Study of impulse-control disorders among alcohol-dependent patients

摘要: Background Impulse-control disorders (ICDs) include intermittent explosive disorder, kleptomania, trichotillomania, pyromania, and pathological gambling. Several studies have suggested that the incidence of gambling is substantially higher in alcoholics than general population. The rate co-occurrence other ICDs alcohol dependence has never been systematically investigated. In our study, we assessed frequency all a population alcohol-dependent patients. We also examined possibility presence an ICD can correspond to earlier onset more severe forms alcoholism, which greater association with antisocial personality. Method All patients hospitalized at psychiatric unit for detoxification between January August 1997 met DSM-IV criteria were included this study. Diagnosis was confirmed Mini-International Neuropsychiatric Interview. investigated using Minnesota Impulsive Disorders completed Michigan Alcoholism Screening Test. Results Among 79 30 (38.0%) ICD. Included study 19 cases 7 gambling, 3 1 case trichotillomania. Patients co-occurring significantly younger without (mean age = 40.7 vs. 44.5 years; p .03). 19.5 25.9 .0008). Pathological gamblers had longer duration compared (26.0 17.9 .02). disorder shortest (9.9 years). Prevalence personality no different or ICDs. Conclusion Thirty-eight percent studied presented those not associated specific form Co-occurrence however, lower dependence, number detoxifications, absence