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Alcoholism and depression in a Swedish female population: co-morbidity and risk factors.

https://arctichealth.org/en/permalink/ahliterature10425
Source
Acta Psychiatr Scand. 2000 Jul;102(1):44-51
Publication Type
Article
Date
Jul-2000
Author
L. Spak
F. Spak
P. Allebeck
Author Affiliation
Göteborg University, Department of Social Medicine, Sweden.
Source
Acta Psychiatr Scand. 2000 Jul;102(1):44-51
Date
Jul-2000
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Alcoholism - epidemiology
Comorbidity
Comparative Study
Depressive Disorder - epidemiology
Factor Analysis, Statistical
Family Characteristics
Female
Follow-Up Studies
Humans
Middle Aged
Population Surveillance
Research Support, Non-U.S. Gov't
Risk factors
Sampling Studies
Socioeconomic Factors
Sweden - epidemiology
Abstract
OBJECTIVE: Our aims were to study associations between depressive disorders and alcohol dependence/abuse (ADA) in a female population-based sample, and to identify risk indicators common to both depressive disorders and ADA. METHOD: Three hundred and sixteen women in a stratified randomized sample were interviewed face to face. They were asked about their childhood/adolescence and alcohol habits. Clinical lifetime diagnoses according to DSM-III-R were made. Depressive disorders includes different mood disorders. RESULTS: Half the women with ADA also had a depressive disorder, and 25% of the women with depressive disorders also had ADA. Alcohol intoxication before the age of 15 and psychological and/or psychiatric problems before the age of 18 years increased the risk for ADA and depressive disorders in our study. CONCLUSION: Our results support previous findings of an association between depressive disorders and ADA, beginning early in life.
PubMed ID
10892609 View in PubMed
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Factors in childhood and youth predicting alcohol dependence and abuse in Swedish women: findings from a general population study.

https://arctichealth.org/en/permalink/ahliterature11058
Source
Alcohol Alcohol. 1997 May-Jun;32(3):267-74
Publication Type
Article
Author
L. Spak
F. Spak
P. Allebeck
Author Affiliation
Department of Social Medicine, Göteborg University, Vasa Hospital, Sweden.
Source
Alcohol Alcohol. 1997 May-Jun;32(3):267-74
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Alcoholic Intoxication - epidemiology - genetics - psychology
Alcoholism - epidemiology - genetics - psychology
Child
Child Abuse, Sexual - psychology - statistics & numerical data
Child of Impaired Parents - psychology
Comorbidity
Female
Humans
Life Change Events
Mass Screening
Mental Disorders - epidemiology - psychology
Middle Aged
Personality Development
Personality Inventory
Research Support, Non-U.S. Gov't
Risk factors
Sweden - epidemiology
Abstract
The aim was to assess risk factors during childhood and youth for alcohol dependence/abuse (ADA) in a population-based study of Swedish women. A total of 316 women were interviewed after stratified random sampling in the general population and a screening questionnaire. The interviews focused on social, psychological and behaviour characteristics as well as on early substance use patterns. Alcohol diagnoses were made according to DSM-III-R and CIDI-SAM. Experiences of sexual abuse before the age of 13 years, a history of psychological or psychiatric problems, early deviant behaviour and an episode of alcohol intoxication before the age of 15 years were significantly associated with ADA in a logistic model. General indicators of low social class were not associated with increased risk of ADA in a multivariate analysis. Sexual abuse in childhood was the strongest predictor of ADA. This association has potential public health importance, and should be addressed in future studies on women and alcohol.
PubMed ID
9199727 View in PubMed
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Sexual abuse and alcoholism in a female population.

