Outcomes of co-morbid alcoholic men: a 1-year follow-up.
In this prospective, 1-year study, 360 males admitted to an inpatient alcoholism treatment program were administered a DSM-III compatible structured interview and subtyped by co-occurring psychiatric disorder. Forty percent satisfied diagnostic criteria for alcohol dependence while 27% met criteria for alcohol dependence and one additional psychiatric syndrome. The dually diagnosed patients were divided into: alcohol dependence plus drug abuse, alcohol dependence plus antisocial personality and alcohol dependence plus depression. These subtypes were compared on multiple dimensions at intake and at 1-year follow-up. At follow-up, all groups showed significant improvement in drinking and psychosocial functioning. The results suggest that subtyping alcoholics by co-morbid psychiatric disorders may be a good postdictor of clinical history, but a poor predictor of drinking outcome.
Powell
B J
BJ
Veterans Administration Medical Center, Kansas City, Missouri 64128-2295.
Penick
E C
EC
Nickel
E J
EJ
Liskow
B I
BI
Riesenmy
K D
KD
Campion
S L
SL
Brown
E F
EF
D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D000987:Antisocial Personality Disorder / Q000523:psychology / Q000534:rehabilitation; D003866:Depressive Disorder / Q000523:psychology / Q000534:rehabilitation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D011619:Psychotropic Drugs; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation
D011619:Psychotropic Drugs