Q J Med 2004; 97: 237-240
QJM vol. 97 no. 4 (c) Association of Physicians 2004; all rights reserved.
Commentary |
Depression and alcoholism
From the Division of Neuroscience, Department of Psychiatry, Columbia University, New York, USA
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| Introduction |
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Drinking alcohol-containing beverages is a common habit in Western countries. In most Western societies, at least 90% of people consume alcohol at some time during their lives, and 30% or more of drinkers develop alcohol-related life problems.1 Severe alcohol-related life impairment, alcohol dependence, is observed at some time during their lives in
10% of men and 35% of women, with an additional 510% of each sex developing persistent but less intense problems that are diagnosed as abuse.1
| Alcohol abuse vs. alcohol dependence |
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Individuals with alcohol abuse are not dependent on alcohol, but have repeated legal, interpersonal, social, or occupational impairments related to alcohol consumption.1,2 They frequently use alcohol in physically hazardous situations. If individuals with alcohol abuse continue to drink, they may go on to develop alcohol dependence. Alcohol dependence is characterized by tolerance (a need for markedly increased amounts of alcohol to achieve desired effect and/or
| Comorbidity between depression and alcoholism |
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| The psychological impact of alcoholism |
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| The physiological impact of alcoholism |
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| Recognition of a history of alcoholism, and clinical implications for practitioners |
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Address correspondence to Dr L. Sher, Division of Neuroscience, Department of Psychiatry, Columbia University, 1051 Riverside Drive, Suite 2917, Box 42, New York, NY 10032, USA. e-mail: ls2003@columbia.edu