title: Treatment seeking and barriers to treatment for alcohol use in persons with alcohol use disorders and comorbid mood or anxiety disorders.
abstract: OBJECTIVE
  This study compared the prevalence and patterns of treatment seeking and barriers to alcohol treatment among individuals with alcohol use disorders (AUD) with and without comorbid mood or anxiety disorders.
  
  
  METHODS
  We used data from the national epidemiologic survey on alcohol and related conditions to examine alcohol treatment seeking, treatment settings and providers, perceived unmet need for treatment and barriers to such treatment. Our sample consisted of 5,003 individuals with AUD with a comorbid mood or anxiety disorder and 6,734 individuals with AUD but without mood or anxiety disorder comorbidity.
  
  
  RESULTS
  The group with mood or anxiety disorder comorbidity was more likely to seek alcohol treatment than the group without such comorbidity (18 vs. 12 %, p < 0.001). The comorbid group was also more likely to perceive an unmet need for such treatment (8 vs. 3 %, p < 0.001) and to report a larger number of barriers (2.81 vs. 2.20, p = 0.031). Individuals with AUD with comorbid mood or anxiety disorders were more likely than those without to report financial barriers to alcohol treatment (19 vs. 10 %, p = 0.032).
  
  
  CONCLUSIONS
  Individuals with AUD and comorbid mood or anxiety disorders would likely benefit from the expansion of financial access to alcohol treatments and integration of services envisioned under the Affordable Care Act.
authors.affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Hampton House, #800 624 North Broadway, Baltimore, MD, 21205, USA, ckaufman@jhsph.edu.
authors.forename: Christopher N
authors.initials: CN
authors.lastname: Kaufmann
authors.forename: Lian-Yu
authors.initials: LY
authors.lastname: Chen
authors.forename: Rosa M
authors.initials: RM
authors.lastname: Crum
authors.forename: Ramin
authors.initials: R
authors.lastname: Mojtabai
mesh_terms: D000293:Adolescent; D000328:Adult; D019973:Alcohol-Related Disorders / Q000453:epidemiology* / Q000628:therapy*; D001008:Anxiety Disorders / Q000453:epidemiology*; D015897:Comorbidity; D005260:Female; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D058991:Patient Protection and Affordable Care Act; D015995:Prevalence; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
references.citation: Drug Alcohol Depend. 2005 Jun 1;78(3):345-54
references.pmid: 15893166
references.citation: J Psychiatr Res. 2005 Jan;39(1):1-9
references.pmid: 15504418
references.citation: Health Aff (Millwood). 1994 Spring;13(1):337-42
references.pmid: 8188153
references.citation: Psychiatr Serv. 2001 Apr;52(4):469-76
references.pmid: 11274491
references.citation: Health Aff (Millwood). 1995 Fall;14(3):173-84
references.pmid: 7498890
references.citation: J Nerv Ment Dis. 2001 Jun;189(6):384-92
references.pmid: 11434639
references.citation: Arch Gen Psychiatry. 2005 Jun;62(6):593-602
references.pmid: 15939837
references.citation: Drug Alcohol Depend. 2002 Dec 1;68(3):299-307
references.pmid: 12393224
references.citation: Br J Psychiatry. 2003 Oct;183:304-13
references.pmid: 14519608
references.citation: Arch Gen Psychiatry. 1997 Jan;54(1):71-80
references.pmid: 9006403
references.citation: Psychiatr Serv. 2013 Sep 1;64(9):863-70
references.pmid: 23728427
references.citation: Psychiatr Serv. 1998 Feb;49(2):236-8
references.pmid: 9575013
references.citation: Am J Psychiatry. 1989 Sep;146(9):1131-41
references.pmid: 2669535
references.citation: Drug Alcohol Depend. 2008 Jan 1;92(1-3):27-36
references.pmid: 17706375
references.citation: Arch Gen Psychiatry. 2004 Aug;61(8):807-16
references.pmid: 15289279
references.citation: Psychiatr Serv. 2010 Dec;61(12):1223-31
references.pmid: 21123407
references.citation: Drug Alcohol Depend. 2003 Jul 20;71(1):7-16
references.pmid: 12821201
references.citation: Addict Behav. 2004 Dec;29(9):1707-24
references.pmid: 15530716
references.citation: Mol Psychiatry. 2009 Nov;14(11):1051-66
references.pmid: 18427559
references.citation: Alcohol Clin Exp Res. 1983 Winter;7(1):47-58
references.pmid: 6342449
references.citation: Health Aff (Millwood). 2006 May-Jun;25(3):648-58
references.pmid: 16684728
references.citation: J Health Soc Behav. 1995 Mar;36(1):1-10
references.pmid: 7738325
references.citation: Evid Rep Technol Assess (Full Rep). 2008 Nov;(173):1-362
references.pmid: 19408966
references.citation: Clin Psychol Rev. 2006 Mar;26(2):162-78
references.pmid: 16406196
references.citation: Compr Psychiatry. 2005 Jan-Feb;46(1):1-5
references.pmid: 15714187
references.citation: Curr Opin Psychiatry. 2012 May;25(3):194-200
references.pmid: 22395768
references.citation: J Clin Psychiatry. 2004 Jul;65(7):948-58
references.pmid: 15291684
references.citation: Am J Psychiatry. 1999 Aug;156(8):1230-6
references.pmid: 10450265
references.citation: Arch Gen Psychiatry. 1991 Jan;48(1):43-51
references.pmid: 1984761
references.citation: Addict Behav. 1998 Nov-Dec;23(6):893-907
references.pmid: 9801724
references.citation: Soc Sci Med. 1987;24(3):187-96
references.pmid: 3824001
references.citation: New Dir Ment Health Serv. 1991 Summer;(50):57-67
references.pmid: 1886550
references.citation: Arch Gen Psychiatry. 2002 Jan;59(1):77-84
references.pmid: 11779286
references.citation: Arch Gen Psychiatry. 2004 Apr;61(4):361-8
references.pmid: 15066894
references.citation: Drug Alcohol Depend. 1997 Sep 25;47(3):207-16
references.pmid: 9306046
references.citation: Drug Alcohol Depend. 1997 Mar 14;44(2-3):133-41
references.pmid: 9088785
references.citation: Psychiatr Serv. 2009 Aug;60(8):1068-74
references.pmid: 19648194