Prevalence and Predictors of Symptoms of Depression Among Individuals Seeking Treatment from Australian Drug and Alcohol Outpatient Clinics
- 13 Downloads
This study examined the prevalence of and sociodemographic characteristics associated with elevated symptoms of depression among clients seeking alcohol or other drug (AOD) treatment. Consenting clients attending two AOD outpatient clinics answered demographics, treatment questions and the Patient Health Questionnaire to assess depressive symptoms. Counts and percentages were calculated to determine the prevalence of elevated depressive symptoms. Logistic regression was used to model the odds of having elevated depressive symptoms for client demographics. Of the 203 clients who completed the survey (87% consent rate), 55% (n = 111) demonstrated elevated depressive symptoms. Females were twice as likely to experience elevated symptoms of depression compared to males (OR 2.07; 95% CI 1.05, 4.08; P = 0.037). The high rates of elevated depressive symptoms among individuals seeking AOD treatment highlight the importance of ongoing research to provide effective treatments for this comorbidity. Routine screening and clear treatment pathways may assist with providing high quality care.
KeywordsMental health Substance-related disorders Mood disorders Population characteristics
This work was supported by a grant from the National Health and Medical Research Council (NHMRC) (1073031). Ms. Breanne Hobden is supported by an Australian Rotary Health, Ian Scott Mental Health PhD Scholarship (G1401254). Dr. Mariko Carey is supported by a National Health and Medical Research Council Translating Research into Practice Fellowship (1073031). Dr. Jamie Bryant is supported by an Australian Research Council Post-Doctoral Industry Fellowship (1105809). The researchers would like to thank the staff at the AOD clinics.
All authors certify responsibility for this manuscript, as outlined by the Community Mental Health Journal.
Compliance with Ethical Standards
Conflicts of interest
The authors have no conflicts of interest to declare.
The Hunter New England Human Research Ethics Committee (15/06/17/4.02) and the University of Newcastle (H-2015-0414) granted full ethical approval for this research. All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Bilsker, D., & White, J. (2011). The silent epidemic of male suicide. BCMJ, 53(10), 529–534.Google Scholar
- Freeman, A., Tyrovolas, S., Koyanagi, A., Chatterji, S., Leonardi, M., Ayuso-Mateos, J., … Haro, J. (2016). The role of socio-economic status in depression: Results from the COURAGE (aging survey in Europe). BMC Public Health, 16, e1098.Google Scholar
- Marel, C., Mills, K., Kingston, R., Gournay, K., Deady, M., Kay-Lambkin, F., … Teesson, M. (2016). Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings. Retrieved from Sydney, Australia.Google Scholar
- Staiger, P., Thomas, A., Ricciardelli, L., & McCabe, M. (2011). Identifying depression and anxiety disorders in people presenting for substance use treatment. Medical Journal of Australia, 195, S60–S63.Google Scholar