Abstract

BackgroundSeveral evidences from epidemiologic and treatment studies indicate that anxiety disorders, depression, and substance use disorders commonly co-occur, and the interaction is multifaceted and variable. Epidemiological studies and investigations within clinical substance abuse populations have found an association between anxiety disorders, depression, and substance use disorders.ResultsThe mean age was 28.1 ± 6.5 years. The majority belonged to the moderate socioeconomic status (52%). Substance use disorder (SUD) patients expressed higher levels of anxiety and depression in comparison to the control group. Most of the study group (97%) expressed different levels of anxiety. Eighty percent of them expressed high and moderate anxiety levels, and 20% of caregivers were having mild anxiety levels. Ninety-three percent of the substance users expressed different levels of depression, either mild 12%, moderate 9%, or severe 72%. The Drug Use Disorder Identification Test scores were positively correlated with anxiety (r = 0.256 and p = 0.010) and depression (r = 0.330 and p = 0.001). Moreover, it was found that anxiety and depression are positively correlated with each other’s (r = 0.630 and p = 0.001).ConclusionSubstance use disorders are associated with high levels of anxiety and depression. More specifically, it is associated with severe depression and anxiety. There is an obvious association between the presence of anxiety and depression on the one hand and the severity of drug-related problems on the other hand. Depression and anxiety are commonly present together in patients with SUDs.

Highlights

  • Several evidences from epidemiologic and treatment studies indicate that anxiety disorders, depression, and substance use disorders commonly co-occur, and the interaction is multifaceted and variable

  • Reports published in the Journal of the American Medical Association indicate that roughly 50% of individuals with severe mental disorders are affected by substance abuse, 37% of alcohol abusers, and 53% of drug abusers who have at least one serious mental illness, and of all people diagnosed as mentally ill, 29% abuse either alcohol or drugs [9]

  • The majority of the participants in this study belonged to the moderate socioeconomic status group (52%), while 22% belong to the low socioeconomic class and 26% were in the high socioeconomic class

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Summary

Introduction

Several evidences from epidemiologic and treatment studies indicate that anxiety disorders, depression, and substance use disorders commonly co-occur, and the interaction is multifaceted and variable. Epidemiological studies and investigations within clinical substance abuse populations have found an association between anxiety disorders, depression, and substance use disorders. Mood, and anxiety disorders are widespread among the general population [2,3,4] and are associated with substantial social, economic, and health loss [5,6,7,8]. Anxiety and depression are among the most common problems reported by persons seeking treatment for drug addiction. There may be significant risks associated with concurrent depression and anxiety symptoms, regardless of etiology [10]

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