Utilization of Mental Health Services and Risk of 12-month Problematic Alcohol Use

Encrenaz, Gaëlle; Kovess-Masféty, Viviane; Sapinho, David; Chee, Christine Chan; Messiah, Antoine
July 2007
American Journal of Health Behavior;Jul/Aug2007, Vol. 31 Issue 4, p392
Academic Journal
Objective: To examine whether mental health service utilization modifies the association between lifetime anxiety or depressive disorders (ADD) and risk of 12-month problematic alcohol use. Methods: Randomly selected members (n=6518) of a mutual health-insurance company were evaluated for lifetime ADD (DSM-IV), mental health service utilization for ADD, and risk of 12-month problematic alcohol use (DSM-IV and CAGE). Results: Risk of 12-month problematic alcohol use was reduced when mental health services had been used for several ADD (OR=3.3 vs 5.8), but not for one ADD. Conclusions: These results show the importance of taking mental health service use into account as a potential effect-modifier of psychiatric comorbidity.


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