Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-10T06:52:03.187Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychiatric comorbidity in alcoholics treated at an institution with both coerced and voluntary admission

Published online by Cambridge University Press:  16 April 2020

B Sallmén ,
LH Nilsson  and
M Berglund
B Sallmén*
Affiliation:
Department of Psychology, Malmoe University Hospital, University of Lund, Sweden
LH Nilsson
Affiliation:
Department of Alcohol Diseases, Malmoe University Hospital, University of Lund, Sweden
M Berglund
Affiliation:
Department of Alcohol Diseases, Malmoe University Hospital, University of Lund, Sweden
*
*Correspondence and reprints: Karlsvik Rehabilitation Center, Box 198, S-24323 Höör, Sweden.
Get access

Summary

Psychiatric comorbidity in alcoholics admitted to a rehabilitation center on either a voluntary or a coerced basis were studied. A group of 104 alcoholics (37 coerced and 35 voluntarily admitted men; and 21 coerced and ten voluntarily admitted women) with a mean age (SD) of 43 ± 8 years were assessed by means of a Structural Clinical Interview in accordance with the Diagnostic and Statistical Manual (DSM)-III-R (SCID). The interview took place a mean of 7 days after admission. The frequencies of lifetime/current axis I psychiatric comorbidity (substance use disorders excluded) were 66 and 61%, respectively. Drug dependence was present in 41 and 39%, respectively, of the cases. Thirty-seven percent had a lifetime diagnosis, and 33% a current diagnosis of affective disorders, 27 and 23%, respectively, of anxiety disorders and 20 and 13%, respectively, of non-organic psychotic disorders. In a subsample of 20 subjects, depressive symptoms were found to be stable during the course of treatment. No differences in frequency of psychiatric comorbidity were found between coerced and voluntarily admitted patients (67 and 56%, respectively) or between men and women (65 and 52%, respectively). The combination of psychiatric comorbidity and drug dependence was overrepresented among the coerced patients (50 vs 16%). It was concluded that the frequencies of psychiatric comorbidity were high in the present group. The co-occurrence of alcohol dependence, drug dependence and psychiatric comorbidity was more frequent among subjects who were coercively treated.

