Lea A N Christoffersen1,2,3, Erik L Mortensen1,2, Merete Osler1,4, Holger J Sørensen3,5, Ulrik Becker3, Trine Flensborg-Madsen1,2. 1. Department of Public Health, University of Copenhagen, Copenhagen, Denmark. 2. Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark. 3. National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. 4. Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark. 5. Mental Health Centre Copenhagen, Copenhagen University Hospital Gentofte, Hellerup, Denmark.
Abstract
OBJECTIVE: To describe the prevalence of lifetime psychiatric hospital diagnoses among men registered in an outpatient alcohol clinic and compare the prevalence with matched controls. To assess temporality of alcohol use disorder (AUD) diagnoses and another psychiatric hospital diagnosis and examine the prevalence of lifetime psychiatric hospital diagnoses according to this temporal order. METHODS: The study included 8,412 Danish men registered in an outpatient alcohol clinic, and 8,412 unregistered controls from the Danish Conscription Database matched on birth date, lifespan, intelligence and draft board district. Information on first outpatient AUD treatment was retrieved from the Copenhagen Alcohol Cohort. Information on lifetime psychiatric hospital diagnoses was retrieved from national Danish psychiatric registers and based on the International Classification of Diseases the 8th and 10th Revisions. Prevalence estimates of lifetime psychiatric hospital diagnoses were compared with odds ratios (OR) between men registered in an outpatient alcohol clinic and the control population. RESULTS: Among men registered in an outpatient alcohol clinic, 66.6% had a lifetime psychiatric hospital diagnosis. In total, 8.6% had neuroses and anxiety disorders, while 25.3% had personality disorders. The OR of a lifetime psychiatric hospital diagnosis was 9.77 (95%CI: 8.87-10.75) when comparing men registered in an outpatient alcohol clinic with the control population. Among men with a lifetime psychiatric hospital diagnosis, 42.8% was registered with another psychiatric hospital diagnosis before registration with an AUD diagnosis. CONCLUSION: Among men with a lifetime psychiatric hospital diagnosis, AUD is rarely diagnosed without psychiatric comorbidity at first-time admissions to psychiatric hospital departments.
OBJECTIVE: To describe the prevalence of lifetime psychiatric hospital diagnoses among men registered in an outpatientalcohol clinic and compare the prevalence with matched controls. To assess temporality of alcohol use disorder (AUD) diagnoses and another psychiatric hospital diagnosis and examine the prevalence of lifetime psychiatric hospital diagnoses according to this temporal order. METHODS: The study included 8,412 Danish men registered in an outpatientalcohol clinic, and 8,412 unregistered controls from the Danish Conscription Database matched on birth date, lifespan, intelligence and draft board district. Information on first outpatient AUD treatment was retrieved from the Copenhagen Alcohol Cohort. Information on lifetime psychiatric hospital diagnoses was retrieved from national Danish psychiatric registers and based on the International Classification of Diseases the 8th and 10th Revisions. Prevalence estimates of lifetime psychiatric hospital diagnoses were compared with odds ratios (OR) between men registered in an outpatientalcohol clinic and the control population. RESULTS: Among men registered in an outpatientalcohol clinic, 66.6% had a lifetime psychiatric hospital diagnosis. In total, 8.6% had neuroses and anxiety disorders, while 25.3% had personality disorders. The OR of a lifetime psychiatric hospital diagnosis was 9.77 (95%CI: 8.87-10.75) when comparing men registered in an outpatientalcohol clinic with the control population. Among men with a lifetime psychiatric hospital diagnosis, 42.8% was registered with another psychiatric hospital diagnosis before registration with an AUD diagnosis. CONCLUSION: Among men with a lifetime psychiatric hospital diagnosis, AUD is rarely diagnosed without psychiatric comorbidity at first-time admissions to psychiatric hospital departments.
Authors: M A Schuckit; J E Tipp; K K Bucholz; J I Nurnberger; V M Hesselbrock; R R Crowe; J Kramer Journal: Addiction Date: 1997-10 Impact factor: 6.526
Authors: Erik Lykke Mortensen; Holger Jelling Sørensen; Hans Henrik Jensen; June Machover Reinisch; Sarnoff A Mednick Journal: Br J Psychiatry Date: 2005-11 Impact factor: 9.319
Authors: Jan-Erik Lönnqvist; Markku Verkasalo; Jari Haukka; Kai Nyman; Jari Tiihonen; Ilmo Laaksonen; Jukka Leskinen; Jouko Lönnqvist; Markus Henriksson Journal: J Abnorm Psychol Date: 2009-05