title: Outcomes of co-morbid alcoholic men: a 1-year follow-up.
abstract: 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.
authors.affiliation: Veterans Administration Medical Center, Kansas City, Missouri 64128-2295.
authors.forename: B J
authors.initials: BJ
authors.lastname: Powell
authors.forename: E C
authors.initials: EC
authors.lastname: Penick
authors.forename: E J
authors.initials: EJ
authors.lastname: Nickel
authors.forename: B I
authors.initials: BI
authors.lastname: Liskow
authors.forename: K D
authors.initials: KD
authors.lastname: Riesenmy
authors.forename: S L
authors.initials: SL
authors.lastname: Campion
authors.forename: E F
authors.initials: EF
authors.lastname: Brown
mesh_terms: 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
chemical_list: D011619:Psychotropic Drugs