Cover: Prevalence of comorbid alcohol disorder and consumption in medically ill and depressed patients

Prevalence of comorbid alcohol disorder and consumption in medically ill and depressed patients

Published 1994

by Cathy D. Sherbourne, Ron D. Hays, Kenneth B. Wells, William H. Rogers, M. Audrey Burnam

Purchase Print Copy

 Format
Add to Cart Paperback9 pages Free

This observational study estimates the extent to which alcohol disorder co-occurs in patients with major medical and psychiatric conditions. It looks at 2296 adult patients with hypertension, diabetes, heart disease (congestive heart failure or myocardial infarction) and/or current depressive disorder or subthreshold depressive symptoms, in the offices of general medical providers and mental health specialists in three U.S. cities. The authors compared the prevalence of alcohol co-morbidity in medically ill nondepressed patients of general medical providers and in depressed patients of both provider types. Results of the study show that patients with chronic medical problems or depression had similar levels of lifetime alcohol disorder (14 percent to 19 percent) and current alcohol problems (18 percent to 29 percent), but depressed patients were more likely to report needing help for problems with alcohol or drugs. Current alcohol disorder was more prevalent among depressed patients in mental health specialty practices than in general medical practices. Many patients who perceived a need for care for alcohol and other drug problems reported that this need was unmet (37 percent to 84 percent). The authors conclude that clinicians who treat patients with major medical and psychiatric conditions need to be prepared to identify and treat comorbid alcohol disorder.

Originally published in: Archives of Family Medicine, v. 2, November 1993, pp. 1142-1150.

This report is part of the RAND reprint series. The Reprint was a product of RAND from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.