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      PREVALENCIA DE ANSIEDAD Y DEPRESIÓN EN ALCOHÓLICOS HOSPITALIZADOS PARA DESINTOXICACIÓN EN BOGOTÁ Translated title: Prevalence of anxiety and depression in bed alcoholics for deintoxication in Bogota

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          Abstract

          Antecedentes: los diagnósticos psiquiátricos que con mayor frecuencia se asocian a los trastornos relacionados con el alcohol son: con uso de sustancias y sus relativos, trastorno antisocial de la personalidad, trastornos afectivos, de ansiedad y del sueño. Objetivo: estimar la prevalencia de síntomas depresivos y ansiosos en una población de pacientes hospitalizados con dependencia al alcohol en servicios para desintoxicación en Bogotá. Material y métodos: pacientes hospitalizados en centros especializados de Bogotá con diagnóstico de trastorno por dependencia al alcohol reclutados durante un período de cuatro meses en 2003. La información fue recogida mediante entrevista clínica e instrumentos de medición (ZUNG de ansiedad y depresión). Resultados. La prevalencia de síntomas ansiosos fue del 65,5% y depresivos del 75,9% con variaciones en la distribución por género en pacientes con dependencia al alcohol entrevistados en estas clínicas. Conclusiones. La prevalencia de síntomas de ansiedad y depresión en pacientes con dependencia al alcohol es mayor a la encontrada en la población general colombiana, pero acorde con lo esperado para esta población en particular. Son necesarios otros estudios en el futuro que consideren asociaciones causales y evaluación de la terapéutica ofrecida, que permitan ampliar los resultados obtenidos con la presente investigación.

          Translated abstract

          Background: the most common psychiatric disorders associated with alcohol abuse are addiction to another substances, anti-social disorder, affective disorder anxiety disorder, and sleep disorders. Objectives: to estimate the prevalence of anxiety and depression in a population of patients in bed with dependency to the alcohol in services for chemical decontamination in Bogotá. Methods: patients hospitalized in one specialized centers of Bogota with diagnosis of alcoholism recruited during a period of fourth months in 2003. Design: observational, descriptive and cross-sectional, study. Collected by means of clinical interview and measuring instruments: ZUNG self-rating anxiety and depression scales. Results. The prevalence of anxious symptoms was 65,5%, depressive was 75,9% with variations in distribution by gender. Conclusions. The prevalence of anxiety and depression measurement in the population to study is greater than in general and agreed Colombian population with the reported thing for alcoholic populations. There are needed future investigations that allow extending the results obtained with the present study.

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          Most cited references15

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          Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?

          As part of the National Institute of Mental Health Epidemiologic Catchment Area study, 7954 respondents were questioned at baseline and 1 year later about sleep complaints and psychiatric symptoms using the Diagnostic Interview Schedule. Of this community sample, 10.2% and 3.2% noted insomnia and hypersomnia, respectively, at the first interview. Forty percent of those with insomnia and 46.5% of those with hypersomnia had a psychiatric disorder compared with 16.4% of those with no sleep complaints. The risk of developing new major depression was much higher in those who had insomnia at both interviews compared with those without insomnia (odds ratio, 39.8; 95% confidence interval, 19.8 to 80.0). The risk of developing new major depression was much less for those who had insomnia that had resolved by the second visit (odds ratio, 1.6; 95% confidence interval, 0.5 to 5.3). Further research is needed to determine if early recognition and treatment of sleep disturbances can prevent future psychiatric disorders.
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            Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.

            To present nationally representative data on lifetime prevalence and comorbidity of pathological gambling with other psychiatric disorders and to evaluate sex differences in the strength of the comorbid associations. Data were derived from a large national sample of the United States. Some 43,093 household and group quarters residents age 18 years and older participated in the 2001-2002 survey. Prevalence and associations of lifetime pathological gambling and other lifetime psychiatric disorders are presented. The diagnostic interview was the National Institute on Alcohol Abuse and Alcoholism Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. Fifteen symptom items operationalized the 10 pathological gambling criteria. The lifetime prevalence rate of pathological gambling was 0.42%. Almost three quarters (73.2%) of pathological gamblers had an alcohol use disorder, 38.1% had a drug use disorder, 60.4% had nicotine dependence, 49.6% had a mood disorder, 41.3% had an anxiety disorder, and 60.8% had a personality disorder. A large majority of the associations between pathological gambling and substance use, mood, anxiety, and personality disorders were overwhelmingly positive and significant (p .05). Pathological gambling is highly comorbid with substance use, mood, anxiety, and personality disorders, suggesting that treatment for one condition should involve assessment and possible concomitant treatment for comorbid conditions.
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              Follow-up study of anxiety disorder and alcohol dependence in comorbid alcoholism treatment patients.

              Anxiety disorders are present in a high percentage of alcoholism treatment patients. We tested the prediction that having a comorbid anxiety disorder increases the prospective risk for relapse to drinking after alcoholism treatment. We also explored the prospective associations of specific anxiety syndromes (and depression) with drinking and anxiety outcomes. We assessed the diagnostic status and daily drinking patterns of 82 individuals approximately one week after they entered alcoholism treatment (baseline) and again approximately 120 days later (follow-up) (n=53). Consistent with study predictions, those with a baseline anxiety disorder (approximately 55%) were significantly more likely than others to meet various definitions of drinking relapse over the course of the follow-up. Regression models showed that baseline social phobia was the single best predictor of a return to any drinking after treatment, whereas panic disorder was the single best predictor of a relapse to alcohol dependence after treatment. Having multiple anxiety disorders (versus any specific anxiety disorder) at the baseline was the strongest predictor of having at least one active ("persistent") anxiety disorder at the follow-up. Cross-sectional analysis at the follow-up showed that anxiety disorder persisted in the absence of a relapse to alcohol dependence far more often than relapse to alcohol dependence occurred in the absence of a persistent anxiety disorder. Screening for comorbid anxiety disorder in alcoholism treatment patients is warranted and, where found, should be considered a marker of high relapse risk relative to that of noncomorbid patients. The capacity of specific anxiety treatment to mitigate relapse risk among comorbid patients remains an open question.

                Author and article information

                Journal
                rfmun
                Revista de la Facultad de Medicina
                rev.fac.med.
                Universidad Nacional de Colombia (Bogotá, Distrito Capital, Colombia )
                0120-0011
                October 2005
                : 53
                : 4
                : 219-225
                Affiliations
                [02] Bogotá orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina
                [03] Bogotá orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina feescobarc@ 123456unal.edu.co
                [01] orgnameUniversidad Nacional de Colombia
                Article
                S0120-00112005000400003 S0120-0011(05)05300403
                ff9c92c7-90fd-47a2-9ef7-a2b4e750765f

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 7
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                SciELO Colombia

                Self URI: Texto completo solamente en formato PDF (ES)
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                Investigación original

                prevalence,depression,anxiety,alcohol-related disorders,alcoholism,trastornos relacionados con alcohol,prevalencia,depresión,ansiedad,alcoholismo

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