Concomitant Psychiatric and Nonalcohol‐Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States
Background Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and sub...
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| Veröffentlicht in: | Alcoholism, clinical and experimental research clinical and experimental research, 2018-02, Vol.42 (2), p.397-402 |
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| creator | Jinjuvadia, Raxitkumar Jinjuvadia, Chetna Puangsricharoen, Pimpitcha Chalasani, Naga Crabb, David W. Liangpunsakul, Suthat |
| description | Background
Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and substance use disorders among hospitalized ALD patients in the United States.
Methods
We utilized a single‐level clinical classification software to identify patients with ALD and psychiatric/substance use disorders from the 2011 National Inpatient Sample data. The primary outcome was the prevalence of these disorders among hospitalized patients with ALD (n = 74,972) compared to those with chronic liver diseases not caused by alcohol (n = 350,140) and those without underlying liver diseases (n = 1,447,063).
Results
The prevalence of adjustment disorder, anxiety disorder, posttraumatic stress disorder, and depression was significantly higher among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol (all with p‐values |
| doi_str_mv | 10.1111/acer.13567 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1971664658</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1990847355</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3937-285b0abfa0f9a0a76e20763f2879ef52e06b49ece62d99e2f524fbbd740a27cc3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi1ERZfChQdAlrggpLRjJ7Hj42opFGnVVoWeI8eZsK6SeLGdVtsTj8CJB-RJ8DaFAwfmMtLom2-k-Ql5xeCYpTrRBv0xy0shn5AFK3PIgEv5lCyAFWUmAKpD8jyEGwAoKiGekUOumJKg-IL8XLnRuMFGPUZ6GXZmY3X01lA9tvTcjbo3buP6X99_XGGvI7b089SERBuk1wHpexucb9EHuhzc-JWeubBNst7eJ_RSR4tjDPTOxg1dzqrkXttb9PtV1ElhRxo3yTbaB31MV8ILctDpPuDLx35Erj-cflmdZeuLj59Wy3VmcpXLjFdlA7rpNHRKg5YCOUiRd7ySCruSI4imUGhQ8FYp5GlUdE3TygI0l8bkR-Tt7N16923CEOvBBoN9r0d0U6jTm5gQhSirhL75B71xk08P2lMKqkLmZZmodzNlvAvBY1dvvR2039UM6n1a9T6t-iGtBL9-VE7NgO1f9E88CWAzcGd73P1HVS9Xp1ez9Deec6Kr</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1990847355</pqid></control><display><type>article</type><title>Concomitant Psychiatric and Nonalcohol‐Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States</title><source>Journals@Ovid Complete</source><source>Wiley Online Library All Journals</source><creator>Jinjuvadia, Raxitkumar ; Jinjuvadia, Chetna ; Puangsricharoen, Pimpitcha ; Chalasani, Naga ; Crabb, David W. ; Liangpunsakul, Suthat</creator><creatorcontrib>Jinjuvadia, Raxitkumar ; Jinjuvadia, Chetna ; Puangsricharoen, Pimpitcha ; Chalasani, Naga ; Crabb, David W. ; Liangpunsakul, Suthat ; Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium ; the Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</creatorcontrib><description>Background
Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and substance use disorders among hospitalized ALD patients in the United States.
Methods
We utilized a single‐level clinical classification software to identify patients with ALD and psychiatric/substance use disorders from the 2011 National Inpatient Sample data. The primary outcome was the prevalence of these disorders among hospitalized patients with ALD (n = 74,972) compared to those with chronic liver diseases not caused by alcohol (n = 350,140) and those without underlying liver diseases (n = 1,447,063).
Results
The prevalence of adjustment disorder, anxiety disorder, posttraumatic stress disorder, and depression was significantly higher among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol (all with p‐values <0.05). Younger age, female gender, and White race were the independent predictors of psychiatric/substance use disorders among hospitalized patients with ALD.
Conclusions
Hospitalized patients with ALD have significantly high prevalence of concomitant psychiatric and substance abuse disorders when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention should be implemented as part of routine clinical care for these patients.
