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Vojnosanitetski pregled
2015, vol. 72, br. 5, str. 437-441
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 06/07/2015
doi: 10.2298/VSP131223047M
Povezanost i karakteristike samoprocene i kliničke procene depresije kod alkoholičara u toku rane apstinencije
Vojnomedicinska akademija, Klinika za psihijatriju, Beograd + Univerzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd

e-adresa: mandig468@yahoo.com

Sažetak

Uvod/Cilj. Depresija predstavlja faktor rizika za relaps alkoholizma, ali je često nedijagnostikovana kod lečenih alkoholičara. Ispitani su povezanost i karakteristike samoprocene i procene depresije kod alkoholičara u toku rane apstinencije. Metode. U ispitivanje je bilo uključeno 100 primarnih alkoholičara muškog pola, starosti 20-60 godina (dijagnostikovani prema Međunarodnoj klasifikaciji bolesti - MKB-10 i Dijagnostičko-statističkom priručniku - DSM-IV). Depresija je bila procenjena Hamiltonovom skalom (HDRS) i Bekovim upitnikom (BDI) na prijemu (T1), posle četiri (T2) i osam nedelja (T3). Razlike skorova bile su testirane Studentovim t-testom i ponovljenim merenjima ANOVA. Primenjena je i Pearsonova korelacija (p < 0.05), kao i faktorska analiza simptoma. Rezultati. Na HDRS skali u vremenima T1, T2, T3 bilo je depresivno 90,7%, 39,5%, odnosno 17,4% alkoholičara. Prosečni skorovi HAMD vs BDI u vremenima T1, T2 i T3 bili su 15,16 ± 6,34, 7,35 ± 4,18, 4,23 ± 2,93 vs 14,20 ± 9,56, 8,14 ± 7,35, 5,30 ± 4,94. Opadanje težine depresije na ANOVA i korelacije između HRDS i BDI u vremenima T1, T2 i T3 (r1 = 0.763, r2 = 0,684, r3 = 0,613) bile su značajne. Na sva tri merenja bile su prisutne sve četiri HDRS supskale (disforično raspoloženje, anksiozna, vegetativna i kognitivna), ali BDI faktori nisu nađeni, pa su analizirani BDI simptomi. Zaključak. Na prijemu, većina alkoholičara imala je prosečno blagu depresiju. U toku osam nedelja, značajno je opao intenzitet depresije sa pozitivnom korelacijom između HDRS i BDI. Posle osam nedelja perzistirala je kao najprominentnija Hamiltonova supskala disforičnog raspoloženja, a na BDI simptomi samooptuživanja, osećaji gubika zadovoljstva i krivice. BDI bi mogao biti koristan ne samo za rutinsko isitivanje i praćenje depresije, već i za procenu unutrašnjeg sadržaja depresije u ranoj apstinenciji radi planiranja intergrativnog lečenja i prevencije relapsa kod alkoholičara.

