Clinical features and evolution of patient with psychosis induced by alcohol
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2023-11-07 10:31
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BEJENARU, Lilian. Clinical features and evolution of patient with psychosis induced by alcohol. In: MedEspera: International Medical Congress for Students and Young Doctors, Ed. 7th edition, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, 7, pp. 69-70.
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MedEspera
7, 2018
Congresul "International Medical Congress for Students and Young Doctors"
7th edition, Chişinău, Moldova, 3-5 mai 2018

Clinical features and evolution of patient with psychosis induced by alcohol


Pag. 69-70

Bejenaru Lilian
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 3 noiembrie 2020


Rezumat

Introduction. Alcoholism is a serious problem of mental health confirmed by its biological and social consequences. WHO declared that the Republic of Moldova is on the 3rd place in Europe with a consumption of 15,9 litres of pure alcohol per capita in population older than 15 years old. According to the statistics from 2017, in the RM 45340 persons are at the psychiatric evidence with the diagnosis of chronic alcoholism. The rate of alcoholic psychosis in Chisinau is 55 (psychosis) per 100000 standard population. Also, according to 2017 data, 4196 patients with alcoholism were treated in hospitals, 1261 of them had alcoholic psychosis, 204 of whom had recurrent psychosis. Aim of the study. Studying clinical features of patients with alcoholism who have suffered from alcoholic psychosis. Materials and methods. The total number of investigated patients was 428(only men). 21 patients with chronic alcoholism who had 2 or more alcoholic psychosis in the period of 2016-2017, and got hospitalized in the Republican Narcology Dispensary, section 4 were analyzed. The investigation is prospective, based on a protocol of individual examination. The criteria of the research were: age, numbers of recurrences, duration of psychosis, heredity, triggers, frequency of episodes depending on the season of the year, and comorbidities. Results. From the total of 428 patients, 4.67% suffered 2 psychosis, 0.23% - 3 psychosis and 95% - 1 psychosis. Most frequently, the alcoholic psychosis occurred in patients aged 51-60 years (42.9%), followed by 31-41 years (23.8%). By marital status, 43% of patients were married, 43% - were single and 14% - divorced. By heredity, 67% of patients had aggravated hereditary history and 33% - didn’t. By analyzing clinical particularities, 84% of patients had delirium tremens, 14 % - alcoholic hallucinations and 2% - alcoholic paranoia. In most cases, remission of alcoholic psychosis took from 1 to 5 months. The alcoholic psychosis occurred mostly in summer – 39%. Main factors such as craniocerebral trauma, returning to drinking, abandoning treatment, family problems, and loneliness were present before the onset of psychosis.Conclusions. Abusive alcohol consumption in Moldova is a biopsychosocial issue, statistically confirmed. Most patients were found to have pathogenic substrate consisting of biogenetic factors, personality disorders, disharmonic personalities, and somatoneurological complications that contributed to the development of psychoses and were identified as primary risk factors. In order to reduce the number of patients with alcoholic psychoses, it is necessary to administer a complex and a long lasting treatment, with the involvement of dispensary specialists and the Community Centers of Mental Health.

Cuvinte-cheie
alcoholic psychosis, delirium tremens, remission