Correlates of Prolonged Depression among Detoxified Alcoholics.Reportar como inadecuado

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The majority of depressive symptoms, prevalent among adults (without a history of a depressive disorder) entering alcohol treatment, usually abate within 2 to 3 weeks of abstinence without specific depression-focussed intervention, but some hospitalized alcoholics experience significant depressive symptoms despite sustained abstinence. Such depression may affect alcohol treatment participation and has been associated with poorer treatment outcome. In 562 alcohol dependent men with no preexisting DSMIIIR Axis I disorder who were admitted to an alcohol treatment program, this study examined persistent depression in relation to five potentially useful predictor domains: (1) neuropsychological functioning; (2) physical health; (3) family history of major depression and substance abuse; (4) psychosocial resources; and (5) drinking history/dependence. These areas were studied in order to identify which domains predict protracted depression among primary alcoholics. Results were that poorer social resources emerged as important for identifying male alcoholics at risk for prolonged depression, a noteworthy finding because social resources have traditionally been considered more important in female than in male depression, and because both social resource deficits and depression are associated with poor outcome for alcoholics following treatment. Poorer neuropsychological functioning may also be predictive, though other factors presumed to elevate risk such as health, family history, or patient drinking history were not useful in identifying men likely to suffer from prolonged depression. (MSF)

Descriptors: Adults, Alcohol Abuse, Alcoholism, Behavior Disorders, Clinics, Depression (Psychology), Males, Moods, Predictive Measurement, Predictive Validity, Predictor Variables, Young Adults

Autor: Ivey, Miriam R.; And Others


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