Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T15:35:57.847Z Has data issue: false hasContentIssue false
  • English
  • Français

Impulsive traits and dual pathology in patients with depression and alcohol dependence, a case report

Published online by Cambridge University Press:  01 September 2022

M. Huete Naval ,
L. Reyes Molón ,
C. Regueiro Martín-Albo ,
R. Galerón ,
E. Herrero Pellón  and
P. Albarracin
M. Huete Naval*
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
L. Reyes Molón
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
C. Regueiro Martín-Albo
Affiliation:
Hospital Clínico San Carlos, Instituto De Psiquiatría Y Salud Mental, Madrid, Spain
R. Galerón
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
E. Herrero Pellón
Affiliation:
Hospital Clínico San Carlos, Institute Of Psychiatry And Mental Health, Madrid, Spain
P. Albarracin
Affiliation:
Hospital Universitario Clínico San Carlos, Psychiatry And Mental Health, Madrid, Spain
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Alcohol dependence is one of the most frequent comorbidities in depression. Multiple environmental and neurobiological factors are directly involved in these diseases. In particular, impulsivity is present in many patients with dual pathology and may play a relevant role in its causes, clinical manifestations and prognosis.

Objectives

To review the relationship between impulsive traits and dual pathology in patients with depression and alcohol dependence.

Methods

Presentation of a clinical case supported by a non- systematic review of literature containing the key-words “impulsivity”, “depression” and “alcohol dependence”.

Results

This is a case report of a 43-year-old male with a known history of alcohol dependence and recurrent depression. Interestingly, the patient has a family history of bipolar disorder and alcohol abuse disorder on the paternal side, and frontotemporal dementia on the maternal side. He currently presents a depressive episode associates associated with a significant increase in alcohol consumption. The patient has presented prominent impulsive traits since adolescence that have been aggravated in recent years. This lack of impulse control is described as one of the most relevant factors in relapses in alcohol consumption. Multiple studies correlate the lack of impulse control with a worse prognosis in both alcohol dependence (greater probability of relapses and resistance to treatment) and depression (increased suicide risk). Likewise, an increase in cognitive impulsivity has been observed during depressive episodes, characterized by an inability to inhibit behaviors that have already begun and poor planning capacity, which could lead to a worsening of alcohol abuse.

Conclusions

Impulsivity traits are related to a worse prognosis in dual pathology due to alcohol and depression, and may present common etiopathogenic mechanisms.

Disclosure

No significant relationships.

Keywords

DepressionImpulsivityAlcohol dependencedual pathology
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S464
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.