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

  • Michael Farrell (a1), Samantha Howes (a1), Paul Bebbington (a2), Traolach Brugha (a3), Rachel Jenkins (a4), Glyn Lewis (a5), John Marsden (a1), Colin Taylor (a1) and Howard Meltzer (a6)...

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 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.

Conclusions

There is a clear relationship between dependence on nicotine, alcohol and drugs and other psychiatric morbidity.

Copyright

Corresponding author

Dr Michael Farrell, Senior Lecturer and Consultant Psychiatrist, National Addiction Centre, Institute of Psychiatry and Maudsley Hospital, 4 Windsor Walk, London SE5 8AF, UK. e-mail: m.farrell@iop.kcl.ac.uk

Footnotes

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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes

References

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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Nicotine, alcohol and drug dependence and psychiatric comorbidity: Results of a national household survey

  • Michael Farrell (a1), Samantha Howes (a1), Paul Bebbington (a2), Traolach Brugha (a3), Rachel Jenkins (a4), Glyn Lewis (a5), John Marsden (a1), Colin Taylor (a1) and Howard Meltzer (a6)...
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