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Toward an integrative model for alcohol use and dependence

DOI: 10.4236/ojpsych.2012.24044, PP. 317-320

Keywords: Structural Equation Modelling, Alcohol Abuse, Alcohol Dependence

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Abstract:

Background: If the alcohol use and dependence disorders are differentiated by the pharmaco-dependence, they share complex relationships with other clinical disorders and personality disorders. The purpose of this paper is to produce a model that reflects its relations both among users than among addicts. Method: Data from questionnaires measuring key variables selected for this study have been collected from people with alcohol misuse (n = 83) and alcohol-dependent (n = 81) in rehab. A model of drug dependence has been produced from these data that gives complete satisfaction to the criteria of SEM. Discussion: This model reflects the shift from abuse to a dependent consumption by the presence of feedbacks involving pharmaco-dependence, disturbance of the alcohol consumption by psychological distress and depressive traits. To further guarantee its validity, however it should be tested by collecting data from other surveys.

References

[1]  Hall, W., Degenhardt, L. and Tesson, M. (2009) Understanding comorbidity between substance use, anxiety and affective disorders: Broadening the research base. Addictive Behaviors, 34, 526-530. doi:10.1016/j.addbeh.2009.03.010
[2]  Schukit, M.A., Smith, T.L. and Chacko, Y. (2009) Evaluation of depression-related model of alcohol problems in 430 probands from the San Diego prospective study. Drug and Alcohol Depend, 82, 194-203. doi:10.1016/j.drugalcdep.2005.09.006
[3]  Allan, C.A. (1995) Alcohol problems and anxiety disorders—A critical review. Alco Alcoholism, 30, 145-151.
[4]  Schuckit, M.A. (1994) The relationship between alcohol problems, substance abuse and psychiatric syndromes. American Psychiatric Association, 1, 1994, 45-66.
[5]  Brady, K.T. and Lydiard, B. (1993) The association of alcoholism and anxiety. Psychiatric Quarterly, 30, 135-149. doi:10.1007/BF01065866
[6]  Turnbull, J.E. and Gomberg, E.S.L. (1990) The structure of depression in alcoholic women. Journal of Studies on Alcohol and Drugs, 51, 549-555.
[7]  Helzer, J.E. and Prysbeck, T.R. (1988) The co-occurrence of alcoholism and other psychiatric disorders in the general population and its impact on treatment. Journal of Studies on alcohol, 49, 219-224
[8]  DeJong, C.A., Van der Brink, W., Harteveld, F.M. and Van der Wielen, G.M. (1993) Personality disorders in alcoholics and drug addicts. Comprehensive Psychiatric, 1993, 34, 87-94. doi:10.1016/0010-440X(93)90052-6
[9]  Movalli, M.G., Madeddu, F., Fossati, A. and Maffei, C. (1996) Personality disorders (DSM III-r, DSM IV): Prevalence in alcoholics and influence on droup out from treatment, Alcoologia, 8, 47-52.
[10]  Goldsmith, A.A., Tran, G.Q., Smith, J.P. and Howe, S.R. (2009) Alcohol expectancies and drinking motives in college drinkers: Mediating effects on the relationship between generalized anxiety and heavy drinking in negative-affect situations. Addictive Behaviors, 34, 503-513. doi:10.1016/j.addbeh.2009.01.003
[11]  Pelc, I. (1978) Contribution to the abnormal psychology of the chronic alcoholism. Ph.D. Thesis, Université libre de Bruxelles, Brussels.
[12]  Pariente, P. and Guelfi, J.-D. (1990) Self-assessment inventories of psychopathology in adults, Part 1: multidimensional inventories. Psychiatr Psychobiol, 5, 49-63.
[13]  DeRogatis, L.R. (1977) SCL-90r (revised) version manual I. clinical psychometrics research unit. John Hoppkinks University School of Medicine, Baltimore.
[14]  Cottraux, J., Bouvard, M., Legeron, P. (1985) Methods and behavior rating scales. Psychological Editions and Applications, Paris.
[15]  Weissman, A. and Beck, A.T. (1978) Development and validation of the dysfunctional attitude scale. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Chicago.
[16]  Arbuckle, J.L. (2003) Amos 5.0. Smallwaters Corps, Chicago.

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