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Reference

*** (1992) The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: World Health Organization, World Health Organization
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders. Washington: American Psychiatric Association
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., Erbaugh, J. (1961) An inventory for measuring depression. Arch Gen Psychiatry, 4: 561-71
Brower, K.J., Aldrich, M.S., Robinson, E.A.R., Zucker, R.A., Greden, J.F. (2001) Insomnia, Self-Medication, and Relapse to Alcoholism. American Journal of Psychiatry, 158(3): 399-404
Brown, S.A., Schuckit, M.A. (1988) Changes in depression among abstinent alcoholics. Journal of Studies on Alcohol, 49(5): 412-417
Brown, S.A., Inaba, R.K., Gillin, J.C., Schuckit, M.A., Stewart, M.A., Irwin, M.R. (1995) Alcoholism and affective disorder: clinical course of depressive symptoms. American Journal of Psychiatry, 152(1): 45-52
Conner, K.R., Pinquart, M., Gamble, S.A. (2009) Meta-analysis of depression and substance use among individuals with alcohol use disorders. Journal of Substance Abuse Treatment, 37(2): 127-137
Curran, G.M., Flynn, H.A., Kirchner, J., Booth, B.M. (2000) Depression after alcohol treatment as a risk factor for relapse among male veterans. J Subst Abuse Treat, 19(3): 259-65
Curran, G.M., Booth, B.M., Kirchner, J.E., Deneke, D.E. (2007) Recognition and Management of Depression in a Substance Use Disorder Treatment Population. American Journal of Drug and Alcohol Abuse, 33(4): 563-569
Driessen, M., Meier, S., Hill, A., Wetterling, T., Lange, W., Junghanns, K. (2001) The course of anxiety, depression and drinking behaviours after completed detoxification in alcoholics with and without comorbid anxiety and depressive disorders. Alcohol Alcohol, 36(3): 249-55
Dunkel, D., Froehlich, S., Antretter, E., Haring, C. (2002) Replication of a Two-Factor Model of the Beck Depression Inventory in Alcohol Dependents and Suicide Attempters. Psychopathology, 35(4): 228-233
Gilman, S.E., Abraham, H.D. (2001) A longitudinal study of the order of onset of alcohol dependence and major depression. Drug Alcohol Depend, 63(3): 277-86
Gopalakrishnan, R., Ross, J., O`Brien, C., Oslin, D. (2009) Course of Late-Life Depression With Alcoholism Following Combination Therapy. Journal of Studies on Alcohol and Drugs, 70(2): 237-241
Hamilton, M. (1960) A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry, 23: 56-62
Karno, M.P., Longabaugh, R. (2003) Patient depressive symptoms and therapist focus on emotional material: a new look at Project MATCH. Journal of Studies on Alcohol, 64(5): 607-615
Kessler, R.C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K.R., Rush, J.A., Walters, E.E. (2003) The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289(23): 3095-105
Kiefer, F. (1999) Secondary depression in weaned alcoholics: implications of Lesch's typology of chronic alcoholism. Alcohol and Alcoholism, 34(6): 916-917
Lejoyeux, M., Lehert, P. (2010) Alcohol-Use Disorders and Depression: Results from Individual Patient Data Meta-Analysis of the Acamprosate-Controlled Studies. Alcohol and Alcoholism, 46(1): 61-67
Liappas, J., Paparrigopoulos, T., Tzavellas, E., Christodoulou, G. (2002) Impact of alcohol detoxification on anxiety and depressive symptoms. Drug and Alcohol Dependence, 68(2): 215-220
Manninen, L., Poikolainen, K., Vartianen, E., Laatikainen, T. (2006) Heavy drinking occasions and depression. Alcohol and Alcoholism, 41(3): 293-299
Moak, D.H., Anton, R.F., Latham, P.K., Voronin, K.E., Waid, R.L., Durazo-Arvizu, R. (2003) Sertraline and Cognitive Behavioral Therapy for Depressed Alcoholics: Results of A Placebo-Controlled Trial. Journal of Clinical Psychopharmacology, 23(6): 553-562
Nakamura, M.M., Overall, J.E., Hollister, L.E., Radcliffe, E. (1983) Factors affecting outcome of depressive symptoms in alcoholics. Alcohol Clin Exp Res, 7(2): 188-93
Nunes, E.V., Levin, F.R. (2004) Treatment of Depression in Patients With Alcohol or Other Drug Dependence. JAMA, 291(15): 1887
Petrakis, I.L., Leslie, D., Rosenheck, R. (2003) The Use of Antidepressants in Alcohol-Dependent Veterans. Journal of Clinical Psychiatry, 64(8): 865-870
Schuckit, M.A. (2009) Alcohol-use disorders. Lancet, 373(9662): 492-501
Schuckit, M.A., Smith, T.L., Danko, G.P., Pierson, J., Trim, R., Nurnberger, J.I., Kramer, J., Kuperman, S., Bierut, L.J., Hesselbrock, V. (2007) A Comparison of Factors Associated With Substance-Induced Versus Independent Depressions. Journal of Studies on Alcohol and Drugs, 68(6): 805-812
Steer, R.A., McElroy, M.G., Beck, A.T. (1983) Correlates of self-reported and clinically assessed depression in outpatient alcoholics. Journal of Clinical Psychology, 39(1): 144-149
Strowig, A.B. (2000) Relapse determinants reported by men treated for alcohol addiction: The prominence of depressed mood. J Subst Abuse Treat, 19(4): 469-74
Wagner, T., Krampe, H., Stawicki, S., Reinhold, J., Jahn, H., Mahlke, K., Barth, U., Sieg, S., Maul, O., Galwas, C., Aust, C., Kröner-Herwig, B., Brunner, E., Poser, W., Henn, F., Rüther, E. (2004) Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment – results of a prospective study. Journal of Psychiatric Research, 38(6): 619-635
Wang, J., Patten, S.B. (2002) Prospective study of frequent heavy alcohol use and the risk of major depression in the Canadian general population. Depress Anxiety, 15(1): 42-5
Wetterling, T., Junghanns, K. (2000) Psychopathology of alcoholics during withdrawal and early abstinence. Eur Psychiatry, 15(8): 483-8
Willenbring, M.L. (1986) Measurement of depression in alcoholics. J Stud Alcohol, 47(5): 367-72