Table of Contents
ISRN Psychiatry
Volume 2012 (2012), Article ID 482802, 6 pages
http://dx.doi.org/10.5402/2012/482802
Research Article

The Association between Alcohol Dependence and Depression before and after Treatment for Alcohol Dependence

1Department of Psychiatry, University of Nairobi, P.O. Box 74846-00200, Nairobi, Kenya
2Department of Psychiatry, University of Nairobi, P.O. Box 48423-00100, Nairobi, Kenya
3Department of Psychology, University of Uyo, P.O. Box 4230, Uyo, Nigeria
4Department of Psychiatry, University of Nairobi, P.O. Box 59176-00200, Nairobi, Kenya
5Crisis Pregnancy Ministry, Nairobi, Kenya
6Harmony Psychological & Mental Health Consultancy, Nairobi, Kenya
7Kitale District Hospital, Ministry of Health, P.O. Box 4463-300, Kitale, Kenya

Received 21 October 2011; Accepted 20 November 2011

Academic Editor: A. K. Pandurangi

Copyright © 2012 Mary W. Kuria et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The presence of depression in alcohol-dependent persons is likely to influence treatment process and outcomes. Identification of depression is important though not every depressed alcohol-dependent person requires treatment with antidepressants. Understanding the association between depression and alcohol dependence is essential for proper management of alcohol dependence. Objectives. To determine the prevalence of depression among alcohol-dependent persons before and after alcohol detoxification and rehabilitation. Design. Clinical trial with pre-/postmeasurements. Method. The CIDI and WHO-ASSIST were administered to 188 alcohol-dependent persons at intake and after six months. A researcher-designed sociodemographic questionnaire was also administered at intake. Results. The prevalence of depression among alcohol-dependent persons is high (63.8%) with a significant association between depression and the mean AUDIT score. At posttest, depressed participants had a statistically significant craving for alcohol. Conclusion. Alcohol dependence is associated with major depression.