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International Journal of Methods in Psychiatric Research logoLink to International Journal of Methods in Psychiatric Research
. 2008 Jun 10;17(Suppl 1):S74–S77. doi: 10.1002/mpr.253

Differences in help seeking rates after brief intervention for alcohol use disorders in general practice patients with and without comorbid anxiety or depressive disorders

Janina M Grothues 1,, Gallus Bischof 1, Susa Reinhardt 1, Christian Meyer 2, Ulrich John 2, Hans‐Jürgen Rumpf 1
PMCID: PMC6879070  PMID: 18543367

Abstract

Aims: To examine, if the utilization of help for problematic drinking after brief intervention (BI) differs between general practice (GP) patients with and without comorbid depression or anxiety disorders. Methods: Longitudinal data of 374 GP patients, who met the diagnostic criteria of alcohol dependence or abuse according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM‐IV) and criteria of at‐risk drinking or binge drinking, were drawn from a randomized controlled BI study. Participants were randomly allocated to either a control or one of two intervention groups, receiving a series of alcohol related BI. Of the sample, 88 participants were diagnosed with comorbid anxiety and/or depressive disorders. At 12‐months follow‐up, differences in utilization of formal help for drinking problems were assessed between comorbid and non‐comorbid individuals. Results: BI were significantly related to an increase in utilization of formal help in non‐comorbid patients (χ2 = 4.54; df = 1; p < 0.05) but not in comorbid individuals (χ2 = 0.40; df = 1; p = 0.60). In a logistic regression analysis, comorbidity [odds ratio (OR) = 1.81; 95% confidence interval (CI) = 1.14–2.88; p = 0.01) and previous help seeking (OR = 15.98; CI = 6.10–41.85; p < 0.001) were found to be positive predictors for utilization of formal help. Conclusion: BIs do not seem to significantly support help‐seeking in the comorbid. As comorbid anxiety and depression constitute a positive predictor for help‐seeking, individuals with problematic drinking and comorbid anxiety or depressive disorders might benefit from more specialized support exceeding the low level of BI. Copyright © 2008 John Wiley & Sons, Ltd.

Keywords: utilization of help, problematic drinking, comorbidity, anxiety, depression

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REFERENCES

  1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders, fourth edition, international version. Washington, DC: American Psychiatric Association, 1995. [Google Scholar]
  2. Babor TF, Hodgson B, Ritson B, McRee G, Ernberg K, Connor K, Grant M. Experimental design and project administration In Grant M. (ed.) Program on Substance Abuse. Project on Identification and Management of Alcohol‐related Problems. Report on Phase II: A randomized clinical trial of brief interventions in primary health care. Geneva: World Health Organization, 1992. [Google Scholar]
  3. Bertholet N, Deappen JG, Wietlisbach V, Fleming M, Burnand B. Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta‐analysis. Arch Internal Med 2005; 165(9): 986–95. [DOI] [PubMed] [Google Scholar]
  4. Bien TH, Miller WR, Tonigan JS. Brief interventions for alcohol problems: a review. Addiction 1993; 88: 315–36. [DOI] [PubMed] [Google Scholar]
  5. Bischof G, Reinhardt S, Grothues J, Dybek I, Meyer C, Hapke U, Rumpf H‐J. Effect of item sequence on the performance of the AUDIT in general practices. Drug Alcohol Depend 2005; 79(3): 373–7. [DOI] [PubMed] [Google Scholar]
  6. British Medical Association . Guidelines on sensible drinking. London: British Medical Association, 1995. [Google Scholar]
  7. Grant BF. Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. J Studies Alcohol 1997; 58(4): 365–71. [DOI] [PubMed] [Google Scholar]
  8. Kessler RC, Crum RM, Warner LA, Nelson CB, Schulenberg J, Anthony JC. Lifetime co‐occurrence of DSM‐III‐R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Arch Gen Psychiatry 1997; 54: 313–21. [DOI] [PubMed] [Google Scholar]
  9. Kessler RC, Nelson CB, McGonagle KA, Edlund MJ, Frank RG, Leaf PJ. The epidemiology of co‐occurring addictive and mental disorders: implications for prevention and service utilisation. Am J Orthopsychiatry 1996; 66(1): 17–31. [DOI] [PubMed] [Google Scholar]
  10. Miller WR. Motivational interviewing with problem drinkers. Behav Psychotherapy 1983; 1: 142–72. [Google Scholar]
  11. Moyer A, Finney JW, Swearingen CE, Vergun P. Brief interventions for alcohol problems: a meta‐analytic review of controlled investigations in treatment‐seeking and non‐treatment‐seeking populations. Addiction 2002; 97: 279–92. [DOI] [PubMed] [Google Scholar]
  12. Rollnick S, Mason P, Butler C. Health Behaviour Change. Oxford: Churchill Livingstone, 1999. [Google Scholar]

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