Unit:
ΠΜΣ Αντιμετώπιση Εξαρτήσεων-ΕξαρτησιολογίαLibrary of the School of Health Sciences
Supervisors info:
Μαλλιώρη Μινέρβα-Μελπομένη, Καθηγήτρια, Ιατρική, ΕΚΠΑ
Μαυρέας Βενετσάνος, Καθηγητής, Ιατρική, Πανεπιστήμιο Ιωαννίνων
Σκαπινάκης Πέτρος, Αναπληρωτής Καθηγητής, Ιατρική, Πανεπιστήμιο Ιωαννίνων
Original Title:
Επιδημιολογική μελέτη Συνοσηρότητας Διαταραχών Χρήσης Αλκοόλ με την Κατάθλιψη και τις Αγχώδεις διαταραχές στον ελληνικό πληθυσμό
Translated title:
Epidemiological Study of the Comorbidity of Alcohol Use disorders with Depression and/or Anxiety Disorders in the Greek general population
Summary:
INTRODUCTION
Patients suffering from comorbid alcohol-related problems and mental disorders (“Dual Diagnosis”, DD) present higher disability, lower responsiveness to treatment and poorer prognosis comparing to sufferers from each condition separately. Further study on the epidemiology of DD could contribute in the assessment of the special therapeutic needs and challenges of this group of patients. Aim of the current study is to assess the prevalence and associations of DD patients in a general population representative sample of Greek participants.
METHODS
5894 participants were selected using a stratified random sampling from the general Greek population. Alcohol Use Disorders (AUD) and Harmful Alcohol Consumption (HAC) were assessed using Alcohol Use Disorders Identification Test (AUDIT). The presence of Psychiatric Morbidity, Diagnoses (Depression, GAD, Panic Disorder, OCD and Phobic Disorders) and psychiatric symptoms were assessed using the structured psychiatric Interview Composite Interview Schedule .
RESULTS
DD prevalence is about 1% and DD is more prevalent in males comparing to females. HAC is strongly associated only with the sub-threshold psychiatric morbidity and not with the presence of Psychiatric Diagnoses. AUDs are strongly associated with the presence of Psychiatric Diagnoses, and stronger with Anxiety Disorders comparing to depression. Both alcohol related problems are associated with common mental disorders stronger in males comparing to females. DD patients present worst clinical and quality of life indicators and are more possible to live in rural areas comparing to sufferers from each disorder separately (“non-comorbid” patients). Furthermore DD patients present lower use of health services and higher reluctance to ask for help from a non-mental health professional comparing to Depression or Anxiety disorders non-comorbid sufferers. Finally there are some differences in the distribution of psychiatric symptoms, which may imply clinical significance, in the DD patients comparing to patients presenting with non-comorbid Depression or Anxiety Disorders.
CONCLUSION
DD patients constitute a population with increased unmet needs for treatment. DD patients are not reluctant to receive treatment from specialized mental health services.
Main subject category:
Health Sciences
Keywords:
Epidemiology, Comorbidity, Alcohol use disorders, Harmful alcohol consumption, Depression, Anxiety disorders, Dual diagnosis, Greece
