Clinical Correlates of Alcohol Use Disorder in Depressed Patients with Unipolar and Bipolar Disorder
- Author:
Minseok HONG
1
;
Tae Hyon HA
;
Suyeon LEE
;
Sunghee OH
;
Woojae MYUNG
Author Information
- Publication Type:Original Article
- Keywords: Major depressive episode; Alcohol use disorder; Bipolar disorder; Affective temperaments; Manic symptoms dimension
- MeSH: Bipolar Disorder; Depression; Diagnosis; Hand; Humans; Logistic Models; Mood Disorders; Phenotype; Psychopathology; Suicidal Ideation; Temperament
- From:Psychiatry Investigation 2019;16(12):926-932
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: Alcohol use disorder (AUD) is one of the most frequent comorbid conditions in mood disorders. We aimed to examine the relationships between clinical phenotypes of acutely depressed subjects and co-occurring AUD.METHODS: Clinical assessment including diagnosis of mood disorder and co-occurring AUD, the severity of depressive or manic symptoms, and affective temperaments were conducted in 137 subjects suffering from a major depressive episode. According to the presence of AUD, clinical variables were compared between the two groups. Using binary logistic regression models, the effects of mood symptoms and affective temperaments on the risk of AUD were determined.RESULTS: Severity of manic symptoms, suicidal ideation, and childhood trauma were higher in the AUD group than in the non-AUD group. Scores for irritable and hyperthymic temperament were higher and the score for anxious temperament was lower in the AUD group. In regression models adjusting confounders, anxious temperament was an independent protector against AUD. On the other hand, the diagnosis of bipolar disorder and the irritable manic symptom dimension increased the risk of AUD.CONCLUSION: Anxious temperament decreased the AUD risk, whereas irritable manic symptoms increased the risk during depression. AUD in mood disorders may be an expression of manic psychopathology.
