Skip to main content
Erschienen in: Community Mental Health Journal 1/2020

12.09.2019 | Original Paper

Prevalence and Predictors of Symptoms of Depression Among Individuals Seeking Treatment from Australian Drug and Alcohol Outpatient Clinics

verfasst von: Breanne Hobden, Mariko Carey, Jamie Bryant, Rob Sanson-Fisher, Christopher Oldmeadow

Erschienen in: Community Mental Health Journal | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

This study examined the prevalence of and sociodemographic characteristics associated with elevated symptoms of depression among clients seeking alcohol or other drug (AOD) treatment. Consenting clients attending two AOD outpatient clinics answered demographics, treatment questions and the Patient Health Questionnaire to assess depressive symptoms. Counts and percentages were calculated to determine the prevalence of elevated depressive symptoms. Logistic regression was used to model the odds of having elevated depressive symptoms for client demographics. Of the 203 clients who completed the survey (87% consent rate), 55% (n = 111) demonstrated elevated depressive symptoms. Females were twice as likely to experience elevated symptoms of depression compared to males (OR 2.07; 95% CI 1.05, 4.08; P = 0.037). The high rates of elevated depressive symptoms among individuals seeking AOD treatment highlight the importance of ongoing research to provide effective treatments for this comorbidity. Routine screening and clear treatment pathways may assist with providing high quality care.
Literatur
Zurück zum Zitat Baker, A., Lee, N., Claire, M., Lewin, T., Grant, T., Pohlman, S., et al. (2004). Drug use patterns and mental health of regular amphetamine users during a reported ‘heroin drought’. Addiction,99(7), 875–884.CrossRef Baker, A., Lee, N., Claire, M., Lewin, T., Grant, T., Pohlman, S., et al. (2004). Drug use patterns and mental health of regular amphetamine users during a reported ‘heroin drought’. Addiction,99(7), 875–884.CrossRef
Zurück zum Zitat Berk, M., Hallam, K., Malhi, G., Henry, L., Hasty, M., Macneil, C., et al. (2010). Evidence and implications for early intervention in bipolar disorder. Journal of Mental Health,19, 113–126.CrossRef Berk, M., Hallam, K., Malhi, G., Henry, L., Hasty, M., Macneil, C., et al. (2010). Evidence and implications for early intervention in bipolar disorder. Journal of Mental Health,19, 113–126.CrossRef
Zurück zum Zitat Bilsker, D., & White, J. (2011). The silent epidemic of male suicide. BCMJ,53(10), 529–534. Bilsker, D., & White, J. (2011). The silent epidemic of male suicide. BCMJ,53(10), 529–534.
Zurück zum Zitat Burgess, P., Pirkis, J., Slade, T., Johnston, A., Meadows, G., & Gunn, J. (2009). Service use for mental health problems: Findings from the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry,43, 615–623.CrossRef Burgess, P., Pirkis, J., Slade, T., Johnston, A., Meadows, G., & Gunn, J. (2009). Service use for mental health problems: Findings from the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry,43, 615–623.CrossRef
Zurück zum Zitat Burns, L., Teesson, M., & O’Neill, K. (2005). The impact of comorbid anxiety and depression on alcohol treatment outcomes. Addiction,100(6), 787–796.CrossRef Burns, L., Teesson, M., & O’Neill, K. (2005). The impact of comorbid anxiety and depression on alcohol treatment outcomes. Addiction,100(6), 787–796.CrossRef
Zurück zum Zitat Chan, Y.-F., Dennis, M., & Funk, R. (2008). Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment. Journal of Substance Abuse Treatment,34(1), 14–24.CrossRef Chan, Y.-F., Dennis, M., & Funk, R. (2008). Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment. Journal of Substance Abuse Treatment,34(1), 14–24.CrossRef
Zurück zum Zitat Cole, M., & Sacks, T. (2008). When dual diagnosis means no diagnosis: Co-occurring mental illness and problematic drug use in clients of alcohol and drug services in eastern metropolitan Melbourne. Mental Health and Substance Use,1, 33–43.CrossRef Cole, M., & Sacks, T. (2008). When dual diagnosis means no diagnosis: Co-occurring mental illness and problematic drug use in clients of alcohol and drug services in eastern metropolitan Melbourne. Mental Health and Substance Use,1, 33–43.CrossRef
