Nicotine, alcohol and drug dependence, and psychiatric comorbidity--results of a national household survey
Abstract
There is a well-recognized relationship between substance use disorders and other psychiatric disorders. This relationship has been well documented in a range of population-based studies. 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. 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. Twelve per cent of the non-dependent 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. There is a clear relationship between dependence on nicotine, alcohol, and drugs and other psychiatric morbidity.
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Analogous findings on comorbidity have been documented in other large US epidemiological studies, including the National Comorbidity Survey and the National Epidemiologic Survey on Alcohol and Related Conditions, as well as in studies from other countries.
“Analogous findings have been docu mented in other US large epidemiological studies, including the National Comorbidity Survey 126 and the National Epidemiologic Survey on Alcohol and Related Conditions 126,127 , as well as in stud ies from other countries 125- 128 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [126]
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Cited by 105
- Authors
- Farrell, M., Howes, S., Bebbington, P., Brugha, T., Jenkins, R., Lewis, G., Marsden, J., Taylor, C., & Meltzer, H.
- Affiliations
- King's College London (GB)
- The Royal Free Hospital (GB)
- University of Leicester (GB)
- Cardiff University (GB)
- Office for National Statistics (GB)
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 15
- Issue
- 1-2
- Pages
- 50-56
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2079464036
- Cited by
- 105
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2021: 8 · 2020: 1 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 7 · 2014: 5 · 2013: 9 · 2012: 1
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- nicotine dependence, alcoholism, drug addiction, psychiatric comorbidity, substance use disorders, psychiatric morbidity, consumption patterns
- MeSH terms
- Adolescent, Adult, Alcoholism, Mental Disorders, Family Characteristics, Female, Humans, Male, Mass Screening, Mental Status Schedule, Middle Aged, Nicotine, Population Surveillance, Surveys and Questionnaires, Comorbidity, Age Distribution, Sex Distribution, Substance-Related Disorders, International Classification of Diseases
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