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Tytuł pozycji:

Alcohol use disorders and the course of depressive and anxiety disorders

Tytuł :
Alcohol use disorders and the course of depressive and anxiety disorders
Autorzy :
Boschloo, Lynn
Vogelzangs, Nicole
van den Brink, Wim
Smit, Johannes H.
Veltman, Dick J.
Beekman, Aartjan T. F.
Penninx, Brenda
Pokaż więcej
Temat :
RISK-FACTORS
Depressive Disorder/etiology
Young Adult
PSYCHOMETRIC PROPERTIES
Alcohol-Related Disorders/psychology
Anxiety Disorders/etiology
LONG-TERM COURSE
DEPENDENCE
Female
DSM-IV ALCOHOL
Alcoholism/psychology
Diagnosis, Dual (Psychiatry)
Risk Factors
MENTAL-HEALTH
SUBSTANCE USE DISORDERS
Aged
UNITED-STATES
Middle Aged
UMCG Approved
Chronic Disease
Adolescent
NATIONAL EPIDEMIOLOGIC SURVEY
Adult
Humans
PANIC DISORDER
Male
Źródło :
The British Journal of Psychiatry, 200, 476 - 484. Cambridge University Press
British Journal of Psychiatry, 200(6), 476 - 84. Royal College of Psychiatrists
British journal of psychiatry, 200(6), 476 - 484. Royal College of Psychiatrists
British Journal of Psychiatry, 200(6), 476 - 484. Royal College of Psychiatrists
Rok publikacji :
2012
Kolekcja :
NARCIS
Opis pliku :
application/pdf
Język :
English
ISSN :
0007-1250
Numer akcesji :
edsair.dedup.wf.001..5e33e3d5225cb2439329ea319d38fe21
BACKGROUND: Inconsistent findings have been reported on the role of comorbid alcohol use disorders as risk factors for a persistent course of depressive and anxiety disorders. AIMS: To determine whether the course of depressive and/or anxiety disorders is conditional on the type (abuse or dependence) or severity of comorbid alcohol use disorders. METHOD: In a large sample of participants with current depression and/or anxiety (n = 1369) we examined whether the presence and severity of DSM-IV alcohol abuse or alcohol dependence predicted the 2-year course of depressive and/or anxiety disorders. RESULTS: The persistence of depressive and/or anxiety disorders at the 2-year follow-up was significantly higher in those with remitted or current alcohol dependence (persistence 62% and 67% respectively), but not in those with remitted or current alcohol abuse (persistence 51% and 46% respectively), compared with no lifetime alcohol use disorder (persistence 53%). Severe (meeting six or seven diagnostic criteria) but not moderate (meeting three to five criteria) current dependence was a significant predictor as 95% of those in the former group still had a depressive and/or anxiety disorder at follow-up. This association remained significant after adjustment for severity of depression and anxiety, psychosocial factors and treatment factors. CONCLUSIONS: Alcohol dependence, especially severe current dependence, is a risk factor for an unfavourable course of depressive and/or anxiety disorders, whereas alcohol abuse is not.

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