Depressive and anxiety disorders predicting first incidence of alcohol use disorders: results of the Netherlands Study of Depression and Anxiety (NESDA)

Lynn Boschloo, Nicole Vogelzangs, Wim van den Brink, Johannes H Smit, Dick J Veltman, Aartjan T F Beekman, Brenda W J H Penninx

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

INTRODUCTION: Depressive and anxiety disorders may predict first incidence of alcohol abuse and alcohol dependence. This study aims to identify those persons who are at an increased risk of developing alcohols abuse or alcohol dependence by considering the heterogeneity of depressive and anxiety disorders and exploring the role of other risk factors.

METHOD: In a large sample of persons with and without baseline DSM-IV depressive or anxiety disorders (n = 2,676; 18-65 years; assessed in 2004-2007), the first incidences of DSM-IV alcohol abuse and alcohol dependence during a 4-year follow-up were considered as primary outcomes. Status (remitted or current disorder), severity, and type (specific disorders) of depressive and anxiety disorders were assessed, as well as other risk factors, such as sociodemographic, vulnerability, and addiction-related factors.

RESULTS: Cumulative first-incidence rates of alcohol abuse and alcohol dependence were 2.0% and 3.0%, respectively. Persons with current, but not remitted, depressive or anxiety disorders were at an increased risk of a first incidence of alcohol dependence (hazard ratio [HR] = 2.69; 95% CI, 1.37-5.29), but not first incidence of alcohol abuse (HR = 0.55; 95% CI, 0.28-1.09). Although this association was not conditional on the type of disorder, first-incidence rates of alcohol dependence gradually increased with the number of depressive and anxiety disorders (HR per SD increase = 1.65; 95% CI, 1.37-2.00). Subthreshold alcohol problems especially (P < .001), but also recent negative life events (P = .06), were additional independent predictors of first incidence of alcohol dependence.

CONCLUSION: Current depressive disorder, anxiety disorder, or both significantly predicted first incidence of alcohol dependence, which stresses the importance of addiction prevention strategies for depressed and anxious patients in mental health settings. Subthreshold alcohol problems and recent negative life events may help to identify persons at an increased risk for developing alcohol dependence.

Original languageEnglish
Pages (from-to)1233-1240
Number of pages8
JournalJournal of Clinical Psychiatry
Volume74
Issue number12
DOIs
Publication statusPublished - 11 Feb 2013

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Depressive Disorder
Anxiety Disorders
Netherlands
Alcoholism
Anxiety
Alcohols
Depression
Incidence
Diagnostic and Statistical Manual of Mental Disorders
Mental Health

Keywords

  • Adult
  • Alcohol-Related Disorders/diagnosis
  • Anxiety Disorders/complications
  • Depressive Disorder/complications
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Incidence
  • Life Change Events
  • Male
  • Middle Aged
  • Netherlands/epidemiology
  • Prognosis
  • Psychiatric Status Rating Scales
  • Risk Assessment
  • Risk Factors

Cite this

Boschloo, Lynn ; Vogelzangs, Nicole ; van den Brink, Wim ; Smit, Johannes H ; Veltman, Dick J ; Beekman, Aartjan T F ; Penninx, Brenda W J H. / Depressive and anxiety disorders predicting first incidence of alcohol use disorders : results of the Netherlands Study of Depression and Anxiety (NESDA). In: Journal of Clinical Psychiatry. 2013 ; Vol. 74, No. 12. pp. 1233-1240.
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Depressive and anxiety disorders predicting first incidence of alcohol use disorders : results of the Netherlands Study of Depression and Anxiety (NESDA). / Boschloo, Lynn; Vogelzangs, Nicole; van den Brink, Wim; Smit, Johannes H; Veltman, Dick J; Beekman, Aartjan T F; Penninx, Brenda W J H.

In: Journal of Clinical Psychiatry, Vol. 74, No. 12, 11.02.2013, p. 1233-1240.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Depressive and anxiety disorders predicting first incidence of alcohol use disorders

T2 - results of the Netherlands Study of Depression and Anxiety (NESDA)

AU - Boschloo, Lynn

AU - Vogelzangs, Nicole

AU - van den Brink, Wim

AU - Smit, Johannes H

AU - Veltman, Dick J

AU - Beekman, Aartjan T F

AU - Penninx, Brenda W J H

N1 - © Copyright 2013 Physicians Postgraduate Press, Inc.

