Psychiatry Investig.  2015 Jul;12(3):316-323. 10.4306/pi.2015.12.3.316.

Sociodemographic Factors and Comorbidities Associated with Remission from Alcohol Dependence: Results from a Nationwide General Population Survey in Korea

Affiliations
  • 1Department of Psychiatry, Kyungpook National University School of Medicine, Daegu, Republic of Korea. psyjang@knu.ac.kr
  • 2Department of Psychiatry, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • 3Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
  • 4Department of Psychiatry, College of Medicine, Inha University, Incheon, Republic of Korea.
  • 5Department of Psychiatry, Gachon University of Medicine and Science, Incheon, Republic of Korea.
  • 6Department of Psychiatry, Kangwon National University College of Medicine, Chuncheon, Republic of Korea.
  • 7Department of Psychiatry, Seoul National University Boramae Hospital, Seoul, Republic of Korea.

Abstract


OBJECTIVE
The lifetime prevalence of alcohol dependence in South Korea remains higher than other countries. The aim of our study is to identify factors associated with remission from alcohol dependence.
METHODS
Data from the Korean Epidemiological Catchment Area-Replication (KECA-R) study were used in our study. The Korean version of the Composite International Diagnostic Interview 2.1 (K-CIDI 2.1) was administered. Remission was defined as having no symptom of alcohol dependence for 12 months or longer at the time of the interview. Demographic and clinical variables putatively associated with remission from alcohol dependence were examined by t-test, chi-square-test and logistic regression analysis.
RESULTS
The lifetime prevalence rate of alcohol dependence was 7.0%. Among them, 3.2% of the subjects were diagnosed with active alcohol dependence in the previous 12 months, and 3.8% were found to be in remission. Subjects in 35- to 44-year-old group, not living with partner group, and lower level of educational attainment group were more likely to be in the active alcohol dependence state. Of the comorbid mental disorders, dysthymia, anxiety disorder, nicotine use, and nicotine dependence were more common among the actively alcohol-dependent subjects.
CONCLUSION
There is considerable level of recovery from alcohol dependence. Attention to factors associated with remission from alcohol dependence may be important in designing more effective treatment and prevention programs in this high-risk population.

Keyword

Alcohol; Dependence; Remission

MeSH Terms

Adult
Alcoholism*
Anxiety Disorders
Comorbidity*
Humans
Korea
Logistic Models
Mental Disorders
Nicotine
Prevalence
Tobacco Use Disorder
Nicotine
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