Generalized anxiety disorder is under-recognized in clinical practice in patients with alcohol dependence in France

被引:7
作者
Charriau, Violaine [1 ]
Elyakoubi, M'hammed [1 ]
Millet, Bruno [2 ]
Drapier, Dominique [2 ]
Robin, Didier [1 ]
Moirand, Romain [3 ]
机构
[1] Etab Publ Sante Mentale Morbihan, F-56896 St Ave, France
[2] Ctr Hosp Guillaume Regnier, Serv Hosp Univ Psychiat, F-35000 Rennes, France
[3] CHU Rennes, Unite Addictol, F-35033 Rennes, France
关键词
Generalized anxiety disorder; Alcohol dependence; Comorbidity; SUBSTANCE USE DISORDERS; PSYCHIATRIC-DISORDERS; DSM-IV; COMORBIDITY; PREVALENCE; COOCCURRENCE; DIAGNOSIS; ABUSE; MOOD; MINI;
D O I
10.1016/j.alcohol.2012.08.008
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Generalized Anxiety Disorder (GAD) is a frequent disabling disorder that often occurs with alcohol dependence. However comorbidity between substance use disorders and psychiatric disorders is often under-diagnosed. This study tried to evaluate an under-recognition of GAD by clinicians in alcoholic inpatients. Two groups of alcohol-dependent inpatients, hospitalized in the same non-academic psychiatric hospital in France, were included. The first group (Group 1) (n = 205) was included retrospectively within all patients hospitalized for alcohol dependence from may to November 2007. A record review was performed to determine the number of GAD (and other psychiatric disorders) diagnosis which was reported on these files by the clinicians. The second group (Group 2) (n = 199) was included prospectively from May to November 2008. GAD diagnosis was screened with the Worry and Anxiety Questionnaire and then confirmed with the Mini International Neurodiagnostic Interview. The two groups were similar in terms of social and demographic variables. GAD prevalence rate was significantly higher in Group 2 (30.7% with Confidence Interval [0.242; 0.371]) than in Group 1(2.4% with Confidence Interval [0.003; 0.045]). This study confirms our hypothesis of an under-recognition of GAD by clinicians in alcohol dependant inpatients. It also confirms the high prevalence rate of comorbidity between alcohol dependence and GAD. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:15 / 19
页数:5
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