Hazardous Drinking-Related Characteristics of Depressive Disorders in Korea: The CRESCEND Study.
10.3346/jkms.2015.30.1.74
- Author:
Seon Cheol PARK
1
;
Sang Kyu LEE
;
Hong Seok OH
;
Tae Youn JUN
;
Min Soo LEE
;
Jae Min KIM
;
Jung Bum KIM
;
Hyeon Woo YIM
;
Yong Chon PARK
Author Information
1. Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Depressive Disorders;
Hazardous Drinking;
Suicidal Ideation;
Smoking;
Hypochondriasis
- MeSH:
Adult;
Alcohol Drinking/*epidemiology;
Alcoholism/*epidemiology/psychology;
*Dangerous Behavior;
Depressive Disorder/*epidemiology/psychology;
Female;
Humans;
Male;
Middle Aged;
Psychiatric Status Rating Scales/*statistics & numerical data;
Quality of Life;
Republic of Korea/epidemiology;
Suicidal Ideation
- From:Journal of Korean Medical Science
2015;30(1):74-81
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study aimed to identify clinical correlates of hazardous drinking in a large cohort of Korean patients with depression. We recruited a total of 402 depressed patients aged > 18 yr from the Clinical Research Center for Depression (CRESCEND) study in Korea. Patients' drinking habits were assessed using the Korean Alcohol Use Disorder Identification Test (AUDIT-K). Psychometric scales, including the HAMD, HAMA, BPRS, CGI-S, SSI-Beck, SOFAS, and WHOQOL-BREF, were used to assess depression, anxiety, overall psychiatric symptoms, global severity, suicidal ideation, social functioning, and quality of life, respectively. We compared demographic and clinical features and psychometric scores between patients with and without hazardous drinking behavior after adjusting for the effects of age and sex. We then performed binary logistic regression analysis to identify independent correlates of hazardous drinking in the study population. Our results revealed that hazardous drinking was associated with current smoking status, history of attempted suicide, greater psychomotor retardation, suicidal ideation, weight loss, and lower hypochondriasis than non-hazardous drinking. The regression model also demonstrated that more frequent smoking, higher levels of suicidal ideation, and lower levels of hypochondriasis were independently correlates for hazardous drinking in depressed patients. In conclusion, depressed patients who are hazardous drinkers experience severer symptoms and a greater burden of illness than non-hazardous drinkers. In Korea, screening depressed patients for signs of hazardous drinking could help identify subjects who may benefit from comprehensive therapeutic approaches.
