Treatment seeking and barriers to treatment for alcohol use in persons with alcohol use disorders and comorbid mood or anxiety disorders.
paper
Cited
Public
- Authors
- Kaufmann, Christopher N; Chen, Lian-Yu; Crum, Rosa M; Mojtabai, Ramin
- Year
- 2014
- Journal
- Social psychiatry and psychiatric epidemiology
- PMID
- 23900549
- DOI
- 10.1007/s00127-013-0740-9
- PMCID
- PMC3983167
PURPOSE: This study compared the prevalence and patterns of treatment seeking and barriers to alcohol treatment among individuals with alcohol use disorders (AUD) with and without comorbid mood or anxiety disorders. METHODS: We used data from the national epidemiologic survey on alcohol and related conditions to examine alcohol treatment seeking, treatment settings and providers, perceived unmet need for treatment and barriers to such treatment. Our sample consisted of 5,003 individuals with AUD with a comorbid mood or anxiety disorder and 6,734 individuals with AUD but without mood or anxiety disorder comorbidity. RESULTS: The group with mood or anxiety disorder comorbidity was more likely to seek alcohol treatment than the group without such comorbidity (18 vs. 12 %, p < 0.001). The comorbid group was also more likely to perceive an unmet need for such treatment (8 vs. 3 %, p < 0.001) and to report a larger number of barriers (2.81 vs. 2.20, p = 0.031). Individuals with AUD with comorbid mood or anxiety disorders were more likely than those without to report financial barriers to alcohol treatment (19 vs. 10 %, p = 0.032). CONCLUSIONS: Individuals with AUD and comorbid mood or anxiety disorders would likely benefit from the expansion of financial access to alcohol treatments and integration of services envisioned under the Affordable Care Act.
Service use and perceived unmet need for substance use services among participants with alcohol use disorders (AUD) with or without comorbid mood or anxiety disorders in the National Epidemiologic Survey of Alcohol and Related Conditions, 2001–02
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| Name | Type |
|---|---|
| Adverse outcomes local | phenotype |
| age | phenotype |
| Age 30+ years local | phenotype |
| Age 40–49 years local | phenotype |
| Age >=40 years local | phenotype |
| Age >=50 years local | phenotype |
| alcohol | phenotype |
| alcohol abuse | phenotype |
| alcohol dependence | phenotype |
| Alcohol disorder type local | phenotype |
| Alcoholics Anonymous | drug |
| Alcohol treatment seeking local | phenotype |
| Alcohol Use Disorder | phenotype |
| alcohol use disorders | phenotype |
| Alcohol use treatment utilization local | phenotype |
| amphetamines | drug |
| antisocial personality disorder | phenotype |
| anxiety | phenotype |
| Attitudinal barriers local | phenotype |
| AUD | phenotype |
| AUD participants | cohort |
| AUD with comorbid mood or anxiety disorder local | cohort |
| AUD with comorbid mood or anxiety disorders local | cohort |
| AUD with mood or anxiety disorder comorbidity local | cohort |
| AUD without comorbid mood or anxiety disorder local | cohort |
| AUD without comorbid mood or anxiety disorders local | cohort |
| AUD without mood or anxiety comorbidity local | cohort |
| AUD without mood or anxiety disorder comorbidity local | cohort |
| avoidant personality disorder | phenotype |
| Barriers to substance disorder services local | phenotype |
| Barriers to treatment local | phenotype |
| cannabis use | phenotype |
| cocaine | phenotype |
| Comorbid group local | cohort |
| Comorbid mood or anxiety disorder local | phenotype |
| Comorbid substance and psychiatric disorders local | phenotype |
| dependent personality disorder | phenotype |
| drug dependence | phenotype |
| dysthymia | phenotype |
| education | phenotype |
| educational attainment | phenotype |
| ever drank alcohol local | phenotype |
| ever sought help local | phenotype |
| Financial barriers local | phenotype |
| generalized anxiety disorder | phenotype |
| hallucinogens | drug |
| health insurance | phenotype |
| heavy drinking | phenotype |
| High income | phenotype |
