Prospective relations between melancholia and substance use disorders.
Examining associations between subtypes of major depressive disorder (MDD) and substance use disorders (SUDs) might elucidate mechanisms of comorbidity between MDD and SUDs. This study evaluated prospective relations between SUDs and melancholic MDD. A cohort of community-dwelling participants with lifetime history of MDD (N = 460) were assessed for DSM-IV mental disorders using structured clinical interviews at ages 24 and 30. Stimulant use disorders and melancholic MDD were prospective risk factors for each other over the 6-year-period following the age-24 assessment. Associations were robust when controlling for clinical severity/chronicity. Alcohol and cannabis use disorders were not robustly associated with melancholia.
Leventhal
Adam M
AM
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912, USA. adam leventhal@brown.edu
Lewinsohn
Peter M
PM
Pettit
Jeremy W
JW
D000328:Adult; D019973:Alcohol-Related Disorders / Q000150:complications; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D015331:Cohort Studies; D015897:Comorbidity; D003625:Data Collection; D003865:Major Depressive Disorder / Q000150:complications* / Q000503:physiopathology; D017831:Diagnosis, Dual (Psychiatry); D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000150:complications; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000150:complications* / Q000503:physiopathology
D000697:Central Nervous System Stimulants