https://arctichealth.org/en/permalink/ahliterature10737
Source
Addiction. 1998 Sep;93(9):1365-73
Publication Type
Article
Date
Sep-1998
Author
L. Spak
F. Spak
P. Allebeck
Author Affiliation
Department of Social Medicine, Göteborg University, Sweden. Lena.Spak@socmed.gu.se
Source
Addiction. 1998 Sep;93(9):1365-73
Date
Sep-1998
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Alcoholism - epidemiology - psychology
Child
Child Abuse, Sexual
Female
Health Surveys
Humans
Middle Aged
Population Surveillance
Prevalence
Research Support, Non-U.S. Gov't
Sweden - epidemiology
Abstract
AIMS: (1) To study the prevalence of childhood sexual abuse before the age of 18 years (CSA) and life-time sexual abuse (LSA) in a Swedish female, general population, (2) to analyse associations between CSA and life-time alcohol dependence or abuse (ADA), and (3) to identify possible confounding factors. DESIGN AND PARTICIPANTS: The study was conducted in two phases. Phase 1: an alcohol problem screening questionnaire was sent to 3130 women aged 25-65. The answers were scored. Phase 2: based on the questionnaire scores, a randomly selected stratified sample of 479 women was invited for an interview. Of these, 316 women participated in a structured face-to-face interview. SETTING: A sector of Göteborg city with 100,000 inhabitants. MEASUREMENTS: The interviews focused on substance use and on social, psychological and behavioural characteristics, including experiences of sexual abuse. Clinical psychiatric diagnoses were made according to DSM-III-R. Bivariate analyses and multivariate logistic regression analyses were performed. FINDINGS: The prevalence of CSA and LSA was 9.8% and 13.9%, respectively. CSA increased the risk for life-time ADA and anxiety, but not for depression. When potential confounding factors (e.g. early background factors, depression and anxiety) were adjusted for, CSA under 13 years of age still predicted ADA in multivariate analyses, but CSA under 18 years of age did not. CONCLUSIONS: LSA, and especially CSA under 13 years of age, are factors that should be considered in treatment of women with ADA and in psychiatric treatment of women.
PubMed ID
9926542 View in PubMed
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[The Gothenburg study of women and alcohol: low occurrence of abuse--increase appears to have abated]

https://arctichealth.org/en/permalink/ahliterature10241
Source
Lakartidningen. 2001 Mar 7;98(10):1103-7
Publication Type
Article
Date
Mar-7-2001
Author
P. Allebeck
F. Spak
T. Hällström
E. Johansson
L. Spak
K L Thundal
K. Wilhelmson
Author Affiliation
Socialmedicinska avdelningen, Göteborgs universitet. Peter.Allebeck@socmed.gu.se
Source
Lakartidningen. 2001 Mar 7;98(10):1103-7
Date
Mar-7-2001
Language
Swedish
Publication Type
Article
Keywords
Adult
Aged
Alcohol Drinking - psychology - trends
Alcoholism - diagnosis - epidemiology - psychology
Cohort Studies
English Abstract
Female
Follow-Up Studies
Humans
Middle Aged
Prevalence
Questionnaires
Registries
Socioeconomic Factors
Sweden - epidemiology
Women's health
Abstract
Prevalence of alcohol dependence and abuse (ADA) was determined in a cohort of women selected by stratified random sampling from the general population in Gothenburg. A questionnaire was administered to 3,130 women and 399 were interviewed. Questions were asked about social background, living conditions, family and working life. Volume and frequency of alcohol intake were recorded, and diagnoses were made according to DSM-III. We found that the one-year prevalence of ADA was 1.5 percent and the life time prevalence 3.3 percent. In a follow-up five years after base-line, the prevalence of ADA was unchanged, while indicators of high alcohol consumption and high episodic drinking showed reduced levels of problem drinking.
PubMed ID
11301977 View in PubMed
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[The Gothenburg study of women and alcohol: problems during childhood and adolescence important risk factors]

https://arctichealth.org/en/permalink/ahliterature10240
Source
Lakartidningen. 2001 Mar 7;98(10):1109-14
Publication Type
Article
Date
Mar-7-2001
Author
F. Spak
P. Allebeck
L. Spak
K L Thundal
Author Affiliation
Socialmedicinska avdelningen, Göteborgs universitet. Fredrik.Spak@socmed.gu.se
Source
Lakartidningen. 2001 Mar 7;98(10):1109-14
Date
Mar-7-2001
Language
Swedish
Publication Type
Article
Keywords
Adolescent
Adult
Alcohol Drinking - psychology
Alcoholism - etiology - psychology
Child
Child Abuse, Sexual - psychology
Cohort Studies
English Abstract
Female
Humans
Life Style
Mental Disorders - complications - psychology
Questionnaires
Risk factors
Socioeconomic Factors
Substance-Related Disorders - complications - psychology
Sweden
Women's health
Abstract
This is a part of longitudinal study concerning women and alcohol in Gothenburg. The aim was to find out more about risk factors for alcohol dependence and abuse (ADA) among women in the general population, as well as social conditions and life style among these women. Several indicators of dissatisfactory childhood conditions, and particularly sexual abuse before age 13, were related to ADA in adulthood. Early substance abuse, such as having been intoxicated before age 15 and having used narcotics before 18, was strongly related to future ADA. Our findings point to the need of paying attention to mental health problems in childhood and youth, and to prevent early use of alcohol and drugs.
PubMed ID
11301978 View in PubMed
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