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Mental and personality disorders and abstinence from alcohol: results from a national household survey

  • J. C. Skogen (a1) (a2) (a3), A. Mykletun (a3) (a4), C. P. Ferri (a5), P. Bebbington (a6), T. Brugha (a7), J. Coid (a8), H. Meltzer (a7) and R. Stewart (a5)
  • DOI:
  • Published online: 21 July 2010

The beneficial outcomes associated with moderate compared with low alcohol intake or abstinence may be due to the inclusion of people as ‘low consumers’, who have stopped consumption because of poor health. We investigated the association between alcohol abstinence and symptoms of common mental disorder and personality disorder, distinguishing between lifelong abstinence and abstinence following previous consumption.


Analyses were based on the British National Survey of Psychiatric Morbidity 2000, which sampled 8580 residents aged 16–74 years. Hazardous drinking (Alcohol Use Disorders Identification Test) was excluded. Symptoms of common mental disorder (depression/anxiety) were identified by the Clinical Interview Schedule. The screening questionnaire of the Structured Clinical Interview for Axis II Personality Disorders was used to identify potential personality disorder. Self-reported alcohol abstinence was divided into lifelong abstinence and previous consumption. Previous consumers were asked why they had stopped. Covariates included socio-economic status, social activity and general health status.


After adjustment, alcohol abstinence was associated with both common mental disorder symptoms and any personality disorder, but only for previous consumers, in whom odds ratios were 1.69 (95% CI 1.23–2.32) and 1.45 (95% CI 1.09–1.94). Associations were non-specific, being apparent for most individual mental disorder symptoms and personality disorder categories. More detailed analysis indicated that associations were again limited to previous consumers who reported ceasing alcohol consumption for health reasons.


Worse mental health in low alcohol consumers, particularly those who have previously ceased for health reasons, should be taken into account when interpreting associations between moderate (compared with low) alcohol consumption and beneficial health outcomes.

Corresponding author
*Address for correspondence: R. Stewart, MD, Institute of Psychiatry, Box P060; De Crespigny Park, LondonSE5 8AF, UK. (Email:
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

R Alati , S Kinner , JM Najman , G Fowler , K Watt , D Green (2004). Gender differences in the relationships between alcohol, tobacco and mental health in patients attending an emergency department. Alcohol & Alcoholism 39, 463469.

R Alati , DA Lawlor , JM Najman , GM Williams , W Bor , M O'Callaghan (2005). Is there really ‘J-shaped’ curve in the association between alcohol consumption and symptoms of depression and anxiety? Findings from the Mater-University Study of Pregnancy and its outcomes. Addiction 100, 643651.

T Cargiulo (2007). Understanding the health impact of alcohol dependence. American Journal of Health-System Pharmacy 64, S5–S11.

K Chen , DB Kandel (1995). The natural history of drug use from adolescence to the mid-thirties in a general population sample. American Journal of Public Health 85, 4147.

M Cook , A Young , D Talyor , AP Bedford (1998). Personality correlates of alcohol consumption. Personality and Individual Differences 24, 641647.

C Cooper , P Bebbington , H Meltzer , R Jenkins , T Brugha , JEB Lindesay , G Livingston (2009). Alcohol in moderation, premorbid intelligence and cognition in older adults: results from the Psychiatric Morbidity Survey. Journal of Neurology, Neurosurgery and Psychiatry 80, 12361239.

JA Cunningham , J Blomqvist , A Koski-Jännes , J Cordingley (2005). Maturing out of drinking problems: perceptions of natural history as a function of severity. Addiction Research and Theory 13, 7984.

DA Dawson , BF Grant , T-K Li (2005 a). Quantifying the risks associated with exceeding recommmended drinking limits. Alcoholism: Clinical and Experimental Research 29, 902908.

DA Dawson , BF Grant , FS Stinson , PS Chou (2005 b). Psychopathology associated with drinking and alcohol use disorders in the college and general adult populations. Drug and Alcohol Dependence 77, 139150.

