Utilization of Mental Health Services and Risk of 12-month Problematic Alcohol Use

Objective: To examine whether mental health service utilization modifies the association between lifetime anxiety or depressive disorders (ADD) and risk of 12-month problematic alcohol use.Methods: Randomly selected members (n=6518) of a mutual health-insurance company were evaluated for lifetime AD...

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Bibliographic Details
Published in:American journal of health behavior 2007-07, Vol.31 (4), p.392-401
Main Authors: Encrenaz, Galle, Kovess-Masfty, Viviane, Sapinho, David, Chee, Christine Chan, Messiah, Antoine
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Alcohol related disorders
Alcoholism - epidemiology
Alcoholism - psychology
Anxiety
Anxiety Disorders
Anxiety Disorders - epidemiology
Anxiety Disorders - therapy
Comorbidity
Cross-Sectional Studies
Depression
Depressive Disorder - epidemiology
Depressive Disorder - therapy
Depressive Disorders
Diagnosis, Dual (Psychiatry)
Female
France - epidemiology
Humans
Logistic Models
Male
Mental Health Programs
Mental Health Services
Mental Health Services - utilization
Middle Aged
Models, Psychological
Prevalence
Sex Factors
Social Support
Surveys and Questionnaires
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Summary:Objective: To examine whether mental health service utilization modifies the association between lifetime anxiety or depressive disorders (ADD) and risk of 12-month problematic alcohol use.Methods: Randomly selected members (n=6518) of a mutual health-insurance company were evaluated for lifetime ADD (DSM-IV), mental health service utilization for ADD, and risk of 12-month problematic alcohol use (DSM-IV and CAGE).Results: Risk of 12-month problematic alcohol use was reduced when mental health services had been used for several ADD (OR=3.3 vs 5.8), but not for one ADD.Conclusions: These results show the importance of taking mental health service use into account as a potential effect-modifier of psychiatric comorbidity.
ISSN:1087-3244
1945-7359
DOI:10.5993/AJHB.31.4.6