Comorbiditv Rates Of Alcohol Use Disorder And Mood Disorder Among Residents In Changsha Area

Objective:In this survey,cross-sectional study is used to investigate the prevalence of mood disorder,alcohol use disorder and comorbidity of both among urban and rural residents in changsha.It is also used to investigate the influencing factors of prevalence. Possible risk factors are expected to identify to provides the basis for putting forward the preventing and controlling countermeasure.Subjects and Methods:All data are drawn from the result of epidemiologic studies about mental hygiene from2011to2012in hunan. It’s use the methods of stratified,multi-stage and entire group random sampling to residents in Changsha. In this survey, in order to investigate the prevalence of alcohol use disorders and mood disorders, expanded version of the General Health Questionnaire (GHQ-12) is adopted as diagnostic screening tool, Diagnostic and Statistical Manual of Mental Disorders in America (fourth edition) is used as diagnostic criteria, DSM-Ⅳ-TR axis I Disorders in Clinical Examination (SCID-I/P)(translated by mental Health Institute of West China Hospital of Sichuan University, Revised by Department of Clinical Epidemiology of Beijing Hui Long Guan Hospital) is used as diagnostic tools. SPSS18.0is used for statistic analysis and evaluation on the result. Chi-square test and logistic regression analysis is used to compare demographic characteristics of monopathy,comorbidity and disease-free.Results:1.The prevalence of alcohol use disorder and mood disorder of residents in Chansha are1.76%and6.01%.2.60.9%of residents in Chansha have a mood disorder, whereas19.9%of those suffered with mood disorders also have an alcohol use disorder.After controlling for age, gender, regions and education levels, mood disorders are33.54times more prevalent among individuals who suffer with alcohol use disorders than among those who have not any alcohol use disorders (OR=33.54;95%CI=17.52-64.20); whereas alcohol use disorders were33.51times more prevalent among those who have mood disorders than those without mood disorders (OR=35.51;95%CI=18.02-68.39).3.The prevalence of alcohol use disorders of men(88.9%) is higher than that of women(11.1%), the prevalence of mood disorders of men(78.6%) is higher than that of women(21.4%), but the prevalence of simple mood disorder of women (57.5%) is higher than that of men(42.5%). All this shows that men should strengthen to prevent alcohol use disorders.4. In alcohol use disorders, mood disorder is mainly caused by dysthymic disorder and major depression disorder. In this survey, the prevalence of major depression disorder in alcohol use disorders is21.7%; the prevalence of dysthymic disorder is28.3%; the prevalence of alcohol use disorders in major depression disorder is also28.3%. The risk of dysthymic disorder in alcohol use disorders is26.85times higher than that of non alcohol use disorders; the risk of major depression disorder in alcohol use disorders is16.34times higher than that of non alcohol use disorders. All this shows that alcohol use disorder is easier as dysthymic disorder.5.The risk of alcohol dependence in mood disorder is37.89times than that of non mood disorder. The risk of alcohol abuse in mood disorder is15.25times than that of non mood disorder. It shows that mood disorder is easier to get risk of alcohol dependence. The prevalence of alcohol use disorders in mood disorder and twofold disorder is25%, The risk of alcohol use disorders in dysthymic disorder is50times than that of non dysthymic disorder. All this shows that dysthymic disorder is easier to get the risk of alcohol use disorder.6.In alcohol use disorders, Household income is important factor of mood disorder and alcohol use disorder. People with high household income get less risk of mood disorder and alcohol use disorder than people with low household income.Conclusions:Alcohol use disorders and mood disorders are highly co-morbid. Professionals and workers in the field of mental health should pay much attention to this problem of comorbidity. Mental disease comorbidity of residents in Chansha is high, putting up the way of preventionand intervenient countermeasures in onset patient group can reduce the burden of mental disease.