Less is known about the magnitude of psychiatric disorders among patients with alcoholic liver disease (ALD). Using 2011 National Inpatient Sample data, we found significantly higher prevalence of several psychiatric and substance use disorders among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention for psychiatric disorders should be implemented as part of routine clinical care for these patients.</description><identifier>ISSN: 0145-6008</identifier><identifier>EISSN: 1530-0277</identifier><identifier>DOI: 10.1111/acer.13567</identifier><identifier>PMID: 29197092</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Alcohol use ; Alcoholic beverages ; Alcoholic Liver Disease ; Alcoholism ; Anxiety ; Behavior disorders ; Drug abuse ; Epidemiology ; Hospitalization ; Liver ; Liver diseases ; Mental disorders ; Mental Health ; Post traumatic stress disorder ; Substance Abuse ; Substance use ; Substance use disorder</subject><ispartof>Alcoholism, clinical and experimental research, 2018-02, Vol.42 (2), p.397-402</ispartof><rights>Copyright © 2017 by the Research Society on Alcoholism</rights><rights>Copyright © 2017 by the Research Society on Alcoholism.</rights><rights>2018 Research Society on Alcoholism</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3937-285b0abfa0f9a0a76e20763f2879ef52e06b49ece62d99e2f524fbbd740a27cc3</citedby><cites>FETCH-LOGICAL-c3937-285b0abfa0f9a0a76e20763f2879ef52e06b49ece62d99e2f524fbbd740a27cc3</cites><orcidid>0000-0001-8730-0214 ; 0000-0002-6504-8123</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Facer.13567$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Facer.13567$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29197092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jinjuvadia, Raxitkumar</creatorcontrib><creatorcontrib>Jinjuvadia, Chetna</creatorcontrib><creatorcontrib>Puangsricharoen, Pimpitcha</creatorcontrib><creatorcontrib>Chalasani, Naga</creatorcontrib><creatorcontrib>Crabb, David W.</creatorcontrib><creatorcontrib>Liangpunsakul, Suthat</creatorcontrib><creatorcontrib>Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</creatorcontrib><creatorcontrib>the Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</creatorcontrib><title>Concomitant Psychiatric and Nonalcohol‐Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States</title><title>Alcoholism, clinical and experimental research</title><addtitle>Alcohol Clin Exp Res</addtitle><description>Background
Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and substance use disorders among hospitalized ALD patients in the United States.
Methods
We utilized a single‐level clinical classification software to identify patients with ALD and psychiatric/substance use disorders from the 2011 National Inpatient Sample data. The primary outcome was the prevalence of these disorders among hospitalized patients with ALD (n = 74,972) compared to those with chronic liver diseases not caused by alcohol (n = 350,140) and those without underlying liver diseases (n = 1,447,063).
Results
The prevalence of adjustment disorder, anxiety disorder, posttraumatic stress disorder, and depression was significantly higher among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol (all with p‐values <0.05). Younger age, female gender, and White race were the independent predictors of psychiatric/substance use disorders among hospitalized patients with ALD.
Conclusions
Hospitalized patients with ALD have significantly high prevalence of concomitant psychiatric and substance abuse disorders when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention should be implemented as part of routine clinical care for these patients.
Less is known about the magnitude of psychiatric disorders among patients with alcoholic liver disease (ALD). Using 2011 National Inpatient Sample data, we found significantly higher prevalence of several psychiatric and substance use disorders among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention for psychiatric disorders should be implemented as part of routine clinical care for these patients.</description><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Alcoholic Liver Disease</subject><subject>Alcoholism</subject><subject>Anxiety</subject><subject>Behavior disorders</subject><subject>Drug abuse</subject><subject>Epidemiology</subject><subject>Hospitalization</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Post traumatic stress disorder</subject><subject>Substance Abuse</subject><subject>Substance use</subject><subject>Substance use disorder</subject><issn>0145-6008</issn><issn>1530-0277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu1DAQhi1ERZfChQdAlrggpLRjJ7Hj42opFGnVVoWeI8eZsK6SeLGdVtsTj8CJB-RJ8DaFAwfmMtLom2-k-Ql5xeCYpTrRBv0xy0shn5AFK3PIgEv5lCyAFWUmAKpD8jyEGwAoKiGekUOumJKg-IL8XLnRuMFGPUZ6GXZmY3X01lA9tvTcjbo3buP6X99_XGGvI7b089SERBuk1wHpexucb9EHuhzc-JWeubBNst7eJ_RSR4tjDPTOxg1dzqrkXttb9PtV1ElhRxo3yTbaB31MV8ILctDpPuDLx35Erj-cflmdZeuLj59Wy3VmcpXLjFdlA7rpNHRKg5YCOUiRd7ySCruSI4imUGhQ8FYp5GlUdE3TygI0l8bkR-Tt7N16923CEOvBBoN9r0d0U6jTm5gQhSirhL75B71xk08P2lMKqkLmZZmodzNlvAvBY1dvvR2039UM6n1a9T6t-iGtBL9-VE7NgO1f9E88CWAzcGd73P1HVS9Xp1ez9Deec6Kr</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Jinjuvadia, Raxitkumar</creator><creator>Jinjuvadia, Chetna</creator><creator>Puangsricharoen, Pimpitcha</creator><creator>Chalasani, Naga</creator><creator>Crabb, David W.