Prevalence of alcohol use disorders of schizophrenic patients

บทคัดย่อ

Objective To determine the prevalence of alcohol use disorders, severity of schizophrenia, risks for suicide and functional capacity in schizophrenic patients with alcohol use disorders.

Materials and methods The sample was schizophrenic patients who received services at the inpatient and outpatient department of Suan Prung psychiatric hospital, Chiang Mai Province during May and August, 2011. They were purposively selected with clear psychotic symptoms and score of health assessment scale less than one in all items. Alcohol use disorders and risks for suicide were assessed with the Mini International Neuropsychiatric Interview. Severity of schizophrenia was assessed with the Clinical Global Impression Scale - Schizophrenia Version (CGI-SCH). Functional capacity was assessed with the Global Assessment of Functioning Scale (GAF). Data were analyzed using Chi Square for comparing between personal data, severity of schizophrenia, risks for suicide and functional capacity of schizophrenic patient with and without alcohol use disorder.

Results The results revealed that there were 18.5% of schizophrenic patients with alcohol use disorders in 1 year ago. And found in male more than female. According to CGI-SCH score, the overall severity .5 among schizophrenic patients with alcohol use disorders was 63.5% The suicidal risk behaviors with M.I.N.I.: Module C score .1 was 32.4%. The GAF scores .40 of the schizophrenic patients with alcohol use disorders was 64.8%. Moreover, this study found that almost schizophrenic patients with alcohol use disorders were inpatients (72.9%).

Conclusion The prevalence of alcohol use problem among schizophrenic patients found that it was more in male than in female. The severity of schizophrenia and risk of suicide was at a high level as well as functional capacity was at a low level. Those patients received more inpatient services. Therefore, it should concern the alcohol use disorders of schizophrenic patients and develop services system for management this problem.