Commentary on the Comorbidity of Alcohol Use Disorder and Depression among Patients Attending a Tertiary Hospital in the Niger Delta Region of Nigeria

Chukwujekwu, Chidozie Donald

doi:10.4172/2155-6105.1000319

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Dual diagnosis is a topic of growing interest due to its clear impact on clinical severity. Many authors opine that "chronicity" and "treatment resistance" are the hallmarks of dual diagnoses and most sufferers are more vulnerable to experience disabilities of varying dimensions than in those with a single diagnosis [24]. It has been postulated that AUD can mimic or potentiate almost all psychopathological symptoms [25].…”

Section: Discussionmentioning

confidence: 99%

Comorbid Psychiatric Disorders in Alcohol Dependence: A Control Study

Saldanha¹,

Saini²,

Diwan³

et al. 2018

J Psychiatry

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Background: Though anecdotal evidence of comorbid psychiatric disorders in alcohol dependent patient abound there is lack of systematic Indian studies in this area. Aim: To determine the type and frequency of comorbid psychiatric disorders in alcohol dependent individuals as compared with matched normal population. Methods: This cross-sectional, hospital based, utilized the Mini International Neuropsychiatric Interview to assess 88 alcohol-dependent patients consecutively admitted to de-addiction unit of two tertiary care hospitals, one in urban area and another in rural area. A matched control group of 88 subjects from the general population were also assessed. Psychiatric diagnoses were made as per DSM IV TR criteria. Results: Among the alcohol-dependent patients 46.59% showed personality disorders compared to 6.82% of the normal control sample. The difference was statistically significant. Depression (10.23%), mixed anxiety and depression (7.95%) and Adjustment disorder (7.95%) were most prevalent, followed by dysthymia (4.55%) and panic disorders (4.55%) were the commonest co-morbid psychiatric disorders. Conclusion: There is high prevalence of comorbid psychiatric disorders in patients with alcohol dependence

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Section: Discussionmentioning

confidence: 99%

Comorbid Psychiatric Disorders in Alcohol Dependence: A Control Study

Saldanha¹,

Saini²,

Diwan³

et al. 2018

J Psychiatry

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“…Chronicity and treatment resistance are reported to be the hallmarks of dual diagnoses. [6] Studies have shown high association of psychiatric comorbidity with alcohol dependence cases in different settings. [7,8] The superimposition of comorbid psychiatric disorders in those with alcohol dependence adds to the burden on the health care system.…”

mentioning

confidence: 99%

Psychiatric Comorbidities in Patients with Alcohol Dependence Syndrome in a Tertiary Care Center: A Cross-Sectional Study

Sharma¹,

Devkota²,

Pant³

2018

J Lumbini Med Coll

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Introduction: The co-occurence of substance abuse and mental illness is well known. Alcoholics are reported to be three times more likely to suffer from another psychiatric disorder. This study aims to observe the prevalence of psychiatric comorbidity in alcohol dependent patients in our setup. Methods: This was a hospital based cross-sectional observational study conducted over a period of three months. Consecutive patients presenting to the out-patient section of Psychiatric department who met the DSM-IV-TR criteria for alcohol dependence were included in the study. They were interviewed using Structured Clinical Interview for DSM-IV-TR (SCID I&II) to assess for comorbidity. Data was analyzed using Statistical Package for Social Sciences (SPSS TM) software. Mann Whitney U test and Chi square or Fisher's Exact tests were used for statistical analysis. Results: Out of 31 patients enrolled, 14 (45.16%) had psychiatric comorbid conditions all of which were Axis I disorders. Anxiety disorder (35.71%) was the most frequent associated disorder followed by depressive disorder (28.57%). The alcohol dependent patients with comorbidity was significantly younger (mean age=35.71±13.60 years) in comparison to those without comorbidity (mean age=42.59±11.15 years). Other socio-demographic parameters were comparable between the two groups. Patients with history of past psychiatric illness and medication were less likely to have comorbidity, which was statistically significant. Conclusion: Psychiatric comorbidity is common in alcohol dependent people. Anxiety disorder and depression were more prevalent entities. Those with past illness and medications were less likely to have comorbidities.

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Commentary on the Comorbidity of Alcohol Use Disorder and Depression among Patients Attending a Tertiary Hospital in the Niger Delta Region of Nigeria

Cited by 2 publications

References 26 publications

Comorbid Psychiatric Disorders in Alcohol Dependence: A Control Study

Comorbid Psychiatric Disorders in Alcohol Dependence: A Control Study

Psychiatric Comorbidities in Patients with Alcohol Dependence Syndrome in a Tertiary Care Center: A Cross-Sectional Study

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