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Associations of common mental disorder with alcohol use in the adult general population: a systematic review and meta-analysis

Puddephatt, JA, Irizar, P, Jones, A, Gage, SH and Goodwin, L (2021) Associations of common mental disorder with alcohol use in the adult general population: a systematic review and meta-analysis. Addiction, 117 (6). pp. 1543-1572. ISSN 0965-2140

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Background and Aims: Research has shown that alcohol use and common mental disorders (CMDs) co-occur; however, little is known about how the global prevalence of alcohol use compares across different CMDs. We aimed to (i) report global associations of alcohol use (alcohol use disorder (AUD), binge drinking and consumption) comparing those with and without a CMD, (ii) examine how this differed among those with and without specific types of CMDs and (iii) examine how results may differ by study characteristics. Methods: We used a systematic review and meta-analysis. Cross-sectional, cohort, prospective, longitudinal and case–control studies reporting the prevalence of alcohol use among those with and without a CMD in the general population were identified using PsycINFO, MEDLINE, PsyARTICLES, PubMed, Scopus and Web of Science until March 2020. Depression, anxiety and phobia were included as a CMD. Studies were included if they used a standardized measure of alcohol use. A random-effects meta-analysis was conducted to generate pooled prevalence and associations of AUD with CMD with 95% confidence intervals (CI). A narrative review is provided for binge drinking and alcohol consumption. Results: A total of 512 full-texts were reviewed, 51 included in our final review and 17 in our meta-analyses (n = 382 201). Individuals with a CMD had a twofold increase in the odds of reporting an AUD [odds ratio (OR) = 2.02, 95% CI = 1.72–2.36]. The odds of having an AUD were similar when stratified by the type of CMD (mood disorder: OR = 2.00, 95% CI = 1.62–2.47; anxiety/phobic disorder: OR = 1.94, 95% CI = 1.35–2.78). An analysis of study characteristics did not reveal any clear explanations for between-study heterogeneity (I2 > 80%). There were no clear patterns for associations between having a CMD and binge drinking or alcohol consumption, respectively. Conclusions: People with common mental disorders (depression, anxiety, phobia) are twice as likely to report an alcohol use disorder than people without common mental disorders.

Item Type: Article
Uncontrolled Keywords: Humans; Alcoholism; Prospective Studies; Cross-Sectional Studies; Alcohol Drinking; Mental Disorders; Adult; Binge Drinking; Alcohol; anxiety disorders; associations; comorbidity; epidemiology; mood disorders; Adult; Alcohol Drinking; Alcoholism; Binge Drinking; Cross-Sectional Studies; Humans; Mental Disorders; Prospective Studies; Substance Abuse; 11 Medical and Health Sciences; 17 Psychology and Cognitive Sciences
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Psychology (from Sep 2019)
Publisher: Wiley
SWORD Depositor: A Symplectic
Date Deposited: 14 Sep 2022 07:52
Last Modified: 14 Sep 2022 07:52
DOI or ID number: 10.1111/add.15735
URI: https://researchonline.ljmu.ac.uk/id/eprint/17550
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