AI Article Synopsis
- Individuals with alcohol dependence are at a higher risk for developing new addictions, which complicates their treatment and recovery.
- A study of 109 Japanese outpatients showed a prevalence of 41.3% for new-onset addictions, regardless of whether they had abstained from alcohol for a year or more.
- Key factors associated with these new addictions include having psychiatric comorbidities and the use of benzodiazepines, emphasizing the need for targeted interventions in these populations.
Article Abstract
Background: Individuals who are addicted to one addiction are at an increased risk for developing another new addiction. New-onset addictions among patients with alcohol dependence needs to be considered for more effective treatment of alcohol dependence.
Methods: In this cross-sectional study, Japanese outpatients with alcohol dependence were assessed using a comprehensive, originally designed questionnaire to determine whether they were addicted to substances or behaviors other than alcohol. The prevalence rates of new-onset addictions were compared between alcohol-dependent patients who had abstained from alcohol for a year or more and those who had not. Multiple regression analysis was performed to examine the association between the number of new-onset addictions and the demographic and clinical characteristics.
Results: One hundred and nine outpatients with alcohol dependence (54.6±11.0 years; 97 men) participated in the study. The prevalence of new-onset addictions was 41.3%. No significant differences were found in the prevalence of new-onset addictions between the patients who had abstained for a year or more and those who had not. Multiple regression analysis revealed that the number of new-onset addictions was positively associated with the presence of psychiatric comorbidity (β = 0.24; p = 0.02) and use of benzodiazepines (β = 0.20; p = 0.04) with a R of 0.153.
Conclusion: Alcohol dependent patients with characteristics such as psychiatric comorbidity and use of benzodiazepines should be given more attention to the development of new-onset addictive behaviors. On the other hand, those behaviors could be acceptable for harm-reduction unless excessive and loss of control.
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| http://dx.doi.org/10.1016/j.drugalcdep.2023.110966 | DOI Listing |
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