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Yıl:2010; Cilt: 3; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2010;3(3):59-67
Alkol Bağımlılığı ve Psikiyatrik Bozuklukların Komorbiditesi
ÖA Kalyoncu
Balıklı Rum Hastanesi Vakfı, Anatolia Klinikleri, İstanbul
Alkol kötüye kullanımı ve bağımlılığı ile diğer psikiyatrik bozukluklar aynı hastada sıklıkla bir arada bulunur ve bu durum komorbidite olarak adlandırılır. Her biri ayrı ayrı ciddi klinik tablolar olan bu iki bozukluğun bir arada olduklarında birbirlerinin seyrini olumsuz etkileyebilirler. Komorbid tanısı olan hastalarla çalışan profesyoneller her iki durum için en iyi tedaviyi nasıl sağlayacakları sorusunun ikilemi ile karşı karşıyadırlar. Bu konuya giderek artan ilgiye rağmen bu hastalara uygulanacak tedaviler hakkında yapılan araştırmalar halen yetersizdir. Bu yazıda alkol kötüye kullanım ve bağımlılığının diğer psikiyatrik bozukluklar ile birlikte görülme prevalansı gözden geçirilmiştir. Aynı zamanda bu hastaların değerlendirmelerinin nasıl yapılacağı ve gelecekte bu konunun nasıl araştırılacağı tanımlanmıştır.
Comorbidity of Alcoholism and Psychiatric Disorders
Alcohol abuse and dependence frequently occur with other psychiatric conditions; this dual diagnosis is called comorbidity. While it is true that each disorder alone may have major implications for how an individual functions, the disorders together may have interactive and overwhelming effects when they coexist. Professionals working with comorbid patients face unique and challenging dilemmas about how to provide the best treatment to address both conditions. Despite growing interest in these problems, relatively few clinical studies have tested treatments for this patient population. This article examines the prevalence of alcohol abuse and dependence with other psychiatric disorders and the patterns of illness among comorbid patients. It also describes how assessment approaches can be integrated for patients with these comorbid disorders and offers suggestions for future directions in research.

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