Psychiatry Investig.  2019 Dec;16(12):926-932. 10.30773/pi.2019.0182.

Clinical Correlates of Alcohol Use Disorder in Depressed Patients with Unipolar and Bipolar Disorder

Affiliations
  • 1Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.
  • 2Mood Disorders Clinic & Clinical Affective Neuroscience Laboratory, Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. hatti@snu.ac.kr

Abstract


OBJECTIVE
Alcohol use disorder (AUD) is one of the most frequent comorbid conditions in mood disorders. We aimed to examine the relationships between clinical phenotypes of acutely depressed subjects and co-occurring AUD.
METHODS
Clinical assessment including diagnosis of mood disorder and co-occurring AUD, the severity of depressive or manic symptoms, and affective temperaments were conducted in 137 subjects suffering from a major depressive episode. According to the presence of AUD, clinical variables were compared between the two groups. Using binary logistic regression models, the effects of mood symptoms and affective temperaments on the risk of AUD were determined.
RESULTS
Severity of manic symptoms, suicidal ideation, and childhood trauma were higher in the AUD group than in the non-AUD group. Scores for irritable and hyperthymic temperament were higher and the score for anxious temperament was lower in the AUD group. In regression models adjusting confounders, anxious temperament was an independent protector against AUD. On the other hand, the diagnosis of bipolar disorder and the irritable manic symptom dimension increased the risk of AUD.
CONCLUSION
Anxious temperament decreased the AUD risk, whereas irritable manic symptoms increased the risk during depression. AUD in mood disorders may be an expression of manic psychopathology.

Keyword

Major depressive episode; Alcohol use disorder; Bipolar disorder; Affective temperaments; Manic symptoms dimension

MeSH Terms

Bipolar Disorder*
Depression
Diagnosis
Hand
Humans
Logistic Models
Mood Disorders
Phenotype
Psychopathology
Suicidal Ideation
Temperament
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