Zurück zum Zitat Darke, S., Swift, W., & Hall, W. (1994). Prevalence, severity and correlates of psychological morbidity among methadone maintenance clients. Addiction,89, 211–217.CrossRef Darke, S., Swift, W., & Hall, W. (1994). Prevalence, severity and correlates of psychological morbidity among methadone maintenance clients. Addiction,89, 211–217.CrossRef
Zurück zum Zitat Darke, S., Wodak, A., Hall, W., Heather, N., & Ward, J. (1992). Prevalence and predictors of psychopathology among opioid users. British Journal of Addiction,87, 771–776.CrossRef Darke, S., Wodak, A., Hall, W., Heather, N., & Ward, J. (1992). Prevalence and predictors of psychopathology among opioid users. British Journal of Addiction,87, 771–776.CrossRef
Zurück zum Zitat Davis, L., Frazier, E., Husain, M., Warden, D., Trivedi, M., Fava, M., et al. (2006). Substance use disorder comorbidity in major depressive disorder: A confirmatory analysis of the STAR*D cohort. Am J Addict,15, 278–285.CrossRef Davis, L., Frazier, E., Husain, M., Warden, D., Trivedi, M., Fava, M., et al. (2006). Substance use disorder comorbidity in major depressive disorder: A confirmatory analysis of the STAR*D cohort. Am J Addict,15, 278–285.CrossRef
Zurück zum Zitat Deane, F., Kelly, P., Crowe, T., Coulson, J., & Lyons, G. (2013). Clinical and reliable change in an Australian residential substance use program using the addiction severity index. Journal of Addictive Diseases,32, 194–205.CrossRef Deane, F., Kelly, P., Crowe, T., Coulson, J., & Lyons, G. (2013). Clinical and reliable change in an Australian residential substance use program using the addiction severity index. Journal of Addictive Diseases,32, 194–205.CrossRef
Zurück zum Zitat Delgadillo, J., Payne, S., Gilbody, S., Godfrey, C., Gore, S., Jessop, D., et al. (2011). How reliable is depression screening in alcohol and drug users? A validation of brief and ultra-brief questionnaires. Journal of Affective Disorders,134(1–3), 266–271.CrossRef Delgadillo, J., Payne, S., Gilbody, S., Godfrey, C., Gore, S., Jessop, D., et al. (2011). How reliable is depression screening in alcohol and drug users? A validation of brief and ultra-brief questionnaires. Journal of Affective Disorders,134(1–3), 266–271.CrossRef
Zurück zum Zitat Dingle, G., & King, P. (2009). Prevalence and impact of co-occurring psychiatric disorders on outcomes from a private hospital drug and alcohol treatment program. Mental Health and Substance Use,2, 13–23.CrossRef Dingle, G., & King, P. (2009). Prevalence and impact of co-occurring psychiatric disorders on outcomes from a private hospital drug and alcohol treatment program. Mental Health and Substance Use,2, 13–23.CrossRef
Zurück zum Zitat Dore, G., Mills, K., Murray, R., Teesson, M., & Farrugia, P. (2012). Post-traumatic stress disorder, depression and suicidality in inpatients with substance use disorders. Drug and Alcohol Review,31, 294–301.CrossRef Dore, G., Mills, K., Murray, R., Teesson, M., & Farrugia, P. (2012). Post-traumatic stress disorder, depression and suicidality in inpatients with substance use disorders. Drug and Alcohol Review,31, 294–301.CrossRef
Zurück zum Zitat Dum, M., Pickren, J., Sobell, L., & Sobell, M. B. (2008). Comparing the BDI-II and the PHQ-9 with outpatient substance abusers. Addictive Behaviors,33(2), 381–387.CrossRef Dum, M., Pickren, J., Sobell, L., & Sobell, M. B. (2008). Comparing the BDI-II and the PHQ-9 with outpatient substance abusers. Addictive Behaviors,33(2), 381–387.CrossRef
Zurück zum Zitat Ferrari, A. J., Charlson, F. J., Norman, R. E., Patten, S. B., Freedman, G., Murray, C. J. L., et al. (2013). Burden of depressive disorders by country, sex, age, and year: Findings from the global burden of disease study 2010. PLoS Medicine,10(11), e1001547.CrossRef Ferrari, A. J., Charlson, F. J., Norman, R. E., Patten, S. B., Freedman, G., Murray, C. J. L., et al. (2013). Burden of depressive disorders by country, sex, age, and year: Findings from the global burden of disease study 2010. PLoS Medicine,10(11), e1001547.CrossRef
Zurück zum Zitat Freeman, A., Tyrovolas, S., Koyanagi, A., Chatterji, S., Leonardi, M., Ayuso-Mateos, J., … Haro, J. (2016). The role of socio-economic status in depression: Results from the COURAGE (aging survey in Europe). BMC Public Health, 16, e1098. Freeman, A., Tyrovolas, S., Koyanagi, A., Chatterji, S., Leonardi, M., Ayuso-Mateos, J., … Haro, J. (2016). The role of socio-economic status in depression: Results from the COURAGE (aging survey in Europe). BMC Public Health, 16, e1098.
