Alcohol misuse and report of recent depressive symptoms among ED patients - 15/08/11

Doi : 10.1016/j.ajem.2007.08.019

Shahrzad Bazargan-Hejazi, PhD ^a,^b,^⁎ , Mohsen Bazargan, PhD ^a,^c, Tommie Gaines, MS ^d, Michael Jemanez, MD ^e
^a Department of Psychiatry, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA
^b David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095, USA
^c Research Centers in Minority Institutions, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA
^d Department of Biostatistics, University of California, Los Angeles, Los Angeles, CA 90095, USA
^e School of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095. USA

^⁎Corresponding author. Department of Psychiatry, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059.

Abstract

Objective

This study examined the magnitude of association between alcohol misuse and recent depressive symptoms.

Methods

We conducted a cross-sectional study of 412 randomly selected patients at least 18 years old and seeking emergency department (ED) care.

Results

Of the patients, 51.0% reported depressive symptoms. At-risk drinking was reported by 26.0%, and 28.2% scored positive on the Rapid Alcohol Problems Screen 4. Alcohol abuse and binge drinking were reported by 25.1% and 28%, respectively, of the patients. According to our results, at-risk drinking (odds ratio [OR] = 2.49, 95% confidence interval [CI] = 1.47-4.20, P ≤ .001), problem drinking (OR = 2.11, 95% CI = 1.27-3.51, P ≤ .004), drinking abuse (OR = 2.58, 95% CI = 1.51-4.40, P < .001), and binge drinking (OR = 1.89, 95% CI = 1.13-3.15, P < .001) were all related to the manifestation of depressive symptoms.

Conclusions

The findings of this study yield information that could be used by ED health care practitioners and health educators to educate ED patients at risk for alcohol misuse and depression.

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Plan

Introduction

Materials and methods

Setting

Selection of participants

Study measures

Alcohol measures

Sociodemographic measures

Primary data analysis

Results

Characteristics of study subjects

Discussion

Conclusions

☆

Data collection was funded by the National Institute on Alcohol Abuse and Alcoholism (U24AA11899-5). Analysis and manuscript development were supported by the Agency for Health Care Research and Quality (1RZ4-HS014022-01A1), National Center for Research Resources (G12-RR03026), and the National Center on Minority Health and Disparities (P20MD000148).

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Vol 26 - N° 5

P. 537-544 - juin 2008 Retour au numéro

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Alcohol misuse and report of recent depressive symptoms among ED patients - 15/08/11

Abstract

Objective

Methods

Results

Conclusions

Plan

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