Nicotine, alcohol and drug dependence and psychiatric comorbidity: Results of a national household survey

M Farrell, S Howes, P Bebbington, T Brugha, R Jenkins, G Lewis, J Marsden, C Taylor, H Meltzer

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242 Citations (Scopus)

Abstract

Background: There is a well-recognised relationship between substance use disorders and other psychiatric disorders. This relationship has been well documented in a range of population-based studies.

Aims: This study aims to report on consumption patterns of and dependence on nicotine, alcohol and non-prescribed drugs and to report on the levels of psychiatric morbidity in these groups.

Method: A national household study of psychiatric morbidity was conducted in England and Wales. Psychiatric assessment was based on the Clinical Interview Schedule - Revised (CIS-R). Measures of nicotine, alcohol and drug use and dependence were obtained. This paper compares the levels of psychiatric morbidity in the non-dependent and the nicotine-, alcohol- and drug-dependent cases.

Results: Twelve percent of the nondependent population were assessed as having any psychiatric disorder compared with 22% of the nicotine-dependent, 30% of the alcohol-dependent and 45% of the drug-dependent population.

Conclusions: There is a clear relationship between dependence on nicotine, alcohol and drugs and other psychiatric morbidity.
Original languageEnglish
Pages (from-to)432 - 437
Number of pages6
JournalBritish Journal of Psychiatry
Volume179
Issue number5
DOIs
Publication statusPublished - Nov 2001

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