DEPRESSION, ANXIETY AND STRESS AMONG ALCOHOL ADDICTS
Abstract
ABSTRACT
Objective. The aim of the study was to examine the level of depression, anxiety and stress in alcohol addicts, ie to determine differences in the level of depression, anxiety and stress between the group of subjects diagnosed with F10.1 and the group of subjects diagnosed with F10.2, as well as to determine differences in sociodemographic characteristics, and health status between groups of subjects diagnosed with F10.1 and F10.2.
Methods. Our study was designed as a non-experimental, observational cross-sectional study. Our study was conducted at the University Clinical Center Kragujevac in the Clinic for Psychiatry, during January 2021. The sample consisted of 110 respondents of both sexes, aged 18 to 65, divided into two groups. The first group consisted of subjects diagnosed with alcohol dependence (F10.2), and the second group consisted of subjects diagnosed with alcohol abuse (F10.1).
Results. Our study has shown that alcohol addicts have clinically significant and severe symptoms of depression, that symptoms were positively correlated with stress levels, and that short-term stress of milder intensity was associated with occasional alcohol abuse, while prolonged stress was a predictor of alcohol dependence. No statistically significant association of alcohol dependence and alcohol abuse with anxiety was found. It was also found that alcohol dependence is associated with certain sociodemographic characteristics such as gender and marital status, education level, employment status, as well as health status and number of hospitalizations.
Conclusion. With this study, we have shown how much stress is present and important in the genesis of alcoholism, then the positive correlation of depression and alcohol dependence, as well as the importance of sociodemographic characteristics in their genesis.
Key words: alcohol abuse, alcohol dependence, stress, anxiety, depression
References
World Health Organization. The world health report 2001 – Mental Health: New Understanding, New Hope; 2001: 10.
World Health Organization. Strengthening mental health promotion, Fact sheet No 220; WHO; 2001.
Mchugh KR, Weiss R. Alcohol use disorder and depressive disorders. Alcohol Research: Current Reviews 2019; 40(1): e1–
Wetterling T, Junghanns K. Psychopathology of alcoholics during withdrawal and early abstinence. European Psychiatry 2000; 15(8): 483–8.
Pavkovic B, Zaric M, Markovic M, Klacar M, Huljic A, Caricic A. Double screening for dual disorder, alcoholism and depression. Psychiatry Research 2018; 270: 483–9.
Smith JP, Randall CL. Anxiety and alcohol use disorders: Comorbidity and treatment considerations. Alcohol Research: Current Reviews 2012; 34(4): 414–31.
Dyer LM, Board G, Hogarth L, et al. State anxiety and alcohol choice: Evidence from experimental and online observational studies. Journal of Psychopharmacology 2020; 34(1): 1237–49.
Dohrenwend BP. The role of adversity and stress in psychopathology: Some evidence and its implications for theory and research. Journal of Health and Social Behavior 2000; 41: 1–19.
Sinha R. How does stress increase risk of drug abuse and relapse? Psychopharmacology (Berlin) 2001; 158: 343–59.
Sinha R. Chronic stress, drug use, and vulnerability to addiction. Annals of the New York Academy of Sciences 2008; 1141: 105–30.
McEwen BS. Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews 2007; 87: 873–904.
Barros Guinle MI, Sinha R. The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women. Alcohol Research 2020; 40(2): 05.
Subbie-Seanz de Viteri S, Pandey A, Pandey G, et al. Pathways to post-traumatic stress disorder and alcohol dependence: Trauma, executive functioning, and family history of alcoholism in adolescents and young adults. Brain and Behavior 2020; 10: e01789.
Vujčić I, Safiye T, Milikić B, Popović E, Dubljanin D, Dubljanin E, Dubljanin J, Čabarkapa M. Coronavirus Disease 2019 (COVID-19) Epidemic and Mental Health Status in the General Adult Population of Serbia: A Cross-Sectional Study. Int J Environ Res Public Health. 2021; 18(4): 1957.
Columb D, Hussai R, O' Gara C. Addiction psychiatry and COVID-19: impact on patients and service provision. Irish Journal of Psychological Medicine 2020; doi:10.1017/ipm2020.47.
Ustan G. Determining depression and related factors in a society affected by COVID-19 pandemic. International Journal of Social Psychiatry 2020; 00(0): 1–
Avery RA, Tsang S, Seto WYE, Duncan GE. Stress, anxiety, and change in alcohol use during the COVID-19 pandemic: findings among adult twin pairs. Frontiers in Psychiatry 2020; 11: 571084.
