Utilization of mental health services and risk of 12-month problematic alcohol use.
OBJECTIVE
To examine whether mental health service utilization modifies the association between lifetime anxiety or depressive disorders (ADD) and risk of 12-month problematic alcohol use.


METHODS
Randomly selected members (n=6518) of a mutual health-insurance company were evaluated for lifetime ADD (DSM-IV), mental health service utilization for ADD, and risk of 12-month problematic alcohol use (DSM-IV and CAGE).


RESULTS
Risk of 12-month problematic alcohol use was reduced when mental health services had been used for several ADD (OR=3.3 vs 5.8), but not for one ADD.


CONCLUSIONS
These results show the importance of taking mental health service use into account as a potential effect-modifier of psychiatric comorbidity.
Encrenaz
Gaëlle
G
Institut National de la Santé et de la Recherche Médicale, Institut Fédératif de Recherche en Santé Publique (IFR INSERM 99), Victor Segalen Bordeaux 2 University, France. Gaelle.Encrenaz@isped.u-bordeaux2.fr
Kovess-Masféty
Viviane
V
Sapinho
David
D
Chee
Christine Chan
CC
Messiah
Antoine
A
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000628:therapy; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology* / Q000628:therapy; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D008960:Models, Psychological; D015995:Prevalence; D012737:Sex Factors; D012944:Social Support; D011795:Surveys and Questionnaires