| High school diploma local | phenotype |
| Hispanic | phenotype |
| histrionic personality disorder | phenotype |
| hypomania | phenotype |
| income | phenotype |
| Income >$20,000 | phenotype |
| Income >=$35,000 local | phenotype |
| Income $35,000+ per year local | phenotype |
| Income $70,000+ per year local | phenotype |
| Individuals with comorbid alcohol and psychiatric disorders local | cohort |
| inhalants/solvents | drug |
| Lack of health insurance local | phenotype |
| Large subgroup of individuals with AUD local | cohort |
| Low income | phenotype |
| major depressive disorder | phenotype |
| Manic episode | phenotype |
| marital status | phenotype |
| Mental health treatment settings local | cohort |
| Mood/Anxiety Comorbidity local | phenotype |
| mood disorders | phenotype |
| Mood or anxiety comorbidity local | phenotype |
| Mood or anxiety disorder local | phenotype |
| Mood or anxiety disorders local | phenotype |
| More than high school education local | phenotype |
| National Comorbidity Survey-Replication local | cohort |
| National Epidemiologic Study on Alcohol and Related Conditions local | cohort |
| National Epidemiologic Survey on Alcohol and Related Conditions | cohort |
| NESARC | cohort |
| NESARC participants | cohort |
| NESARC wave 1 participants local | cohort |
| nicotine | drug |
| No health insurance local | phenotype |
| Non-alcohol drug use disorder local | phenotype |
| Non-alcohol drug-use disorder local | phenotype |
| Non-alcohol drug use disorders local | phenotype |
| Non-Hispanic black | cohort |
| Non-treatment Non-need Group local | cohort |
| Non-treatment-seeker local | phenotype |
| Obsessive compulsive personality disorder local | phenotype |
| opioid | drug |
| other drugs | drug |
| Other psychiatric comorbidity local | phenotype |
| Other substance disorder comorbidity local | phenotype |
| panic disorder | phenotype |
| paranoid personality disorder | phenotype |
| parental divorce/separation | phenotype |
| participants with AUD with comorbid mood or anxiety disorders local | cohort |
| participants with AUD without comorbid mood or anxiety disorders local | cohort |
| Perceived unmet need local | phenotype |
| Perceived Unmet Need Group local | cohort |
| personality disorders | phenotype |
| psychiatric disorders | phenotype |
| Psychiatric treatments local | drug |
| race/ethnicity | phenotype |
| relapse | phenotype |
| Rural residence local | phenotype |
| schizoid personality disorder | phenotype |
| sedatives | drug |
| Separated | phenotype |
| sex | phenotype |
| social phobia | phenotype |
| specific phobia | phenotype |
| Substance disorder treatments local | drug |
| substance use | phenotype |
| tranquilizers | drug |
| Treatment barriers local | phenotype |
| Treatment-seeker local | phenotype |
| Treatment seeking local | phenotype |
| Treatment-seeking local | phenotype |
| Treatment-Seeking Group local | cohort |
| U.K. urban psychiatric clinics local | cohort |
| Unmet need for alcohol treatment local | phenotype |
| Unmet need for treatment | phenotype |
| urban environment | phenotype |
| Urban residence local | phenotype |
| urban/rural setting local | phenotype |
| Urban/rural setting local | phenotype |
| use of alcohol detoxification clinics local | phenotype |
| use of Alcoholics Anonymous local | phenotype |
| use of alcoholism rehabilitation services local | phenotype |
| use of clergy local | phenotype |
| use of crisis centers local | phenotype |
| use of emergency rooms local | phenotype |
| use of employee assistance programs local | phenotype |
| use of family services local | phenotype |
| use of halfway houses local | phenotype |
| use of health professionals local | phenotype |
| use of inpatient wards local | phenotype |
| use of other services local | phenotype |
| use of outpatient clinics local | phenotype |
| US General Population local | cohort |
| White race | phenotype |
| White racial/ethnic group local | cohort |
| widowed | phenotype |
| Widowed/divorced/separated local | phenotype |
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