title: Affective disorders and anxiety disorders predict the risk of drug harmful use and dependence.
abstract: OBJECTIVE
  To investigate whether affective disorders, anxiety disorders and alcohol use disorders may increase the risk of subsequently developing drug (non-alcohol-related) dependence and/or drug (non-alcohol-related) harmful use.
  
  
  METHODS
  A retrospective cohort study based on nationally representative household survey data collected from the 2007 National Survey of Mental Health and Wellbeing (MHW).
  
  
  METHODS
  The MHW survey applied the World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (WMH-CIDI 3.0) to collect information on ICD-10 mental disorder diagnoses. Ages at first onset for mental disorders and harmful drug use were used to reconstruct the cohort according to definition of exposure, time at risk and outcome.
  
  
  METHODS
  A total of 8841 Australian adults aged 18-85 years who were included in the 2007 MHW survey.
  
  
  RESULTS
  Participants with affective disorders and anxiety disorders were at higher risk of drug harmful use and drug dependence, and the effects did not vary by the length of time respondents had been exposed to mental disorders.
  
  
  CONCLUSIONS
  It is uncertain whether experience of affective disorders and anxiety disorders, possibly prior to the disorder being identified by the individual or a health worker, may lead to self-medication with psychoactive substances or whether common genetic factors linking mental disorder and drug use disorders are the underlying cause. Symptoms of mental health disorders should alert health-care providers to the possibility of drug use disorder comorbidity and the need for early intervention, especially among young males.
authors.affiliation: National Drug Research Institute, Curtin University, Perth, WA 6845, Australia. w.liang@curtin.edu.au
authors.forename: Wenbin
authors.initials: W
authors.lastname: Liang
authors.forename: Tanya
authors.initials: T
authors.lastname: Chikritzhs
authors.forename: Simon
authors.initials: S
authors.lastname: Lenton
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D000369:Aged, 80 and over; D019973:Alcohol-Related Disorders / Q000523:psychology*; D001008:Anxiety Disorders / Q000523:psychology*; D001315:Australia; D002648:Child; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry) / Q000706:statistics & numerical data; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology*; D013997:Time Factors; D055815:Young Adult