Psychiatric comorbidity among in-patients with alcohol use disorders

บทคัดย่อ

Objective To examine psychiatric comorbidity in alcohol use disorder in-patients at psychiatric hospitals.

Materials and methods Alcohol use disorders in-patients were admitted in 4 psychiatric hos-pitals from 1st  November 2011 to 31th  January 2012. The Mini International Neuropsychiatric Interview:M.I.N.I – Thai version 5.0.0 was used for psychiatric diagnosis by trained interviewers. Data analysis used descriptive statistics, percentage and chi-square. 
Results Alcohol use disorders in-patients 410 persons who mostly aged 31-40 years old. Every interval age had related to psychiatric comorbidity. There were psychiatric comorbidities about 68.8%, which the first 5 ranked were lifetime psychotic disorders, current suicide, current substance use disorders, current major depressive episode and lifetime manic episode at 50.0, 31.2, 18.3, 9.3 and 7.1%. There were consisted of alcohol dependence 85.1% and alcohol abuse 14.9% and high level of suicidal behaviors more related with alcohol dependence than alcohol abuse. 
Conclusion Psychiatric comorbidities were common among alcohol use disorder patients who seeking in-patient treatments in psychiatric hospital. Suicidality was often found in female in-patients. So, should recognize these psychiatric comorbidities and develop clinical guideline and rehabilitation program.