</creator><creator>Liangpunsakul, Suthat</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8730-0214</orcidid><orcidid>https://orcid.org/0000-0002-6504-8123</orcidid></search><sort><creationdate>201802</creationdate><title>Concomitant Psychiatric and Nonalcohol‐Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States</title><author>Jinjuvadia, Raxitkumar ; Jinjuvadia, Chetna ; Puangsricharoen, Pimpitcha ; Chalasani, Naga ; Crabb, David W. ; Liangpunsakul, Suthat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-285b0abfa0f9a0a76e20763f2879ef52e06b49ece62d99e2f524fbbd740a27cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Alcoholic Liver Disease</topic><topic>Alcoholism</topic><topic>Anxiety</topic><topic>Behavior disorders</topic><topic>Drug abuse</topic><topic>Epidemiology</topic><topic>Hospitalization</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Post traumatic stress disorder</topic><topic>Substance Abuse</topic><topic>Substance use</topic><topic>Substance use disorder</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jinjuvadia, Raxitkumar</creatorcontrib><creatorcontrib>Jinjuvadia, Chetna</creatorcontrib><creatorcontrib>Puangsricharoen, Pimpitcha</creatorcontrib><creatorcontrib>Chalasani, Naga</creatorcontrib><creatorcontrib>Crabb, David W.</creatorcontrib><creatorcontrib>Liangpunsakul, Suthat</creatorcontrib><creatorcontrib>Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</creatorcontrib><creatorcontrib>the Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Alcoholism, clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jinjuvadia, Raxitkumar</au><au>Jinjuvadia, Chetna</au><au>Puangsricharoen, Pimpitcha</au><au>Chalasani, Naga</au><au>Crabb, David W.</au><au>Liangpunsakul, Suthat</au><aucorp>Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</aucorp><aucorp>the Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concomitant Psychiatric and Nonalcohol‐Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States</atitle><jtitle>Alcoholism, clinical and experimental research</jtitle><addtitle>Alcohol Clin Exp Res</addtitle><date>2018-02</date><risdate>2018</risdate><volume>42</volume><issue>2</issue><spage>397</spage><epage>402</epage><pages>397-402</pages><issn>0145-6008</issn><eissn>1530-0277</eissn><abstract>Background
Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and substance use disorders among hospitalized ALD patients in the United States.
Methods
We utilized a single‐level clinical classification software to identify patients with ALD and psychiatric/substance use disorders from the 2011 National Inpatient Sample data. The primary outcome was the prevalence of these disorders among hospitalized patients with ALD (n = 74,972) compared to those with chronic liver diseases not caused by alcohol (n = 350,140) and those without underlying liver diseases (n = 1,447,063).
Results
The prevalence of adjustment disorder, anxiety disorder, posttraumatic stress disorder, and depression was significantly higher among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol (all with p‐values <0.05). Younger age, female gender, and White race were the independent predictors of psychiatric/substance use disorders among hospitalized patients with ALD.
Conclusions
Hospitalized patients with ALD have significantly high prevalence of concomitant psychiatric and substance abuse disorders when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention should be implemented as part of routine clinical care for these patients.
Less is known about the magnitude of psychiatric disorders among patients with alcoholic liver disease (ALD). Using 2011 National Inpatient Sample data, we found significantly higher prevalence of several psychiatric and substance use disorders among hospitalized patients with ALD when compared to those with chronic liver diseases not caused by alcohol and those without underlying liver diseases. Screening and appropriate intervention for psychiatric disorders should be implemented as part of routine clinical care for these patients.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29197092</pmid><doi>10.1111/acer.13567</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8730-0214</orcidid><orcidid>https://orcid.org/0000-0002-6504-8123</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Alcoholism, clinical and experimental research, 2018-02, Vol.42 (2), p.397-402 |
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| language | eng |
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| source | Journals@Ovid Complete; Wiley Online Library All Journals |
| subjects | Alcohol use Alcoholic beverages Alcoholic Liver Disease Alcoholism Anxiety Behavior disorders Drug abuse Epidemiology Hospitalization Liver Liver diseases Mental disorders Mental Health Post traumatic stress disorder Substance Abuse Substance use Substance use disorder |
| title | Concomitant Psychiatric and Nonalcohol‐Related Substance Use Disorders Among Hospitalized Patients with Alcoholic Liver Disease in the United States |
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