Abstract
The diagnosis of comorbid psychiatric conditions have important clinical ramifications as the outcome is poorer with multiple disorders. Various studies have shown that alcohol abuse has severe adverse effects on the course of metal illness and vice versa. Only a little data on the subject are available from our country. We interviewed 30 patients suffering from alcohol dependence using SCID - I & SCID - II. Seventy six percent of the sample had axis - I comorbid diagnosis and 40% had an axis -II diagnoses. Depressive disorder and cluster B personality disorders were the most common comorbid diagnosis.
Keywords: Alcohol Dependence, Comorbidity, substance using mentally ill, dual diagnosis
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- Brooner R. K., King V. L., Kidorf M., Schmidt C. W., Jr, Bigelow G. E. Psychiatric and substance use comorbidity among treatment-seeking opioid abusers. Arch Gen Psychiatry. 1997 Jan;54(1):71–80. doi: 10.1001/archpsyc.1997.01830130077015. [DOI] [PubMed] [Google Scholar]
- Cloninger C. R. Neurogenetic adaptive mechanisms in alcoholism. Science. 1987 Apr 24;236(4800):410–416. doi: 10.1126/science.2882604. [DOI] [PubMed] [Google Scholar]
- Dixit A. R., Crum R. M. Prospective study of depression and the risk of heavy alcohol use in women. Am J Psychiatry. 2000 May;157(5):751–758. doi: 10.1176/appi.ajp.157.5.751. [DOI] [PubMed] [Google Scholar]
- Fenaughty A. M., Fisher D. G. High-risk sexual behavior among drug users. The utility of a typology of alcohol variables. Sex Transm Dis. 1998 Jan;25(1):38–43. doi: 10.1097/00007435-199801000-00008. [DOI] [PubMed] [Google Scholar]
- Keeler M. H., Taylor C. I., Miller W. C. Are all recently detoxified alcoholics depressed? Am J Psychiatry. 1979 Apr;136(4B):586–588. [PubMed] [Google Scholar]
- Kessler R. C., Crum R. M., Warner L. A., Nelson C. B., Schulenberg J., Anthony J. C. Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Arch Gen Psychiatry. 1997 Apr;54(4):313–321. doi: 10.1001/archpsyc.1997.01830160031005. [DOI] [PubMed] [Google Scholar]
- Mullaney J. A., Trippett C. J. Alcohol dependence and phobias: clinical description and relevance. Br J Psychiatry. 1979 Dec;135:565–573. doi: 10.1192/bjp.135.6.565. [DOI] [PubMed] [Google Scholar]
- Powell B. J., Penick E. C., Othmer E., Bingham S. F., Rice A. S. Prevalence of additional psychiatric syndromes among male alcoholics. J Clin Psychiatry. 1982 Oct;43(10):404–407. [PubMed] [Google Scholar]
- Ross H. E., Glaser F. B., Germanson T. The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Arch Gen Psychiatry. 1988 Nov;45(11):1023–1031. doi: 10.1001/archpsyc.1988.01800350057008. [DOI] [PubMed] [Google Scholar]
- Rounsaville B. J., Dolinsky Z. S., Babor T. F., Meyer R. E. Psychopathology as a predictor of treatment outcome in alcoholics. Arch Gen Psychiatry. 1987 Jun;44(6):505–513. doi: 10.1001/archpsyc.1987.01800180015002. [DOI] [PubMed] [Google Scholar]
- Winokur G. Family history studies. 8. Secondary depression is alive and well, and. Dis Nerv Syst. 1972 Feb;33(2):94–99. [PubMed] [Google Scholar]