N El-Guebaly (2007). Investigating the association between moderate drinking and mental health. Annals of Epidemiology 17, S55S62.

RA Kloner , SH Rezkalla (2007). To drink or not to drink? That is the question. Circulation 116, 13061317.

LLJ Koppes , JWR Twisk , J Snel , W de Vente , HCG Kemper (2001). Personality characteristics and alcohol consumption: longitudinal analyses in men and women followed from ages 13 to 32. Journal of Studies on Alcohol And Drugs 62, 494500.

RI Lipton (1994). The effect of moderate alcohol use on the relationship between stress and depression. American Journal of Public Health 84, 19131917.

L Manninen , K Poikolainen , E Vartiainen , T Laatikainen (2006). Heavy drinking occasions and depression. Alcohol & Alcoholism 41, 293299.

C Miller-Tutzauer , KE Leonard , M Windle (1991). Marriage and alcohol use: a longitudinal study of ‘Maturing out’. Journal of Studies on Alcohol 52, 434440.

RH Moos , BS Moos , JA Kulik (1976). College-student abstainers, moderate drinkers, and heavy drinkers: a comparative analysis. Journal of Youth and Adolescence 5, 349360.

P Moran , R Stewart , T Brugha , P Bebbington , D Bhugra , R Jenkins , JW Coid (2007). Personality disorder and cardiovascular disease: results from a National Household Survey. Journal of Clinical Psychiatry 68, 6974.

EL Mortensen , HH Jensen , SA Sanders , JM Reinisch (2006). Associations between volume of alcohol consumption and social status, intelligence, and personality in a sample of young adult Danes. Scandinavian Journal of Psychology 47, 387398.

A Mykletun , O Bjerkeset , M Dewey , M Prince , S Øverland , R Stewart (2007). Anxiety, depression and cause-specific mortality. The HUNT study. Psychosomatic Medicine 69, 323331.

H Pape , T Hammer (1996). Sober adolescence – predictor of psychosocial maladjustment in young adulthood? Scandinavian Journal of Psychology 37, 362–277.

C Power , B Rodgers , S Hope (1998). U-shaped relation for alcohol consumption and health in early adulthood and implications for mortality. Lancet 352, 877.

JT Rehm , SJ Bondy , CT Sempos , CV Vuong (1997). Alcohol consumption and coronary heart disease morbidity and mortality. American Journal of Epidemiology 146, 495501.

B Rodgers , AE Korten , AF Jorm , H Christensen , S Henderson , PA Jacomb (2000 a). Risk factors for depression and anxiety in abstainers, moderate drinkers and heavy drinkers. Addiction 95, 18331845.

B Rodgers , AE Korten , AF Jorm , PA Jacomb , H Christensen , AS Henderson (2000 b). Non-linear relationships in associations of depression and anxiety with alcohol use. Psychological Medicine 30, 421432.

R Room , T Babor , J Rehm (2005). Alcohol and public health. Lancet 365, 519530.

A Ruitenberg , JC van Swieten , JCM Witteman , KM Mehta , CM van Duijn , A Hofman , MMB Breteler (2002). Alcohol consumption and risk of dementia: the Rotterdam Study. Lancet 359, 281286.

J Sareen , L McWilliams , B Cox , MB Stein (2004). Does a U-shaped relationship exist between alcohol use and DSM-III-R mood and anxiety disorders? Journal of Affective Disorders 82, 113118.

JC Skogen , S Harvey , M Henderson , E Stordal , A Mykletun (2009). Anxiety and depression among abstainers and low-level alcohol consumers.The Nord-Trøndelag Health Study. Addiction 104, 15191529.

S Ullrich , D Deasy , J Smith , B Johnson , M Clarke , N Broughton , J Coid (2008). Detecting personality disorders in the prison population of England and Wales: comparing case identification using the SCID-II screen and the SCID-II clinical interview. Journal of Forensic Psychiatry & Psychology 19, 301322.

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Psychological Medicine
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