Author/Editor		Rus-Makovec, Maja; Čebašek-Travnik, Zdenka; Radovanovič, Mirjana; Ivančič, Radica; Tomšič, Vida
Title		Diagnostika komorbidnosti pri bolnikih, odvisnih od alkohola: razlike in dileme
Translated title		Comorbidity diagnoses in alcohol dependent patients: differences and dilemmas
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 71, št. 11
Publication year		2002
Volume		str. 679-84
Language		slo
Abstract		Background. In the presented study we followed the diagnostic procedures of comorbidity in alcohol dependent patients of in patient treatment. The aim of the study was to evaluate the incidence of dual/triple diagnoses with alcohol dependent patients and to incorporate the diagnostic procedures in rutine work and in treatment planning. Material and methods. We were following the basic parameters of treatment of 469 patients (366 male, 102 female) from July 1999 to July 2001. The diagnostic criteria according to ICD-10 were applied after at least four weeks of sobriety. Results. The most frequent additional diagnoses found were nicotine dependency, depressive and personal disorders. Main gender differences were found in diagnosis of depressive disorders and in dependency or abuse of prescripted drugs. Comparison of our results with literature data showed the greatest differences in diagnoses of cognitive, depressive, anxious data and dependency of other psychoactive substances. Conclusions. The comparison between the two time periods shows that stuff sensibility to diagnostic procedures of comorbidity states influences the frequency of diagnostic categories. The literature data review leads to impression of inconsistent diagnosing regarding the context and phylosophy of treatment context, stuff education and patient population.
Summary		Izhodišča. V prikazani študiji smo sledili komorbidnim stanjem bolnikov, odvisnih od alkohola, ki so se zdravili v bolnišničnem programu zdravljenja odvisnosti. Cilj študije je bil oceniti pogostosti dvojnih oz trojnih diagnoz pri odvisnih osebah in povezovati diagnostične postopke v rutinsko obravnavo oziroma načrtovanje zdravljenja. Preiskovanci in metode. V študiji smo sledili bazičnim parametrom zdravljenja 469 bolnikov (366 moških, 102 ženski) v obdobju od julija 1999 do julija 2001. Diagnostična merila smo usklajevali z MKB-10 po najmanj štirih tednih treznosti. Rezultati. Najpogostejše dodatne diagnoze so bile odvisnost od nikotina, depresivne in osebnostne motnje. Med spoloma smo ugotavljali največje razlike v diagnosticiranju depresivnih motenj in odvisnosti od škodljive rabe tablet (več pri ženskah). Glede na podatke v literaturi so se naši izsledki najbolj razlikovali na področju kognitivnih, depresivnih, anksioznih motenj ter odvisnosti od drugih psihoaktivnih snovi. Zaključki. Primerjava rezultatov med dvema obdobjema kaže, da samo sledenje komorbidnosti vpliva na večjo pogostost določenih diagnostičnih kategorij. Podatki o komorbidnosti pri bolnikih, odvisnih od alkohola, se v literaturi razlikujejo glede na kontekst/filozofijo zdravljenja, izobrazbo osebja in populacijo bolnikov.
Descriptors		ALCOHOLISM COMORBIDITY SMOKING DEPRESSIVE DISORDER SUBSTANCE ABUSE PERSONALITY DISORDERS