Co-occurrence patterns of anxiety, depression and alcohol use disorders
Co-occurrence patterns of anxiety, depression and alcohol use disorders
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DOI：
10.1007/s00406-007-0752-0
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发表时间：
2007-10-01
影响因子：
4.7
通讯作者：
de Jesus Mari, Estela Aquino Jair
中科院分区：
文献类型：
--
作者：
Almeida-Filho, Naomar;Lessa, Ines;de Jesus Mari, Estela Aquino Jair
在巴西巴伊亚的2，302名成年人样本中分析了焦虑和抑郁症状与饮酒/滥用的共同发生。采用标准化技术和训练有素的检查员进行了一项横断面家庭调查，收集了关于社会和个人健康以及个人心理状况的自我报告信息。12个月的患病率为15%的焦虑，12%的抑郁症和7%的酒精滥用/依赖。抑郁症的症状共现率更高（94%的病例与其他诊断共现），其次是焦虑症（82%）和酗酒（仅20%）。抑郁症患者中有焦虑症状者占74%，焦虑症患者中有抑郁症状者占61%。抑郁加上焦虑的组合在两个性别群体中都是最普遍的，从女性的17%到男性的5%不等。酒精中毒的共病组合的患病率较低，最小的（约1%）是三重组合酒精中毒+焦虑+抑郁。在没有合并症的情况下，性别比例大幅增加，在抑郁症（女性：男性比例= 13.8）和酗酒（男性：女性比例= 11.8）中达到峰值。集成分分析表明，强烈的重叠焦虑和抑郁症和抑郁症和酗酒之间的互补性，调制的性别（女性抑郁症，男性酗酒）。
Co-occurrence of anxiety and depressive symptoms with alcohol consumption/abuse was analyzed in a sample of 2,302 adults in Bahia, Brazil. A cross-sectional household survey collected self-reported information on social and personal health, as well as individual psychological status, with standardized techniques and trained examiners. Twelve-month prevalence was 15% for anxiety, 12% for depressive disorders and 7% for alcohol abuse/dependence. Symptom co-occurrence was more frequent for depression (94% of cases co-occurring with other diagnoses), followed by anxiety disorders (82%), and alcoholism (only 20%). There was a 74% proportion of anxiety symptoms among depressed, and a 61% proportion of depressed among anxiety sufferers. The combination of depression plus anxiety was the most prevalent in both gender groups, ranging from 17% for women to 5% for men. Comorbid combinations of alcoholism yielded low prevalences, the smallest (around 1%) being the triple combo alcoholism+anxiety+depression. Gender ratios increased substantially in the absence of comorbidity, reaching peaks in depression (F:M ratio = 13.8) and alcoholism (M:F ratio = 11.8). Set component analyses indicate strong overlapping of anxiety and depression and complementarity between depression and alcoholism, modulated by gender (women depressed, men alcoholic).