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How depressive are male alcoholic inpatients? Psychometric results from the “Tübinger Alkoholismusprojekt“*

Published online by Cambridge University Press:  16 April 2020

F Stetter
Affiliation:
Department of Psychiatry, University of Tübingen, Germany
W Rein
Affiliation:
Department of Psychiatry, University of Tübingen, Germany
K Mann
Affiliation:
Department of Psychiatry, University of Tübingen, Germany
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Summary

There has been continued interest in the nature of the association between affective disorders and alcoholism. This may be due to the fact that during the course of alcoholism 30-70% of the patients suffer from mood disturbances meeting the criteria for severe depression, especially in periods of excessive alcohol consumption or during withdrawal. In the course of a prospective multidimensional study, Tiibinger Alkoholismusprojekt (T-ALK Study), symptoms of depression in 31 male alcohol-dependent patients (RDC diagnosis) were assessed using the Beck Depression Inventory (BDI) and the Freiburger Personlichkeitsinventar (FPI-R) at the beginning and at the end of a 6-week inpatient treatment program. There was only a moderate degree of depression (BDI) in 20% of the patients which decreased significantly during the psychotherapeutic treatment under conditions of confirmed abstinence. No correlations between the degree of depression and neuropsychological impairment were found. Although the “satisfaction with life” (FPI-R factor) was still impaired in a third of the patients at the end of that short-term treatment period, our results do not indicate a general nosological overlap between alcoholism and affective disorders in males.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1991

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Footnotes

*

Presented in part at the 5th AEP Congress, Strasbourg, October 17-19, 1990.

