Alcoholism and affective disorder: clinical course of depressive symptoms.

@article{Brown1995AlcoholismAA,
  title={Alcoholism and affective disorder: clinical course of depressive symptoms.},
  author={S. Azby Brown and Robyn K Inaba and J. Christian Gillin and Marc A. Schuckit and M A Stewart and Michael R. Irwin},
  journal={The American journal of psychiatry},
  year={1995},
  volume={152 1},
  pages={
          45-52
        }
}
OBJECTIVE This study compared the severity of and the change in depressive symptoms among men with alcohol dependence, affective disorder, or both disorders during 4 weeks of inpatient treatment. METHOD After their primary and secondary psychiatric disorders were defined with the use of criteria based on chronology of symptoms, 54 unmedicated men entering treatment for alcohol dependence or affective disorder were assessed for 4 consecutive weeks with the Hamilton Depression Rating Scale… 
A STUDY OF PREVALENCE AND COMORBIDITY OF DEPRESSION IN ALCOHOL DEPENDENCE
TLDR
The findings suggest that the nature of depression found in those patients with alcohol dependence needs further exploration, and clinicians exercise appropriate judgement in not prescribing antidepressant treatments for symptoms which may change within days, providing that alcohol is not consumed.
Depression in Abstinent Alcoholics
Context:Psychopathological studies have observed that alcoholism and affective disorders interact and can coexist.Depressive symptoms are widespread in alcohol abusing patients of all ages and are
Patients With Alcohol Use Disorder Co-Occurring With Depression and Anxiety Symptoms: Diagnostic and Treatment Initiation Recommendations.
TLDR
Clinicians are provided with guidance that can help with diagnostic clarification of the 2 major types of presentations (alcohol-induced and independent disorders) and provide recommendations about the management of these patients in outpatient settings.
Depression and Social Phobia Secondary to Alcohol Dependence
TLDR
Depression and social phobia secondary to ADD are independent conditions that do not completely remit after cessation of drinking and specific treatments are needed to reduce residual depressive and anxiety symptoms in abstinent alcoholics.
Comparison of induced and independent major depressive disorders in 2,945 alcoholics.
TLDR
The contention that it is possible to differentiate between what appear to be substance-induced and independent depressive episodes in alcoholics might be important for establishing prognosis and optimal treatment is supported.
Discriminating between substance-induced and independent depressive episodes in alcohol dependent patients.
TLDR
The findings support the diagnostic complexity of these two types of depressive disorders and point to clinical features that may differentiate them.
Treatment of Co-occurring Depression and Substance Dependence: Using Meta-analysis to Guide Clinical Recommendations.
TLDR
Meta-analyses of the literature on antidepressant treatment among substance-dependent patients are reviewed to show how these analyses help to explain discrepancies between positive and negative studies, thereby informing clinical recommendations.
The impact of depression on the outcome of addictions treatment.
Depression among cocaine abusers in treatment: relation to cocaine and alcohol use and treatment outcome.
TLDR
The results highlight the relationship of depression to alcohol use among cocaine abusers and suggest a need for further studies of the association between depression and substance use disorders.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 33 REFERENCES
Changes in depression among abstinent alcoholics.
TLDR
Results suggest that antidepressant medication should not be considered prior to 4 weeks of abstinence, and that Mood related symptoms constitute the largest portion of presenting depression and abate most rapidly.
Changes in anxiety among abstinent male alcoholics.
TLDR
Results indicate that recently detoxified males experience multiple anxiety symptoms, with 40% reporting significantly elevated levels of state anxiety at admission (greater than or equal to 75th percentile) and by the second week of treatment state anxiety scores typically returned to the normal range although symptoms continued to decrease significantly with each week of continued abstinence.
Lifetime psychiatric comorbidity in hospitalized alcoholics: subject and familial correlates.
TLDR
Patients with numerous childhood antisocial symptoms were younger, more likely to be male and unmarried, and less educated, and they had presented earlier for treatment, while patients with lifetime drug use disorders were younger and experienced an earlier onset of alcohol problems and treatment.
Psychopathology in hospitalized alcoholics.
TLDR
Gender and the presence of specific psychopathology appeared to modify the course and symptom picture of alcoholism, and in general, alcoholic women showed a later onset of regular intoxication and a more rapid progression to alcohol abuse and dependence than alcoholic men.
Psychopathology as a predictor of treatment outcome in alcoholics.
TLDR
The value of determining psychiatric diagnosis was supported by covariance analyses that suggested that prognostic significance of specific disorders was not accounted for by general psychopathology or general dependence dimensions.
The history of anxiety symptoms among 171 primary alcoholics.
TLDR
The histories of treatment by mental health workers or in psychiatric facilities taken together with the symptom picture generated from patient and resource person interviews do not indicate an elevated incidence of either panic disorder or generalized anxiety that is independent of heavy drinking.
The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment.
TLDR
Every one of the psychiatric diagnoses examined was more likely to occur in alcoholics than in nonalcoholics, and associations were particularly strong with antisocial personality disorder, other substance use and mania.
Measurement of depression in alcoholics.
TLDR
The Hamilton Depression Scale (Ham-D) showed high sensitivity, high specificity and good agreement with DSM-III diagnosis by clinical interview as the standard, and should be used instead of self-report scales in screening for depression among alcoholics.
The clinical implications of primary diagnostic groups among alcoholics.
  • M. Schuckit
  • Psychology, Medicine
    Archives of general psychiatry
  • 1985
TLDR
Findings underscore the importance of distinguishing between symptoms (eg, sadness or antisocial problems) and diagnoses and the need to establish primary and secondary labels in substance abusers.
Patient factors predicting early alcohol-related readmissions for alcoholics: role of alcoholism severity and psychiatric co-morbidity.
TLDR
Patients with a long history of heavy drinking, high daily alcohol consumption and history of previous alcoholism treatment were most likely to be readmitted with an alcoholism-related primary diagnosis, and other major psychiatric disorders, polysubstances abuse and sociodemographic variables did not appear to predict time to readmission.
...
1
2
3
4
...