PY - 2013/2/11

Y1 - 2013/2/11

N2 - INTRODUCTION: Depressive and anxiety disorders may predict first incidence of alcohol abuse and alcohol dependence. This study aims to identify those persons who are at an increased risk of developing alcohols abuse or alcohol dependence by considering the heterogeneity of depressive and anxiety disorders and exploring the role of other risk factors.METHOD: In a large sample of persons with and without baseline DSM-IV depressive or anxiety disorders (n = 2,676; 18-65 years; assessed in 2004-2007), the first incidences of DSM-IV alcohol abuse and alcohol dependence during a 4-year follow-up were considered as primary outcomes. Status (remitted or current disorder), severity, and type (specific disorders) of depressive and anxiety disorders were assessed, as well as other risk factors, such as sociodemographic, vulnerability, and addiction-related factors.RESULTS: Cumulative first-incidence rates of alcohol abuse and alcohol dependence were 2.0% and 3.0%, respectively. Persons with current, but not remitted, depressive or anxiety disorders were at an increased risk of a first incidence of alcohol dependence (hazard ratio [HR] = 2.69; 95% CI, 1.37-5.29), but not first incidence of alcohol abuse (HR = 0.55; 95% CI, 0.28-1.09). Although this association was not conditional on the type of disorder, first-incidence rates of alcohol dependence gradually increased with the number of depressive and anxiety disorders (HR per SD increase = 1.65; 95% CI, 1.37-2.00). Subthreshold alcohol problems especially (P < .001), but also recent negative life events (P = .06), were additional independent predictors of first incidence of alcohol dependence.CONCLUSION: Current depressive disorder, anxiety disorder, or both significantly predicted first incidence of alcohol dependence, which stresses the importance of addiction prevention strategies for depressed and anxious patients in mental health settings. Subthreshold alcohol problems and recent negative life events may help to identify persons at an increased risk for developing alcohol dependence.

AB - INTRODUCTION: Depressive and anxiety disorders may predict first incidence of alcohol abuse and alcohol dependence. This study aims to identify those persons who are at an increased risk of developing alcohols abuse or alcohol dependence by considering the heterogeneity of depressive and anxiety disorders and exploring the role of other risk factors.METHOD: In a large sample of persons with and without baseline DSM-IV depressive or anxiety disorders (n = 2,676; 18-65 years; assessed in 2004-2007), the first incidences of DSM-IV alcohol abuse and alcohol dependence during a 4-year follow-up were considered as primary outcomes. Status (remitted or current disorder), severity, and type (specific disorders) of depressive and anxiety disorders were assessed, as well as other risk factors, such as sociodemographic, vulnerability, and addiction-related factors.RESULTS: Cumulative first-incidence rates of alcohol abuse and alcohol dependence were 2.0% and 3.0%, respectively. Persons with current, but not remitted, depressive or anxiety disorders were at an increased risk of a first incidence of alcohol dependence (hazard ratio [HR] = 2.69; 95% CI, 1.37-5.29), but not first incidence of alcohol abuse (HR = 0.55; 95% CI, 0.28-1.09). Although this association was not conditional on the type of disorder, first-incidence rates of alcohol dependence gradually increased with the number of depressive and anxiety disorders (HR per SD increase = 1.65; 95% CI, 1.37-2.00). Subthreshold alcohol problems especially (P < .001), but also recent negative life events (P = .06), were additional independent predictors of first incidence of alcohol dependence.CONCLUSION: Current depressive disorder, anxiety disorder, or both significantly predicted first incidence of alcohol dependence, which stresses the importance of addiction prevention strategies for depressed and anxious patients in mental health settings. Subthreshold alcohol problems and recent negative life events may help to identify persons at an increased risk for developing alcohol dependence.

KW - Adult

KW - Alcohol-Related Disorders/diagnosis

KW - Anxiety Disorders/complications

KW - Depressive Disorder/complications

KW - Diagnostic and Statistical Manual of Mental Disorders

KW - Female

KW - Humans

KW - Incidence

KW - Life Change Events

KW - Male

KW - Middle Aged

KW - Netherlands/epidemiology

KW - Prognosis

KW - Psychiatric Status Rating Scales

KW - Risk Assessment

KW - Risk Factors

U2 - 10.4088/JCP.12m08159

DO - 10.4088/JCP.12m08159

M3 - Article

VL - 74

SP - 1233

EP - 1240

JO - Journal of Clinical Psychiatry

JF - Journal of Clinical Psychiatry

SN - 0160-6689

IS - 12

ER -