Alcohol Craving and Psychiatric Disorders Among Current Drinkers
Autor: | Gihyun Yoon, Suck Won Kim, Jahn K. Hakes, Joseph Westermeyer, Ismene L. Petrakis, Katie Thompson |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Alcohol Drinking Substance-Related Disorders media_common.quotation_subject Population 030508 substance abuse Medicine (miscellaneous) Craving Comorbidity Alcohol use disorder Personality Disorders Young Adult 03 medical and health sciences 0302 clinical medicine mental disorders Odds Ratio Prevalence Humans Medicine Personality education Psychiatry media_common education.field_of_study Mood Disorders business.industry Odds ratio Middle Aged medicine.disease Anxiety Disorders Substance abuse Alcoholism Psychiatry and Mental health Clinical Psychology Mood Psychotic Disorders Female medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery Anxiety disorder |
Zdroj: | The American Journal on Addictions. 30:34-42 |
ISSN: | 1521-0391 1055-0496 |
DOI: | 10.1111/ajad.13083 |
Popis: | BACKGROUND AND OBJECTIVES Previous research has shown that alcohol craving is associated with psychiatric comorbidities. However, no population studies have examined the odds of psychiatric disorders in cravers and noncravers. The purpose of this study was to investigate current prevalence rates and odds ratios of psychiatric disorders among alcohol drinkers with and without alcohol craving in a population-based sample. We also compared four craving groups (cravers with and without alcohol use disorder [AUD], noncravers with and without AUD) for psychiatric comorbidities. METHODS The study data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). A subset of the NESARC sample (N = 22 000) who reported alcohol use during the past 12 months was included. Prevalence rates of psychiatric disorders were compared among current drinkers with alcohol craving (N = 900) and without alcohol craving (N = 21 500). RESULTS Cravers had higher prevalence rates of current psychiatric disorders than noncravers. Even after adjustment for other psychiatric disorders including AUD, cravers had significantly higher odds of any substance use disorder (adjusted odds ratio [AOR], 9.01), any mood disorder (AOR, 1.78), any anxiety disorder (AOR, 1.86), and any personality disorder (AOR, 1.92) than noncravers. Interestingly, cravers without AUD had even higher rates of any anxiety disorder and any personality disorder than noncravers with AUD. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE Alcohol craving is associated with a higher prevalence of various psychiatric disorders. These findings suggest that alcohol craving may be related to transdiagnostic features that are present across various psychiatric disorders. (Am J Addict 2021;30:34-42). |
Databáze: | OpenAIRE |
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