Keywords

alcohol dependencedrug dependencecoercive carepsychiatric comorbiditygender differencesalcohol use inventoryGlobal Assessment of Functioning scale
Type
Original articles
Information
European Psychiatry , Volume 12 , Issue 7 , 1997 , pp. 329 - 334
Copyright
Copyright © Elsevier, Paris 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-III-R) Washington, DC: The American Psychiatric Association, 3rd ed rev, 1987Google Scholar
Bassuk, EL, Rubin, L, Lauriat, A. Is homelessness a mental health problem?. Am J Psychiatry 1984; 141: 1546Google ScholarPubMed
Berglund, M, Bergman, H, Swenelinus, T. The Swedish Alcohol Use Inventory — A new questionnaire for differentiated diagnosis of alcoholism. Alcohol Alcohol 1988; 23: 173–178Google Scholar
Bjerver, K. An evaluation of compulsive treatment programs for alcoholic patients in Stockholm with particular reference to longitudinal development, epidemiological aspects and patient morbidity. Opuscula Medica 1972 25(Suppl)Google Scholar
Brown, SA, Schuckit, MA. Changes in depression among abstinent alcoholics. J Stud Alcohol 1988; 49: 412–41710.15288/jsa.1988.49.412CrossRefGoogle ScholarPubMed
Helzer, JE, Pryzbeck, TR. The cooccurence of alcoholism with other psychiatric disorders in the general population and its impact on treatment. J Stud Alcohol 1988; 49: 219–224CrossRefGoogle Scholar
Hesselbrock, MN, Meyer, RE, Keener, JJ. Psychopathology in hospitalized alcoholics. Arch Gen Psychiatry 1985; 42: 1050–1055CrossRefGoogle ScholarPubMed
Kajandi, M, Brattlöf, L, Söderlind, AQuality of life. Estimations of the reliability of an instrument measuring quality of life[Livskvalitet. Beräkningar av ett livskvalitetsinstruments reliabilitet] Uppsala, Sweden: Dept of Psychiatry, Ulleråker Hospital, 1983ReportGoogle Scholar
Koegel, P, Burnam, MA. Alcoholism among homeless adults in the inner city of Los Angeles. Arch Gen Psychiatry 1988; 45: 1011–1022CrossRefGoogle ScholarPubMed
Lehman, AF, Cordray, DS. Prevalence of alcohol, drug, and mental disorders among the homeless: one more time. Contemp Drug Probl Fall 1993 355–383Google Scholar
Mirin, SM, Weiss, RD, Michael, J. Psychopathology in substance abusers: diagnosis and treatment. Am J Drug Alcohol Abuse 14 2 1988 139–15710.3109/00952999809001542CrossRefGoogle ScholarPubMed
Mirin, SM, Weiss, RD, Griffin, ML. Psychopathology in drug abusers and their families. Compr Psychiatry 32 1 1991 36–5110.1016/0010-440X(91)90068-NCrossRefGoogle ScholarPubMed
Overall, JE, Reilly, JT, Hollister, LE. Persistence of depression in detoxified alcoholics. Alc Clin Exp Res 1985; 9: 331–333CrossRefGoogle ScholarPubMed
Penick, EC, Powell, BJ, Liskow, BI, Jackson, JO, Nickel, EJ. The stability of coexisting psychiatric syndromes in alcoholic men after one year. J Stud Alcohol 49 5 1988 395–405CrossRefGoogle ScholarPubMed
Robins, LN, Helzer, JE, Weissman, MM, Orvaschel, H, Gruenberg, E, Burke, JDet-al. Lifetime prevalence of psychiatric disorders in three sites. Arch Gen Psychiatry 1984; 41: 949–958CrossRefGoogle ScholarPubMed
Ross, HE. Alcohol and drug abuse in treated alcoholics: a comparison of men and women. Alc Clin Exp Res 1989; 13: 810–81610.1111/j.1530-0277.1989.tb00428.xCrossRefGoogle ScholarPubMed
Ross, HE, Glaser, FB, Germanson, T. The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Arch Gen Psychiatry 1988; 45: 1023–1031CrossRefGoogle ScholarPubMed
Schneider, FR, Siris, SG. A review of psychoactive substance use and abuse in schizophrenia: patterns of drug choice. J Nerv Ment Dis 1987; 175: 641–65210.1097/00005053-198711000-00001CrossRefGoogle Scholar
Schuckit, MA. The clinical implications of primary diagnostic groups among alcoholics. Arch Gen Psychiatry 1985; 42: 1043–1049CrossRefGoogle ScholarPubMed
Siegel, SNon-Parametric Statistics for the Behavioral Sciences Tokyo: McGraw-Hill, 1956Google Scholar
Solomon, JZimberg, SShollar, E eds. Dual Diagnosis: Evaluation, Treatment, Training, and Program Development New York: Plenum Press, 1993CrossRefGoogle Scholar
Spitzer, RL, Williams, J, Gibbon, M. Instruction manual for the structural clinical interview DSM-III-R. Arch Gen Psychiatry 1992; 49: 629–636CrossRefGoogle Scholar
The Swedish Law of Coercive Treatment of Abusers under Specific Conditions. [Lag (1988:870) om Vård av Missbrukare i vissa fall]Google Scholar
Vaillant, GEed. The Natural History of Alcoholism Cambridge: Harvard University Press, 1983Google ScholarPubMed
Weiss, RD, Mirin, SM, Griffin, ML, Michael, JL. A comparison of alcoholic and nonalcoholic drug abusers. J Stud Alcohol 49 6 1988 510–515CrossRefGoogle ScholarPubMed
Weissman, MM, Myers, KM. Clinical depression in alcoholism. Am J Psychiatry 137 3 1980 372–373Google ScholarPubMed
Zimberg, SIntroduction and general concepts of dual diagnosis In: Solomon, Jet al eds.Dual diagnosis: Evaluation, Treatment, Training, and Program Development New York: Plenum Press, 1993 3–21CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.