References

American Psychiatric Association (APA) (1980) Diagnostic and Statistical Manual of Mental Disorders. APA, WashingtonGoogle Scholar
Andreasen, NCRice, JEndicott, JReich, TCoryell, W (1986) The family history approach to diagnosis. Arch Gen Psychiatry 43, 421429CrossRefGoogle Scholar
Beck, ATWard, CHMendelson, MMock, JErbaugh, J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4, 561571CrossRefGoogle ScholarPubMed
Beck, ATSteer, RAGarbin, MG (1988) Psychometric properties of the Beck Depression Inventory. Clin Psychol Rev 8, 77100CrossRefGoogle Scholar
Beckmann, DBrähler, ERichter, HE (1983) Der Giessen- Test (GT). Ein Test fÜr Individual- und Gruppendiagnostik. Handbuch. 3. Huber, Stuttgart Überarbeitete AuflageGoogle Scholar
Bronisch, T (1985) Zur Beziehung zwischen Alkoholismus und Depression anhand eines Überblicks Über empirische Studien. Fortschr Neurol Psychiatr 53, 454468CrossRefGoogle Scholar
Ciraulo, DAJaffe, JH (1981) Tricyclic antidepressants in the treatment of depression associated with alcoholism. J Clin Psychopharmacol 1, 146150CrossRefGoogle ScholarPubMed
Cloninger, CRReich, TWetzel, R (1979) Alcoholism and the affective disorders: familial association and genetic modelsIn: Alcoholism and the Affective Disorders(Goodwin, DErickson, C eds) Spectrum Publications, New York, 5786Google Scholar
Fahrenberg, JSelg, HHampel, R (1978) Das Freiburger PersÖnlichkeits-Inventar FPI. Handanweisung. Hogrefe, GöttingenGoogle Scholar
Fahrenberg, JHampel, RSelg, H (1989) Das Freiburger Persönlichkeits-Inventar - Revidierte Fassung FPI-R. 5 Hogrefe, Göttingen, ergänzte AuflageGoogle Scholar
Feuerlein, WKÜfner, HRinger, CAntons, K (1977) Diagnose des Alkoholismus. Der Miinchner Alkoholismustest (MALT). Münch Med Wochenschr 119, 12751282Google Scholar
Goodwin, DW (1982) Alcoholism and affective disorders. The basic questionsIn: Alcoholism and Clinical Psychiatry(Solomon, J ed) Plenum Press, New YorkGoogle Scholar
Hesselbrock, MNMeyer, REKeener, JJ (1985) Psychopathology in hospitalized alcoholics. Arch Gen Psychiatry42, 10501055CrossRefGoogle ScholarPubMed
Jellinek, EM (1960) The Disease Concept of Alcoholism. College and University Press, New Haven, CTCrossRefGoogle Scholar
Keeler, MHTaylor, CIMiller, WC (1979) Are all recently detoxified alcoholics depressed?.Am J Psychiatry 136, 586588Google ScholarPubMed
Mann, KPetersen, DSchied, HWSchroth, GHeimann, H (1990) Veränderungsmessungen bei Alkoholabhangigen - Neurobiologische Befunde. In: Veränderungsmessung in Psychiatrie und Klinischer Psychologie (Baumann, UFähndrich, EStieglitz, RDWoggon, B eds) Profil, MunichGoogle Scholar
O’Sullivan, KWhillans, PDaly, MCarroll, BClare, ACooney, J (1983) A comparison of alcoholics with and without coexisting affective disorder. Br J Psychiatry 143, 133138CrossRefGoogle ScholarPubMed
O'Sullivan, K (1984) Depression and its treatment in alcoholics: A review. Can J Psychiatry 29, 379384CrossRefGoogle ScholarPubMed
Parsons, OA (1987) Neuropsychological consequences of alcohol abuse: many questions - some answersIn: Neuropsychology of Alcoholism(Parsons, OAButters, NNathan, PE eds) Guilford Press, New YorkGoogle Scholar
Petty, FNasrallah, HA (1981) Secondary depression in alcoholism: Implications for further research. Compr Psychiatry 22, 587595CrossRefGoogle Scholar
Pottenger, MMcKernon, JPatrie, LEWeissman, MMRuben, HLNewberry, P (1978) The frequency and persistence of depressive symptoms in the alcohol abuser. JNerv Ment Dis 166, 562570CrossRefGoogle ScholarPubMed
Putz, E (1984) Zur Frage der Depressivität bei Alkoholikern. Eine empirische Untersuchung an Patienten der Universitäts-Nervenklinik TÜbingen. Med Diss, TÜbingenGoogle Scholar
Ross, HEGlaser, FBGermanson, T (1988) The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Arch Gen Psychiatry 45, 10231031CrossRefGoogle ScholarPubMed
Schuckit, MA (1986) Genetic and clinical implications of alcoholism and affective disorders. Am J Psychiatry 143, 140147Google Scholar
Schuckit, MAEngstrom, DAlpert, RDuby, J (1981) Differences in muscle-tension response to ethanol in young men with and without family histories of alcoholism. J Stud Alcohol 42, 918924CrossRefGoogle ScholarPubMed
Spitzer, JEndicott, JRobins, N (1978) Research Diagnostic Criteria (RDC). Biometric Research, NY State Psychiatr Inst, New YorkGoogle ScholarPubMed
Steer, RABeck, ATGarrison, B (1986) Applications of the Beck Depression InventoryIn: Assessment of Depression(Sartorius, NBan, TA eds) Springer, HeidelbergGoogle Scholar
Stetter, FSchoon, MTaubert, SWegrev, CMann, KHeimann, H (1990) Veränderungsmessung bei Alkoholabhängigen - Faktoren- und Varianzanalyse neuropsychologischer ErgebnisseIn: Veränderungsmessung in Psychiatrie und Klinischer Psychologie(Baumann, UFähndrich, EStieglitz, RDWoggon, B eds) Profil MunichGoogle Scholar
Svanum, SMcAdoo, WMG (1991) Parental alcoholism: an examination of male and female alcoholics in treatment. J Stud Alcohol 52, 127132CrossRefGoogle ScholarPubMed
Viamontes, JA (1972) Review of drug effectiveness in the treatment of alcoholism. Am J Psychiatry 128, 120121CrossRefGoogle ScholarPubMed
Watzl, HCohen, RRist, F (1980) Der Einfluss der Abhängigkeitsdauer auf das Selbstbild alkoholkranker Frauen und MännerIn: Folgen der Sucht(Keup, W ed) Thieme StuttgartGoogle Scholar
Zerssen, D (1976) Die Beschwerden Liste. Beltz WeinheimGoogle Scholar
Zerssen, DKoeller, DM (1976) Klinische Selbstbeurteilungs- Skalen (KSb-S) aus dem Münchner Psychiatrischen Informations-System (PSYCHIS München). Paranoid-Depressivitäts-Skala sowie Depressivitäts- Skala. Manual. Beltz WeinheimGoogle Scholar
Zimmer, FTBrÖmer, A (1990) MÖglichkeiten der Verhaltenstherapie bei chronischen und therapieresistenten DepressionenIn: Therapieresistenz unter Antidepressiva(MÖller, HJ ed) Springer, BerlinGoogle Scholar
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