Prevalence and Associated Factors of Depression Awareness in Patients with Alcohol use Disorder at Maharajnakorn Chiang Mai Hospital

Abstract

Introduction : Alcoholic use disorder is a common public health problem in every country. It is quite common that an alcohol use disorder has co-morbidities with other psychiatric disorders. To successfully treat patients with alcoholic use disorder the comorbidities must be treated as well.
Objectives : To examine the prevalence of depression and factors related to awareness of depression in patients with alcoholic use disorder in Thailand.
Methods : A descriptive cross-sectional study was conducted. Inpatients and outpatients with alcohol use disorder were invited to participate in this study. Subjects who had any previous history of depressive disorder treatment were excluded. The awareness
of depression was determined by the Illness Perception Questionnaire-Revised, IPQ-R, while depression was determined by the Thai version of the nine-item Patient Health
Questionnaire (PHQ-9) with cut off point of > 5.
Results : Eighty-nine subjects with alcoholic use disorder agreed to join this study. Forty-seven cases (52.8%) had depression indicated by the PHQ-9 scale. Thirty-five cases with depression (74.47%) were aware of depression relating to alcohol use.
Using the logistic regression analysis, regular income and more years of education were significant factors related to the awareness score (p=0.01, p=0.08).
Conclusion : There is high prevalence of depression in patients with alcohol use disorder and most of them had not received treatment for depression. Therefore, clinicias should be concerned and givon treatment of depression and alcohol use
disorder.