STUDY THE CLINICAL FEATURES AND RELATED FACTORS AND THERAPEUTIC RESULTS ALCOHOL- INDUCED PSYCHOTIC DISORDERS WITH DELUSION, HALLUCINATION.

Abstract

Background: Alcohol-related mental disorders have become more popular in recent years. Alcohol-induced psychotic disorders (APD) with delusions, hallucinations are accounted for the highest percentage. Studying the clinical features and related factors and therapeutic results to enhance the therapeutic quality. Methodology: Retrospective, longitudinal study combined with description and analysis on 45 patients at Danang psychiatric hospital from 03/2013 to 07/2014. Results All patients are male, age from 30-49 are common, low educational level, alcoholic family history, many of them are peasants and poor. Average alcohol-consumption time is from 11-15 years, with average amount of 500-1000 ml/day, mainly rice wine. The rate of APD with delusions and hallucinations is highest (44.4%), high rate of delusion of persecution (66.7%), and followed by delusion of jealousy and delusion of being followed. Most common hallucinations are auditory (92.9%), mainly with menace content (61.5%). Visual and tactile hallucinations are also pretty high. Patient's behaviour is influenced by delusions and hallucinations. AUDIT results show all patients are alcohol addicts. Blood tests have no significant changes. Hepatic enzymes rise dramatically. Good response to haloperidol with average dose around 6-9mg/day, symptoms disapear after 4-6 days. The longer alcohol consumption time needs the longer delay for recovery. Clear corelation between the AUDIT reasults and recovery delay. Conclusion: APD has polymorphic symptomatology. Good response to antipsychotic medications. Key words: AUDIT (Alcohol Use Disorders Identification Test)