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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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400047M.pdf |
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| author | Mandić-Gajić Gordana Samardžić Radomir Špirić Željko |
| author_facet | Mandić-Gajić Gordana Samardžić Radomir Špirić Željko |
| author_sort | Mandić-Gajić Gordana |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-6c650eafda5948b8acff7dc1dad0c76e |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-6c650eafda5948b8acff7dc1dad0c76e2025-08-20T03:34:10ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-0172543744110.2298/VSP131223047M0042-84501400047MCorrelation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinenceMandić-Gajić Gordana0Samardžić Radomir1Špirić Željko2Military Medical Academy, Clinic for Psychiatry, Belgrade + University of Defence, Faculty of Medicine of the Military Medicine Academy, BelgradeMilitary Medical Academy, Clinic for Psychiatry, Belgrade + University of Defence, Faculty of Medicine of the Military Medicine Academy, BelgradeMilitary Medical Academy, Clinic for Psychiatry, Belgrade + University of Defence, Faculty of Medicine of the Military Medicine Academy, BelgradeBackground/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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400047M.pdfalcoholismdepressioncomorbiditypsychiatric status rating scalesself-evaluation programs |
| spellingShingle | Mandić-Gajić Gordana Samardžić Radomir Špirić Željko Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence Vojnosanitetski Pregled alcoholism depression comorbidity psychiatric status rating scales self-evaluation programs |
| title | Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence |
| title_full | Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence |
| title_fullStr | Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence |
| title_full_unstemmed | Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence |
| title_short | Correlation and characteristics of self-rating and clinical rating of depression among alcoholics in the course of early abstinence |
| title_sort | correlation and characteristics of self rating and clinical rating of depression among alcoholics in the course of early abstinence |
| topic | alcoholism depression comorbidity psychiatric status rating scales self-evaluation programs |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400047M.pdf |
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