Diagnosis and treatment of alcohol-dependent patients with comorbid psychiatric disorders.

摘要: Psychiatric disorders occur more often among alcoholics than the general population. The psychiatric that most frequently experience include mood (e.g., depression), anxiety disorders, and antisocial personality disorder. evaluation of symptoms in alcoholic patients is complicated by multiple relationships exist heavy drinking, symptoms, factors. For example, with co-occurring depression may be at greater risk psychosocial problems, relapse, suicide. Conversely, drinking produce or worsen anxiety. Although clinical provides guidance for treating these patients, further research needed to develop effective pharmacological therapies aimed specific combinations addictive disorders. KEY WORDS: diagnosis; treatment; AODD (alcohol other drug dependence); behavioral mental disorder; dual comorbidity; epidemiology; therapy; psychotherapy; literature review Epiderniologic studies suggest an involved treatment statistically high a disorder compared certain are accompanied alcohol abuse dependence (Meyer 1986). psy@ chiatric have been studied (ASPD). presence comorbid has prognostic implications. instance, interpersonal noncompliance, attempted completed suicide (Kranzler et al. 1998). Additionally, depressive symptoms. Research also indicates ASPD start earlier age sooner without (Hesselbrock 1992). Together, findings diagnosed alcohol-use should undergo thorough assessment. seen settings routinely evaluated However, can present challenge clinician because complexity between This article explores extent comorbidity describes on nature relationships, suggests considerations as well strategies comorbidities. considers approaches, both separately combination. EPIDEMIOLOGY Of various epidemiologic eiuunined sampled from population, National Comorbidity Survey (NCS) representative sample covers comprehensively (Kessler 1994). community survey 8,000 respondents showed women, 72.4 percent those who abused 86.0 were dependent had lifetime drug-use 1997). Among men, comparable figures 56.8 78.3 percent, respectively NCS shows common female alcoholics, whereas male …