The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment.
paper
Cited
Public
Unavailable
- Authors
- Helzer, J E; Pryzbeck, T R
- Year
- 1988
- Journal
- Journal of studies on alcohol
- PMID
- 3374135
- DOI
- 10.15288/jsa.1988.49.219
It is apparent from previous studies in clinical populations that there is a high comorbidity rate between alcoholism and other psychiatric diagnoses. However, this may simply be an expression of Berkson's bias (i.e., an increased tendency for persons with multiple diagnoses to seek and receive treatment and thus fall into study populations drawn from treatment sources). In this article, we use data from the Epidemiologic Catchment Area survey to examine the comorbidity between alcohol abuse and dependence, other substances of abuse and nonsubstance psychiatric disorders in a sample of approximately 20,000 persons drawn from the general population. We also examine the effect of comorbidity on psychiatric treatment. Every one of the psychiatric diagnoses we examined was more likely to occur in alcoholics than in nonalcoholics. Associations were particularly strong with antisocial personality disorder, other substance use and mania. The association between alcoholism and depressive disorders was positive but not very strong. The presence of other illnesses increased the likelihood of utilization of treatment services by alcoholics but did not increase the likelihood that drinking problems would be communicated to a doctor. The findings confirm prior studies of comorbidity in clinical samples and suggest the need for increased vigilance toward alcoholism by physicians.
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| Dysthymia characteristic of heavy alcohol use in depressed adolescents. | King CA et al. | β | 1993 | β |
| Gender differences in substance use disorders. | Brady KT et al. | β | 1993 | β |
| Heart-rate reactivity and alcohol consumption among sons of male alcoholics and sons of non-alcoholics. | Peterson JB et al. | β | 1993 | β |
| Patterns of alcohol use and abuse among aging Civil War veterans, 1865-1920. | Achenbaum WA et al. | β | 1993 | β |
| Prevalence of alcohol and drug abuse in schizophrenic inpatients. | Soyka M et al. | β | 1993 | β |
| Primary prevention of secondary disorders: a proposal and agenda. | Kessler RC et al. | β | 1993 | β |
| Reported prevalence of drug abuse comorbidity in a city-wide emergency rooms system. | Sanguineti VR et al. | β | 1993 | β |
| Screening for maladjustment in college students: an application of receiver operating characteristic curve to MMPI scales. | Svanum S et al. | β | 1993 | β |
| The association of alcoholism and anxiety. | Brady KT et al. | β | 1993 | β |
| The process of treatment selection among previously untreated help-seeking problem drinkers. | Timko C et al. | β | 1993 | β |
| Utilization review of treatment for chemical dependence. | Allen MG et al. | β | 1993 | β |
| Alcoholic subtypes and the MacAndrew Alcoholism Scale. | Svanum S et al. | β | 1992 | β |
| Antecedents of anxiety syndromes in a cohort of 50,465 young men in Sweden. A prospective analysis of self-reported and professionally assessed psychosocial characteristics. | Allgulander C et al. | β | 1992 | β |
| A placebo-controlled trial of buspirone in anxious inpatient alcoholics. | Malcolm R et al. | β | 1992 | β |
| Assessing competency. | Sales GN | β | 1992 | β |
| Depressive illness among chemically dependent adolescents. | Deykin EY et al. | β | 1992 | β |
| Gender differences in the manifestations of problem drinking in a community sample. | Cochrane JJ et al. | β | 1992 | β |
| Lifetime and six-month prevalence of mental disorders in the Munich Follow-Up Study. | Wittchen HU et al. | β | 1992 | β |
| Outcomes of co-morbid alcoholic men: a 1-year follow-up. | Powell BJ et al. | β | 1992 | β |
| Patterns of alcoholism inheritance. | Dinwiddie SH | β | 1992 | β |
| Schizophrenia and substance abuse: prevalence issues. | el-Guebaly N et al. | β | 1992 | β |
| Sex differences in problem drinking among 42-year-old residents of MalmΓΆ, Sweden. | Osterling A et al. | β | 1992 | β |
| Substance use disorders in a sample of Canadian patients with chronic mental illness. | Toner BB et al. | β | 1992 | β |
| The depressed alcoholic. Clinical features and medical management. | Petty F | β | 1992 | β |
| Treatment implications of comorbid psychopathology in American Indians and Alaska Natives. | Walker RD et al. | β | 1992 | β |
| Alcoholism, antisocial behavior and family history. | Lewis CE et al. | β | 1991 | β |
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| Gender comparison of antisocial personality disorder and depression in alcoholism. | Hesselbrock MN | β | 1991 | β |
| Pharmacotherapies for alcoholism: promising agents and clinical issues. | Litten RZ et al. | β | 1991 | β |
| Primary and secondary depression in alcoholism--clinical features and family history. | Hasegawa K et al. | β | 1991 | β |
| Psychopathology among substance abusing juvenile offenders. | Milin R et al. | β | 1991 | β |
| Psychopathology in drug abusers and their families. | Mirin SM et al. | β | 1991 | β |
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| Substance abuse in an inpatient psychiatric sample. | Brady K et al. | β | 1991 | β |
| Substance abuse prevalence and comorbidity with other psychiatric disorders among adolescents with severe emotional disturbances. | Greenbaum PE et al. | β | 1991 | β |
| Treatment cost and rehospitalization rate in schizophrenic outpatients with a history of substance abuse. | Kivlahan DR et al. | β | 1991 | β |
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| Diagnosis of depression in alcoholics. | Domino LE et al. | β | 1990 | β |
| Illicit anabolic steroid use: a controlled personality study. | Yates WR et al. | β | 1990 | β |
| Screening for alcoholism. | Cyr MG et al. | β | 1990 | β |
| Substance abuse and mental disorders: the dual diagnoses concept. | el-Guebaly N | β | 1990 | β |
| Subtyping male alcoholics by family history of alcohol abuse and co-occurring psychiatric disorder: a bi-dimensional model. | Read MR et al. | β | 1990 | β |
| The application of electrophysiology to research in alcoholism. | O'Connor S et al. | β | 1990 | β |
| The diagnosis of alcohol and cannabis dependence (addiction) in cocaine dependence (addiction). | Miller NS et al. | β | 1990 | β |
| The genetic epidemiology of alcoholism. | Merikangas KR | β | 1990 | β |
| The relation between alcohol problems and the anxiety disorders. | Kushner MG et al. | β | 1990 | β |
| Utility of the Self-Administered Alcoholism Screening Test (SAAST) in schizophrenic patients. | Smith CM et al. | β | 1990 | β |
| Dual diagnosis: psychoactive substance dependence and the personality disorders. | Blume SB | β | 1989 | β |
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| Psychologists and alcoholic women. | Murray JB | β | 1989 | β |
| Relationship between psychiatric distress and alcohol use: findings from the Eastern Baltimore Mental Health Survey. | Dryman A et al. | β | 1989 | β |
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| Impact of depressive symptomatology on alcohol problems in women. | Turnbull JE et al. | β | 1988 | β |