Zurück zum Zitat Hepner, K. A., Hunter, S. B., Edelen, M. O., Zhou, A. J., & Watkins, K. (2009). A comparison of two depressive symptomatology measures in residential substance abuse treatment clients. Journal of Substance Abuse Treatment,37(3), 318–325.CrossRef Hepner, K. A., Hunter, S. B., Edelen, M. O., Zhou, A. J., & Watkins, K. (2009). A comparison of two depressive symptomatology measures in residential substance abuse treatment clients. Journal of Substance Abuse Treatment,37(3), 318–325.CrossRef
Zurück zum Zitat Hoebel, J., Maske, U., Zeeb, H., & Lampert, T. (2017). Social inequalities and depressive symptoms in adults: The role of objective and subjective socioeconomic status. PLoS ONE,12, e0169764.CrossRef Hoebel, J., Maske, U., Zeeb, H., & Lampert, T. (2017). Social inequalities and depressive symptoms in adults: The role of objective and subjective socioeconomic status. PLoS ONE,12, e0169764.CrossRef
Zurück zum Zitat Hood, S., & O’Neil, G. H. G. (2009). The role of flumazenil in the treatment of benzodiazepine dependence: Physiological and psychological profiles. Journal of Psychopharmacology,23, 401–409.CrossRef Hood, S., & O’Neil, G. H. G. (2009). The role of flumazenil in the treatment of benzodiazepine dependence: Physiological and psychological profiles. Journal of Psychopharmacology,23, 401–409.CrossRef
Zurück zum Zitat Jenkins, R. (2007). Substance use and suicidal behaviour. Psychiatry,6(1), 16–18.CrossRef Jenkins, R. (2007). Substance use and suicidal behaviour. Psychiatry,6(1), 16–18.CrossRef
Zurück zum Zitat Johns, K., Baker, A., Webster, R., & Lewin, T. (2009). Factors associated with retention in a long-term residential rehabilitation programme for women with substance use problems. Mental Health and Substance Use,2, 40–51.CrossRef Johns, K., Baker, A., Webster, R., & Lewin, T. (2009). Factors associated with retention in a long-term residential rehabilitation programme for women with substance use problems. Mental Health and Substance Use,2, 40–51.CrossRef
Zurück zum Zitat Johnston, A., Pirkis, J., & Burgess, P. (2009). Suicidal thoughts and behaviours among Australian adults: Findings from the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry,43, 635–643.CrossRef Johnston, A., Pirkis, J., & Burgess, P. (2009). Suicidal thoughts and behaviours among Australian adults: Findings from the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry,43, 635–643.CrossRef
Zurück zum Zitat Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine,16(9), 606–613.CrossRef Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine,16(9), 606–613.CrossRef
Zurück zum Zitat Lai, H. M., Cleary, M., Sitharthan, T., & Hunt, G. E. (2015). Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014: A systematic review and meta-analysis. Drug and Alcohol Dependence,154, 1–13.CrossRef Lai, H. M., Cleary, M., Sitharthan, T., & Hunt, G. E. (2015). Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014: A systematic review and meta-analysis. Drug and Alcohol Dependence,154, 1–13.CrossRef
Zurück zum Zitat Lejoyeux, M., & Lehert, P. (2011). Alcohol-use disorders and depression: Results from individual patient data meta-analysis of the acamprosate-controlled studies. Alcohol and Alcoholism,46(1), 61–67.CrossRef Lejoyeux, M., & Lehert, P. (2011). Alcohol-use disorders and depression: Results from individual patient data meta-analysis of the acamprosate-controlled studies. Alcohol and Alcoholism,46(1), 61–67.CrossRef
Zurück zum Zitat Lubman, D., Allen, N., Rogers, N., Cementon, E., & Bonomo, Y. (2007). The impact of co-occurring mood and anxiety disorders among substance-abusing youth. Journal of Affective Disorders,103, 105–112.CrossRef Lubman, D., Allen, N., Rogers, N., Cementon, E., & Bonomo, Y. (2007). The impact of co-occurring mood and anxiety disorders among substance-abusing youth. Journal of Affective Disorders,103, 105–112.CrossRef
Zurück zum Zitat Marel, C., Mills, K., Kingston, R., Gournay, K., Deady, M., Kay-Lambkin, F., … Teesson, M. (2016). Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings. Retrieved from Sydney, Australia. Marel, C., Mills, K., Kingston, R., Gournay, K., Deady, M., Kay-Lambkin, F., … Teesson, M. (2016). Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings. Retrieved from Sydney, Australia.
