Skip to main content
Article
Discriminating between substance-induced and independent depressive episodes in alcohol dependent patients
Journal of Studies on Alcohol (2004)
  • S. E. Ramsey
  • C. W. Kahler
  • J. P. Read
  • Gregory Lyal Stuart
  • R. A. Brown
Abstract
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. (J. Stud. Alcohol 65: 672-676, 2004)
Publication Date
September, 2004
Citation Information
S. E. Ramsey, C. W. Kahler, J. P. Read, Gregory Lyal Stuart, et al.. "Discriminating between substance-induced and independent depressive episodes in alcohol dependent patients" Journal of Studies on Alcohol Vol. 65 Iss. 5 (2004)
Available at: http://works.bepress.com/gregory_stuart/59/