Copattern of depression and alcohol use in medical care patients: cross-sectional study in Germany

To predict depressive symptom severity and presence of major depression along the full alcohol use continuum. Cross-sectional study. Ambulatory practices and general hospitals from three sites in Germany. Consecutive patients aged 18-64 years were proactively approached for an anonymous health scree...

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Bibliographic Details
Published in:BMJ open 2020-05, Vol.10 (5), p.e032826-e032826
Main Authors: Guertler, Diana, Moehring, Anne, Krause, Kristian, Batra, Anil, Eck, Sandra, Freyer-Adam, Jennis, Ulbricht, Sabina, Rumpf, Hans-Jürgen, Bischof, Gallus, John, Ulrich, Meyer, Christian
Format: Article
Language:English
Subjects:
Addiction
Adolescent
Adult
Age
Alcohol Drinking - epidemiology
Alcohol use
Cross-Sectional Studies
Depression - diagnosis
Depression - epidemiology
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - epidemiology
Epidemiology
Female
Gender
Germany - epidemiology
Humans
Mental depression
Middle Aged
Patients
Sociodemographics
Young Adult
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Summary:To predict depressive symptom severity and presence of major depression along the full alcohol use continuum. Cross-sectional study. Ambulatory practices and general hospitals from three sites in Germany. Consecutive patients aged 18-64 years were proactively approached for an anonymous health screening (participation rate=87%, N=12 828). Four continuous alcohol use measures were derived from an expanded Alcohol Use Disorder Identification Test (AUDIT): alcohol consumption in grams per day and occasion, excessive consumption in days per months and the AUDIT sum score. Depressive symptoms were assessed for the worst 2-week period in the last 12 months using the Patient Health Questionnaire (PHQ-8). Negative binomial and logistic regression analyses were used to predict depressive symptom severity (PHQ-8 sum score) and presence of major depression (PHQ-8 sum score≥10) by the alcohol use measures. Analyses revealed that depressive symptom severity and presence of major depression were significantly predicted by all alcohol use measures after controlling for sociodemographics and health behaviours (p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2019-032826