Abstract

Alcohol use disorders (AUD) is a chronic relapsing brain disease characterized by compulsive alcohol use, loss of control over alcohol intake, and a negative emotional state when not using. Alcohol use is quite common in India both in rural and urban areas with prevalence rates as per various studies varying from 23% to 74% in males and 24% to 48 % in females. Amis and objectives: To assess the anxiety in alcohol use disorder (AUD) and its association with the severity of dependence. Materials and method: In the present study total 86 patients were enrolled in the present study after being diagnosed with AUD in the out-patient department. These patients were interviewed with the help of semi-structured semi-quantitative case record form which included Socio-demographic information, Scales for rating the severity of alcohol use and anxiety such as MINI module for GAD and HAM-A and SADQ. Data collected using case record forms was later used for the analysis. Results: The association of incidence of GAD and the marital status was not significant. (P =0.376). The incidence of anxiety was not significant. (P =0.292). The association of marital status with severity of dependence was significant. (P =0.048) The association of incidence of GAD and the age of initiation was highly significant. (P <0.0001) The incidence of GAD was maximum 43.8% in Severe physical dependence patients and minimum 11.8% in mild physical dependence patience according to SADS. Thus, as the severity of the dependence increases the incidence of GAD also increase and the association was significant. (P =0.011) The incidences of mild anxiety, mild to moderate anxiety and moderate to severe anxiety were maximum in Severe physical dependence patients which were 18.8%, 15.6%, 12.5% according to SADS. The severity of the dependence increased the incidence of anxiety was also increased as per HAMA score and the association was also highly significant. (P =0.001) Conclusion: Thus, with reference to the above results and discussion we conclude that age of the patient was significantly associated with SADS and HAMAS while marital status was significant only in case of SADS. The severity of the dependence increases the incidence of GAD with significant association.

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