Alcohol-induced psychotic disorder and delirium in the general population.

Br J Psychiatry 2010 Sep;197(3):200-6

National Institute for Health and Welfare, Department of Mental Health and Substance Abuse Services, Helsinki, Finland.

Background: Epidemiological data on alcohol-induced psychotic disorder and delirium (alcohol-induced psychotic syndrome, AIPS) are scarce.

Aims: To investigate the epidemiology of AIPS, the risk factors for developing AIPS among people with alcohol dependence, and mortality associated with alcohol dependence with or without AIPS, in a sample drawn from the general population of Finland.

Method: A general population sample of 8028 persons were interviewed with the Composite International Diagnostic Interview and screened for psychotic disorders using multiple sources. Best-estimate diagnoses of psychotic disorders were made using the Structured Clinical Interview for DSM-IV Axis I Disorders and case notes. Data on hospital reatments and deaths were collected from national registers.

Results: The lifetime prevalence was 0.5% for AIPS and was highest (1.8%) among men of working age. Younger age at onset of alcohol dependence, low socioeconomic status, father's mental health or alcohol problems and multiple hospital treatments were associated with increased risk of AIPS. Participants with a history of AIPS had considerable medical comorbidity, and 37% of them died during the 8-year follow-up.

Conclusions: Alcohol-induced psychotic disorder is a severe mental disorder with poor outcome.

Download full-text PDF

Source
http://dx.doi.org/10.1192/bjp.bp.109.070797DOI Listing
September 2010
2 Reads

Publication Analysis

Top Keywords

alcohol-induced psychotic
16
general population
12
psychotic disorder
12
alcohol dependence
12
disorder delirium
8
psychotic disorders
8
aips
7
psychotic
5
persons interviewed
4
sources best-estimate
4
18% men
4
aips considerable
4
multiple sources
4
best-estimate diagnoses
4
history aips
4
structured clinical
4
disorders structured
4
alcohol problems
4
diagnoses psychotic
4
considerable medical
4

Similar Publications