Evaluation of addictive behavior in depressive disorders

Introduction The comorbidity between depressive disorders and addiction is far from being random. Through substances, users try to ameliorate their feelings of sadness, reduce present anxiety. The phenomena of tolerance and dependence quickly worsen the situation, and make any attempt at withdrawal...

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Main Authors: A. Tounsi, Z. Bencharfa, H. Chebli, M. Sabir, F. El Omari
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823013639/type/journal_article
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author A. Tounsi
Z. Bencharfa
H. Chebli
M. Sabir
F. El Omari
author_facet A. Tounsi
Z. Bencharfa
H. Chebli
M. Sabir
F. El Omari
author_sort A. Tounsi
collection DOAJ
description Introduction The comorbidity between depressive disorders and addiction is far from being random. Through substances, users try to ameliorate their feelings of sadness, reduce present anxiety. The phenomena of tolerance and dependence quickly worsen the situation, and make any attempt at withdrawal more difficult. Objectives The objective of this study is to analyze the addictive behavior in patients diagnosed with depressive disorder. Methods This is a retrospective descriptive study carried out by analyzing hospitalization records in the addictology department of the psychiatric university hospital Ar-Razi in Salé over a period of one year (from August 2020 to August 2021). The diagnoses are established according to the DSM 5 diagnostic criteria. Results Of 141 patient records initially entered, nine records were not usable and 54 patients had a diagnosis of depressive disorder constituting 40.9% of admissions to the service. The average age was 37.9 years (16; 69). Among our depressed and substance-using patients, the most frequent comorbidity was personality disorders (29.6%) followed by anxiety disorders (11.1% of cases). Thirty-five percent of patients reported at least one suicide attempt in the past and 11.1% had experienced sexual abuse. The average age of onset of addiction in our sample was 17.8 years (11; 31). The most used substance was tobacco (n=44) followed by alcohol (n=43), cannabis and then benzodiazepines. Conclusions The relationship between depression and substance use remains complex. Although depressed patients often turn to drugs in search of a state of well-being, withdrawal from these substances can also aggravate or cause the depression. Disclosure of Interest None Declared
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spelling doaj.art-3c99750ad5274d88a255657ab45efa0d2023-11-17T05:05:16ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S656S65610.1192/j.eurpsy.2023.1363Evaluation of addictive behavior in depressive disordersA. Tounsi0Z. Bencharfa1H. Chebli2M. Sabir3F. El Omari4PsychiatricPsychiatricPsychiatricAddiction, Arrazi university psychiatric hospital, Sale, MoroccoAddiction, Arrazi university psychiatric hospital, Sale, Morocco Introduction The comorbidity between depressive disorders and addiction is far from being random. Through substances, users try to ameliorate their feelings of sadness, reduce present anxiety. The phenomena of tolerance and dependence quickly worsen the situation, and make any attempt at withdrawal more difficult. Objectives The objective of this study is to analyze the addictive behavior in patients diagnosed with depressive disorder. Methods This is a retrospective descriptive study carried out by analyzing hospitalization records in the addictology department of the psychiatric university hospital Ar-Razi in Salé over a period of one year (from August 2020 to August 2021). The diagnoses are established according to the DSM 5 diagnostic criteria. Results Of 141 patient records initially entered, nine records were not usable and 54 patients had a diagnosis of depressive disorder constituting 40.9% of admissions to the service. The average age was 37.9 years (16; 69). Among our depressed and substance-using patients, the most frequent comorbidity was personality disorders (29.6%) followed by anxiety disorders (11.1% of cases). Thirty-five percent of patients reported at least one suicide attempt in the past and 11.1% had experienced sexual abuse. The average age of onset of addiction in our sample was 17.8 years (11; 31). The most used substance was tobacco (n=44) followed by alcohol (n=43), cannabis and then benzodiazepines. Conclusions The relationship between depression and substance use remains complex. Although depressed patients often turn to drugs in search of a state of well-being, withdrawal from these substances can also aggravate or cause the depression. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823013639/type/journal_article
spellingShingle A. Tounsi
Z. Bencharfa
H. Chebli
M. Sabir
F. El Omari
Evaluation of addictive behavior in depressive disorders
European Psychiatry
title Evaluation of addictive behavior in depressive disorders
title_full Evaluation of addictive behavior in depressive disorders
title_fullStr Evaluation of addictive behavior in depressive disorders
title_full_unstemmed Evaluation of addictive behavior in depressive disorders
title_short Evaluation of addictive behavior in depressive disorders
title_sort evaluation of addictive behavior in depressive disorders
url https://www.cambridge.org/core/product/identifier/S0924933823013639/type/journal_article
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AT felomari evaluationofaddictivebehaviorindepressivedisorders