Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence
Background/Aim. Depression is an alcoholism relapse risk factor, but frequently stays underdiagnosed among treated alcoholics. The correlation and characteristics of self-reported and clinically assessed depression in the course of early alcohol abstinence were explored. Methods. A total of...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400047M.pdf |
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| Summary: | Background/Aim. Depression is an alcoholism relapse risk factor, but
frequently stays underdiagnosed among treated alcoholics. The correlation and
characteristics of self-reported and clinically assessed depression in the
course of early alcohol abstinence were explored. Methods. A total of 100
inpatient, primary male alcoholics (20-60 years) diagnosed according to
Classificaton of Mental and Behavioural Disorders (ICD-10) and Diagnostic and
Statistical Manual of Mental Disorders (DSM-IV) were recruited consecutively.
The Hamilton Depression Rating Scale (HDRS) and Beck Depression Inventory
(BDI) were scored on admission (T1), after 4 weeks (T2) and after 8 weeks
(T3). Student's t-test, repeated measures ANOVA and Pearson's correlation
between the scores were done (p < 0.05). Factor analyses of symptoms were
performed. Results: On HDRS T1, T2, T3 90,7%, 39.5%, 17.4% alcoholics were
depressive, respectively. The mean HDRS vs BDI scores on T1, T2 and T3 were
15.16 ± 6.34, 7.35 ± 4.18, 4.23 ± 2.93 vs 14.20 ± 9.56, 8.14 ± 7.35, 5.30 ±
4.94, respectively. Depression severity significantly lowered in the course
of abstinence (ANOVA). The HRDS and BDI correlations on T1, T2 and T3 were
significant (r1 = 0.763, r2 = 0.684, r3 = 0.613 respectively). Dysphoric
mood, anxious, vegetative and cognitive HDRS subscales on T1, T2 and T3 were
detected, but not BDI factors, thus BDI symptoms were analysed. Conclusions.
The majority of alcoholics had depression on admission. A predominant
mild-degree with a significant lowering of depression severity and positive
significant correlations between HRDS and BDI scores in the course of
abstinence were detected. The dysphoric mood on the HDRS sub-scale, and
self-blame, anhedonia and guilt BDI symptoms were most prominent and
persisted. The BDI could be a useful tool not only for routine screening and
reassessment of depression, but also for exploring emotional content during
early abstinence and planning tailored integrative therapy and relapse
prevention for alcoholics. |
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| ISSN: | 0042-8450 |