Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism

Driessen M, Veltrup C, Wetterling T, John U, Dilling H (1998)
Alcoholism: Clinical and Experimental Research 22(1): 77-86.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Driessen, MartinUniBi ; Veltrup, Clemens; Wetterling, Tilman; John, Ulrich; Dilling, Horst
Abstract / Bemerkung
Background: Although high prevalence rates of psychiatric comorbidity were reported in alcoholism, there is a lack of studies covering the whole spectrum of DSM Axes I and II disorders. The relation of comorbid psychopathology and Cloninger's and Babor's types of alcoholism still remained unclear. Methods: Psychiatric comorbidity in 250 hospitalized alcohol-dependent patients without additional substance-related disorders was assessed by the Composite International Diagnostic Interview and the International Personality Disorder Examination. Information about the course and severity of alcoholism was obtained from several sources. Results: Additional Axis I disorders only were found in 24.0%, Axis II disorders only in 16.4%, and concurrent Axis I and Axis II disorders in 17.2% (total comorbidity rate: 57.6%). Two clusters of alcohol dependence were found that substantially overlap with Cloninger's and Babor's types of alcoholism. The majority of type A subjects were found to be either not comorbid at all, or to be Axis I comorbid only. Type B, on the other hand, was preferably associated with personality disorders (mainly Clusters A and B) and dimensional scores of personality pathology (schizoid, schizotypal, all Cluster B, and passive-aggressive). Conclusions: The entire spectrum of personality pathology should be assessed in the comorbidity research of alcoholism. The two types of alcoholism differ on a variety of alcohol-related and comorbid personality characteristics, but further research is needed to clarify the underlying psychological and biological associations.
Erscheinungsjahr
1998
Zeitschriftentitel
Alcoholism: Clinical and Experimental Research
Band
22
Ausgabe
1
Seite(n)
77-86
ISSN
0145-6008
eISSN
1530-0277
Page URI
https://pub.uni-bielefeld.de/record/2963421

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Driessen M, Veltrup C, Wetterling T, John U, Dilling H. Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism. Alcoholism: Clinical and Experimental Research. 1998;22(1):77-86.
Driessen, M., Veltrup, C., Wetterling, T., John, U., & Dilling, H. (1998). Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism. Alcoholism: Clinical and Experimental Research, 22(1), 77-86. https://doi.org/10.1111/j.1530-0277.1998.tb03619.x
Driessen, M., Veltrup, C., Wetterling, T., John, U., and Dilling, H. (1998). Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism. Alcoholism: Clinical and Experimental Research 22, 77-86.
Driessen, M., et al., 1998. Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism. Alcoholism: Clinical and Experimental Research, 22(1), p 77-86.
M. Driessen, et al., “Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism”, Alcoholism: Clinical and Experimental Research, vol. 22, 1998, pp. 77-86.
Driessen, M., Veltrup, C., Wetterling, T., John, U., Dilling, H.: Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism. Alcoholism: Clinical and Experimental Research. 22, 77-86 (1998).
Driessen, Martin, Veltrup, Clemens, Wetterling, Tilman, John, Ulrich, and Dilling, Horst. “Axis I and Axis II Comorbidity in Alcohol Dependence and the Two Types of Alcoholism”. Alcoholism: Clinical and Experimental Research 22.1 (1998): 77-86.

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