Zurück zum Zitat Martin, L., Neighbors, H., & Griffith, D. (2013). The experience of symptoms of depression in men vs women: Analysis of the National Comorbidity Survey Replication. JAMA Psychiatry,70(10), 1100–1106.CrossRef Martin, L., Neighbors, H., & Griffith, D. (2013). The experience of symptoms of depression in men vs women: Analysis of the National Comorbidity Survey Replication. JAMA Psychiatry,70(10), 1100–1106.CrossRef
Zurück zum Zitat McKetin, R., Lubman, D., Lee, N., Ross, J., & Slade, T. (2011). Major depression among methamphetamine users entering drug treatment programs. Medical Journal of Australia,195, S51–S55.CrossRef McKetin, R., Lubman, D., Lee, N., Ross, J., & Slade, T. (2011). Major depression among methamphetamine users entering drug treatment programs. Medical Journal of Australia,195, S51–S55.CrossRef
Zurück zum Zitat Mortlock, K., Deane, F., & Crowe, T. (2011). Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings. Journal of Substance Abuse Treatment,40, 397–404.CrossRef Mortlock, K., Deane, F., & Crowe, T. (2011). Screening for mental disorder comorbidity in Australian alcohol and other drug residential treatment settings. Journal of Substance Abuse Treatment,40, 397–404.CrossRef
Zurück zum Zitat Nunes, E., & Levin, F. (2004). Treatment of depression in patients with alcohol or other drug dependence: A meta-analysis. JAMA,291(15), 1887–1896.CrossRef Nunes, E., & Levin, F. (2004). Treatment of depression in patients with alcohol or other drug dependence: A meta-analysis. JAMA,291(15), 1887–1896.CrossRef
Zurück zum Zitat Riolo, S., Nguyen, T., Greden, J., & King, C. (2005). Prevalence of depression by race/ethnicity: Findings from the National Health and Nutrition Examination Survey III. American Journal of Public Health,95(6), 998–1000.CrossRef Riolo, S., Nguyen, T., Greden, J., & King, C. (2005). Prevalence of depression by race/ethnicity: Findings from the National Health and Nutrition Examination Survey III. American Journal of Public Health,95(6), 998–1000.CrossRef
Zurück zum Zitat Ross, J., Teesson, M., Darke, S., Lynskey, M., Ali, R., Ritter, A., et al. (2005). The characteristics of heroin users entering treatment: Findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Review,24, 411–418.CrossRef Ross, J., Teesson, M., Darke, S., Lynskey, M., Ali, R., Ritter, A., et al. (2005). The characteristics of heroin users entering treatment: Findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Review,24, 411–418.CrossRef
Zurück zum Zitat Stafford, M., Jackson, H., Mayo-Wilson, E., Morrison, A., & Kendall, T. (2013). Early interventions to prevent psychosis: Systematic review and meta-analysis. BMJ,346, f185.CrossRef Stafford, M., Jackson, H., Mayo-Wilson, E., Morrison, A., & Kendall, T. (2013). Early interventions to prevent psychosis: Systematic review and meta-analysis. BMJ,346, f185.CrossRef
Zurück zum Zitat Staiger, P., Thomas, A., Ricciardelli, L., & McCabe, M. (2011). Identifying depression and anxiety disorders in people presenting for substance use treatment. Medical Journal of Australia,195, S60–S63.CrossRef Staiger, P., Thomas, A., Ricciardelli, L., & McCabe, M. (2011). Identifying depression and anxiety disorders in people presenting for substance use treatment. Medical Journal of Australia,195, S60–S63.CrossRef
Zurück zum Zitat Teesson, M., Slade, T., & Mills, K. (2009). Comorbidity in Australia: Findings of the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry,43(7), 606–614.CrossRef Teesson, M., Slade, T., & Mills, K. (2009). Comorbidity in Australia: Findings of the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry,43(7), 606–614.CrossRef
Metadaten
Titel
Prevalence and Predictors of Symptoms of Depression Among Individuals Seeking Treatment from Australian Drug and Alcohol Outpatient Clinics
verfasst von
Breanne Hobden
Mariko Carey
Jamie Bryant
Rob Sanson-Fisher
Christopher Oldmeadow
Publikationsdatum
12.09.2019
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 1/2020
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00451-3

Weitere Artikel der Ausgabe 1/2020

Community Mental Health Journal 1/2020 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.