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The British Journal of Psychiatry (2001) 179: 432-437
© 2001 The Royal College of Psychiatrists

Nicotine, alcohol and drug dependence and psychiatric comorbidity

Results of a national household survey

MICHAEL FARRELL, MRCPsych

SAMANTHA HOWES, BSc

National Addiction Centre, Institute of Psychiatry, King's College London

PAUL BEBBINGTON, PhD

Department of Psychiatry and Behavioural Science, Royal Free and University College London Medical School

TRAOLACH BRUGHA, PhD

Department of Psychiatry, University of Leicester

RACHEL JENKINS, FRCPsych

Institute of Psychiatry, King's College London

GLYNN LEWIS, PhD

Department of Psychological Medicine, University of Wales College of Medicine

JOHN MARSDEN, PhD and COLIN TAYLOR, MSc

National Addiction Centre, Institute of Psychiatry, King's College London

HOWARD MELTZER, PhD

Office for National Statistics, London

Correspondence: Dr Michael Farrell, Senior Lecturer and Consultant Psychiatrist, National Addiction Centre, Institute of Psychiatry and Maudsley Hospital, 4 Windsor Walk, London SE5 8AF, UK. E-mail: m.farrell{at}iop.kcl.ac.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background There is a well-recognised relationship between substance use disorders and other psychiatric disorders. This relationship has been well documented in a range of population-based studies.

Aims This study aims to report on consumption patterns of and dependence on nicotine, alcohol and non-prescribed drugs and to report on the levels of psychiatric morbidity in these groups.

Method A national household study of psychiatric morbidity was conducted in England and Wales. Psychiatric assessment was based on the Clinical Interview Schedule — Revised (CIS—R). Measures of nicotine, alcohol and drug use and dependence were obtained. This paper compares the levels of psychiatric morbidity in the non-dependent and the nicotine-, alcohol- and drug-dependent cases.

Results Twelve per cent of the non-dependent population were assessed as having any psychiatric disorder compared with 22% of the nicotine-dependent, 30% of the alcohol-dependent and 45% of the drug-dependent population.

Conclusions There is a clear relationship between dependence on nicotine, alcohol and drugs and other psychiatric morbidity.


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