvisnosti same. Večji delež depresij pri odvisnih je sekundarnih ter spontano izzvenijo v prvih štirih tednih abstinence. 5-15 % odvisnih od alkohola ima neodvisno-primarno veliko depresivno epizodo. Klinično razlikovanje med obema oblikama depresij je pomembno zaradi predstavitve prognoze in optimalnega zdravljenja. Večina avtorjev je mnenja, da so bolniki z odvisnostjo od alkohola in hkratno terapevtsko zahtevnejša skupina. V raziskavo je bilo vključenih 363 bolnikov (62 žensk, 301 moški), ki so se v času od 1.1.1995 do 31.12.1996 zdravili na Oddelku za zdravljenje odvisnosti v Psihiatrični bolnišnici v Idriji. Antidepresivno terapijo je prejemalo 9 % zdravljencev (24 moških, 9 žena). Med zdravljenci z antidepresivno terapijo je bil večji delež bolnikov z recidivom. V raziskavi so predstavljene značilnosti skupine bolnikov, odvisnih od alkohola, s hkratno depresijo ter vrednotenje kazalcev učinkovitosti zdravljenja.
Descriptors		ALCOHOLISM DEPRESSIVE DISORDER ANTIDEPRESSIVE AGENTS TEMPERANCE TREATMENT OUTCOME