TY  - JOUR
PY  - 2004//
TI  - Discriminating between substance-induced and independent depressive episodes in alcohol dependent patients
JO  - Journal of studies on alcohol
A1  - Ramsey, Susan E.
A1  - Kahler, Christopher W.
A1  - Read, Jennifer P.
A1  - Stuart, Gregory L.
A1  - Brown, Richard A.
SP  - 672
EP  - 676
VL  - 65
IS  - 5
N2  - OBJECTIVE: The purpose of this study is to examine the accuracy with which the depressive episodes of alcoholics undergoing treatment are classified as substance-induced depression (SID) or independent major depressive disorder (MDD). METHOD: Participants were 95 patients (64 men) undergoing partial hospital treatment for alcohol dependence. Affective disorders were assessed at baseline and 6 weeks, 3 months, 6 months and 12 months later. RESULTS: Over one quarter of the depressive episodes originally diagnosed as SID were reclassified as MDD during the 1-year follow-up, due to a continuation of the depressive episode despite a period of prolonged abstinence from alcohol and drugs. Both history of MDD and lower levels of alcohol dependence were associated with diagnostic change from SID to MDD. CONCLUSIONS: These findings support the diagnostic complexity of these two types of depressive disorders and point to clinical features that may differentiate them.<p /> <p>Language: en</p>
LA  - en
SN  - 0096-882X
UR  - http://dx.doi.org/
ID  - ref1
ER  -