Robert J Tait1, Gary K Hulse. 1. School of Psychiatry and Clinical Neurosciences, University of Western Australia, D Block, QEII Campus, Nedlands, WA 6009. rjtait@cyllene.uwa.edu.au
Abstract
BACKGROUND: Substance use by people with severe psychiatric morbidity is associated with negative outcomes. AIMS: To assess in adults with less severe psychiatric morbidity the relationship between alcohol consumption and subsequent 7-year hospital admissions, and the development and recurrence of alcohol use disorders. METHOD: Follow-up data were assembled via a population-based hospital record-linkage system. RESULTS: Baseline alcohol use groups were: dependent (n=31), harmful (n=114), moderate (n=621) and abstinent (n=249). The moderate but not the abstinent group had fewer mental health admissions and a longer time to first admission than the harmful and dependent groups. Both the moderate and the abstinent groups had longer times to 'all-cause' admissions than the dependent group. Many of those with alcohol use disorders at baseline relapsed (66%) but few (14%) developed a first-time alcohol use disorder. CONCLUSIONS: Overall, moderate alcohol consumption among those with less severe psychiatric morbidity was not associated with more mental health admissions; those with alcohol dependence had poorer health outcomes than the remaining categories.
BACKGROUND: Substance use by people with severe psychiatric morbidity is associated with negative outcomes. AIMS: To assess in adults with less severe psychiatric morbidity the relationship between alcohol consumption and subsequent 7-year hospital admissions, and the development and recurrence of alcohol use disorders. METHOD: Follow-up data were assembled via a population-based hospital record-linkage system. RESULTS: Baseline alcohol use groups were: dependent (n=31), harmful (n=114), moderate (n=621) and abstinent (n=249). The moderate but not the abstinent group had fewer mental health admissions and a longer time to first admission than the harmful and dependent groups. Both the moderate and the abstinent groups had longer times to 'all-cause' admissions than the dependent group. Many of those with alcohol use disorders at baseline relapsed (66%) but few (14%) developed a first-time alcohol use disorder. CONCLUSIONS: Overall, moderate alcohol consumption among those with less severe psychiatric morbidity was not associated with more mental health admissions; those with alcohol dependence had poorer health outcomes than the remaining categories.
Authors: Manuel Muñoz; Berta Ausín; Ana B Santos-Olmo; Martin Härter; Jana Volkert; Holger Schulz; Susanne Sehner; Maria Christina Dehoust; Anna Suling; Karl Wegscheider; Alessandra Canuto; Mike J Crawford; Luigi Grassi; Chiara Da Ronch; Yael Hershkovitz; Alan Quirk; Ora Rotenstein; Arieh Y Shalev; Jens Strehle; Kerstin Weber; Hans-Ulrich Wittchen; Sylke Andreas Journal: PLoS One Date: 2018-04-30 Impact factor: 3.240