Background/Aims: The aim of this prospective study was to estimate gender differences in anxiety, depression, and alcohol use severity among patients with alcohol use disorder (AUD) before and after detoxification program and within 12 months after discharge. Methods: AUD severity, state and trait anxiety, and depression were assessed in 187 patients entering an inpatient alcohol detoxification program. Follow-up assessments were performed at 6 and 12 months after discharge. A between- and within-subjects analyses explored gender differences. The predictive value of anxiety and depression for alcohol relapse was analyzed by logistic and linear regression in both genders. Results: Females had higher levels of anxiety and depression than males both at admission and after discharge. Trait anxiety and depression significantly increased 6 months after discharge in males and females respectively. Both state and trait anxiety levels at the 6-month follow-up predicted alcohol relapse at the 12-month follow-up in males. Conversely, in females, depression level at the 6-month follow-up was a predictor of relapse at the 12-month follow-up. Conclusions: In both genders, the psychopathological dimension that showed the most significant worsening at 6-month follow-up (i.e., anxiety in males and depression in females) was found to be a significant predictor of relapse at the 12-month follow-up.
The results of this study suggest that further research is needed to identify the best treatment strategy that is safe and effective for the new population of alcoholics.
The number of individuals aged sixty and older is expected to increase from 605 million in 2000 to over two billion in 2050. As a consequence the number of elderly medicare beneficiaries likely to be frail will triple. Our study explored the factors of successful aging in a sample of nonagenarians with no cognitive impairment, temporarily admitted to a rehabilitation hospital complex, with regard to quality of life, mood, clinical and cognitive conditions and personality traits. It was a descriptive study with forty nonagenarians of both genders, with no cognitive impairment, no psychiatric diseases and forty two younger patients with similar diseases and socio-demographic conditions, but aged <90. The sample was recruited randomly among patients temporarily admitted to Beata Vergine Consolata Rehabilitation Hospital Complex from 2009 to 2015. The nonagenarians examined showed common personality traits, better mood, Population Ageing
Introduction: Anxiety and depression are showed as more frequent in alcoholics in both epidemiological surveys and clinical samples. Affective and mood disorder in alcohol-dependent patients may have a negative impact on Quality of Life (QoL) and than on relapse. Objectives: To evaluate the course of alcohol use, anxiety, depression and QoL during alcohol detoxification. Methods: 126 patients entering alcohol detoxification were evaluated at the beginning, at the end and 6 month later of treatment for frequency of alcohol intake, quality of life, anxiety and depression using Alcohol Use Disorders Identification Test (AUDIT), World Health Organization Quality of Life-Brief Version (WHOQOL-BREF), State Trait Anxiety Inventor (STAI-Y) and Beck Depression Inventory (BDI). Results: At the admission 78% (n=98) and 94% (n=118) of the sample presented an anxiety score above the threshold on states and traits scale respectively, 92% (n=116) showed depression ranged from mild to severe and QoL score was lower than normative levels in all domains. At the discharge, depression and state anxiety significantly decreased to normative level (p=< 0.0001), otherwise half part of the sample showed trait anxiety score above threshold. After 6 month, state anxiety was also decreased, whereas trait anxiety and depression levels increased again. QoL was significantly improved at follow-up except for psychological domain. Conclusions: The negative effect of anxiety, depression and alcohol abuse on quality of life was confirmed. Follow-up results suggest that trait anxiety should maintain low levels in psychological domain of WHOQoL in alcoholdependent patients.
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