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Alcohol Craving and Psychiatric Disorders Among Current Drinkers
Gihyun Yoon1,2, Katie Thompson3, Jahn K Hakes4
1VA Connecticut Healthcare System, West Haven, Connecticut.
The American Journal on Addictions
|July 16, 2020
Summary
Individuals experiencing alcohol craving have significantly higher odds of developing psychiatric disorders, including substance use, mood, anxiety, and personality disorders. This highlights craving as a potential transdiagnostic feature across mental health conditions.
Area of Science:
- Psychiatry
- Addiction Medicine
- Epidemiology
Background:
- Alcohol craving is linked to psychiatric comorbidities.
- Population studies on psychiatric disorder odds in cravers vs. non-cravers are lacking.
Purpose of the Study:
- Investigate psychiatric disorder prevalence and odds ratios in alcohol drinkers with and without craving.
- Compare psychiatric comorbidities across four craving groups: cravers with/without alcohol use disorder (AUD) and non-cravers with/without AUD.
Main Methods:
- Utilized data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).
- Included a subset of 22,000+ past-year alcohol drinkers.
- Compared prevalence rates of psychiatric disorders between 900 cravers and 21,500 non-cravers.
Main Results:
- Cravers exhibited higher current psychiatric disorder prevalence than non-cravers.
- Adjusted analyses showed cravers had significantly higher odds of substance use disorder (AOR=9.01), mood disorder (AOR=1.78), anxiety disorder (AOR=1.86), and personality disorder (AOR=1.92).
- Cravers without AUD showed higher anxiety and personality disorder rates than non-cravers with AUD.
Conclusions:
- Alcohol craving is strongly associated with increased prevalence of diverse psychiatric disorders.
- Findings suggest alcohol craving may represent transdiagnostic features common across various psychiatric conditions.
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