Stanton R, To GQ, Khalesi S, et al. Depression, anxiety and stress during COVID-19:Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults, International Journal of Environmentaln Research and Public Health 2020; 17: 4065.
McPhee MD, Keough MT, Rundle S, et al. Depression, environmental reward, Coping Motives and Alcohol Consumption During the COVID-19 Pandemic. Frontiers in Psychiatry 2020; 11.
Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. (2nd. Ed.) Sydney: Psychology Foundation, 1995.
Jovanović V, Gavrilov-Jerković V, Žuljević D, Brdaric D. Psihometrijska evaluacija Skale depresivnosti, anksioznosti i stresa–21 (DASS–21) na uzorku studenata u Srbiji [Psychometric Evaluation of Depression, Anxiety and Stress-21 Scale (DASS-21) On a Student Sample in Serbia]. Psihologija 2014; 4759: 93–112.
World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA 2013; 310: 2191–4.
Faul F, Erdfelder E, Lang A G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods 2007; 39(2): 175–91.
MKB-10. Klasifikacija mentalnih poremećaja i poremećaja ponašanja. Dijagnostički kriterijumi za istraživanje. Beograd: Zavod za udžbenike i nastavna sredstva; 1998.
Kranzler HR, Soyka M. Diagnosis and pharmacotherapy of alcohol use disorder: A review. JAMA 2018 ; 320: 815–24.
Erol A, Karpyak VM. Sex and gender-related differences in alcohol use and its consequences: Contemporary knowledge and future research considerations. Drug and Alcohol Dependence 2015; 156: 1–13.
Bernards S, Graham K, Kuendig H, Hettige S, Obot I. ‘I have no interest in drinking’: a cross-national comparison of reasons why men and women abstain from alcohol use. Addiction 2009; 104: 1658–68.
de Visser RO, McDonnell EJ. ‘That’s OK. He’s a guy’: a mixed-methods study of gender double-standards for alcohol use. Psychol. Health 2012; 27: 618–39.
Nolen-Hoeksema S, Hilt L. Possible contributors to the gender differences in alcohol use and problems. J Gen Psychol 2006; 133: 357–74.
Stewart S, Swain S. Assessment and management of alcohol dependence and withdrawal in the acute hospital: concise guidance. Clinical Medicine 2012; 12(3): 266–71.
Mann ER, Reginald G, Govani RS. The epidemiology og alcoholic liver disease. National Institute on Alcohol Abuse and Alcoholism Publication; 2004.
Nunes EV. Substance abuse and depression. Program and abstracts of the American Psychiatric Association 156th Annual Meeting. San Francisco, 17-22 S103A. California; 2003.
Zins M, Guéguen A, Kivimaki M, Singh-Manoux A, Leclerc A, Vahtera J, Westerlund H, Ferrie JE, Goldberg M. Effect of retirement on alcohol consumption: Longitudinal evidence from the French Gazel Cohort Study. PLoS ONE 2011; 6(10): e26531.
Kahler CW, Ramsey SE, Read JP, Brown RA. Substance Induced and independent major depressive disorder in treatment-seeking alcoholics: associ- ations with dysfunctional attitudes and coping. J Stud Alcohol 2002; 63(3): 363–71.
Abulseoud OA, Karpyak VM, Schneekloth T, Hall-Flavin DK, Loukianova LL, Geske JR, Biernacka JM, Mrazek DA, Frye MA. A retrospective study of gender differences in depressive symptoms and risk of relapse in patients with alcohol dependence. Am J Addict 2013; 22: 437–42.
Lau-Barraco C, Skewes MC, Stasiewicz PR. Gender differences in high-risk situations for drinking: are they mediated by depressive symptoms? Addict Behav 2009; 34: 68–74.
Cox BJ, Swinson RP, Shulman ID, Kuch K, Reichman JT. Gender effects and alcohol use in panic disorder with agoraphobia. Behaviour Research and Therapy 1993; 31: 413–6.
Liu SW, Lien MH, Fenske NA. The effects of alcohol and drug abuse in the skin. Clinics in Dermatology 2010; 28: 391–9.
Anthenelli R, Grandison R. Effects of Stress on Alcohol Consumption. Alcohol Res 2012; 34(4): 381–2.
Safiye T, Vukčević B. Dimenzije opšteg psihološkog distresa i starost kao prediktori prokrastinacije kod studenata. Psihološka istraživanja, 2020; 23(2): 187-200.