OJPsych  Vol.2 No.4 , October 2012
Toward an integrative model for alcohol use and dependence
Author(s) Serge Combaluzier*
Background: If the alcohol use and dependence disorders are differentiated by the pharmaco-dependence, they share complex relationships with other clinical disorders and personality disorders. The purpose of this paper is to produce a model that reflects its relations both among users than among addicts. Method: Data from questionnaires measuring key variables selected for this study have been collected from people with alcohol misuse (n = 83) and alcohol-dependent (n = 81) in rehab. A model of drug dependence has been produced from these data that gives complete satisfaction to the criteria of SEM. Discussion: This model reflects the shift from abuse to a dependent consumption by the presence of feedbacks involving pharmaco-dependence, disturbance of the alcohol consumption by psychological distress and depressive traits. To further guarantee its validity, however it should be tested by collecting data from other surveys.

Cite this paper
Combaluzier, S. (2012) Toward an integrative model for alcohol use and dependence. Open Journal of Psychiatry, 2, 317-320. doi: 10.4236/ojpsych.2012.24044.
[1]   Hall, W., Degenhardt, L. and Tesson, M. (2009) Understanding comorbidity between substance use, anxiety and affective disorders: Broadening the research base. Addictive Behaviors, 34, 526-530. doi:10.1016/j.addbeh.2009.03.010

[2]   Schukit, M.A., Smith, T.L. and Chacko, Y. (2009) Evaluation of depression-related model of alcohol problems in 430 probands from the San Diego prospective study. Drug and Alcohol Depend, 82, 194-203. doi:10.1016/j.drugalcdep.2005.09.006

[3]   Allan, C.A. (1995) Alcohol problems and anxiety disorders—A critical review. Alco Alcoholism, 30, 145-151.

[4]   Schuckit, M.A. (1994) The relationship between alcohol problems, substance abuse and psychiatric syndromes. American Psychiatric Association, 1, 1994, 45-66.

[5]   Brady, K.T. and Lydiard, B. (1993) The association of alcoholism and anxiety. Psychiatric Quarterly, 30, 135-149. doi:10.1007/BF01065866

[6]   Turnbull, J.E. and Gomberg, E.S.L. (1990) The structure of depression in alcoholic women. Journal of Studies on Alcohol and Drugs, 51, 549-555.

[7]   Helzer, J.E. and Prysbeck, T.R. (1988) The co-occurrence of alcoholism and other psychiatric disorders in the general population and its impact on treatment. Journal of Studies on alcohol, 49, 219-224

[8]   DeJong, C.A., Van der Brink, W., Harteveld, F.M. and Van der Wielen, G.M. (1993) Personality disorders in alcoholics and drug addicts. Comprehensive Psychiatric, 1993, 34, 87-94. doi:10.1016/0010-440X(93)90052-6

[9]   Movalli, M.G., Madeddu, F., Fossati, A. and Maffei, C. (1996) Personality disorders (DSM III-r, DSM IV): Prevalence in alcoholics and influence on droup out from treatment, Alcoologia, 8, 47-52.

[10]   Goldsmith, A.A., Tran, G.Q., Smith, J.P. and Howe, S.R. (2009) Alcohol expectancies and drinking motives in college drinkers: Mediating effects on the relationship between generalized anxiety and heavy drinking in negative-affect situations. Addictive Behaviors, 34, 503-513. doi:10.1016/j.addbeh.2009.01.003

[11]   Pelc, I. (1978) Contribution to the abnormal psychology of the chronic alcoholism. Ph.D. Thesis, Université libre de Bruxelles, Brussels.

[12]   Pariente, P. and Guelfi, J.-D. (1990) Self-assessment inventories of psychopathology in adults, Part 1: multidimensional inventories. Psychiatr Psychobiol, 5, 49-63.

[13]   DeRogatis, L.R. (1977) SCL-90r (revised) version manual I. clinical psychometrics research unit. John Hoppkinks University School of Medicine, Baltimore.

[14]   Cottraux, J., Bouvard, M., Legeron, P. (1985) Methods and behavior rating scales. Psychological Editions and Applications, Paris.

[15]   Weissman, A. and Beck, A.T. (1978) Development and validation of the dysfunctional attitude scale. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Chicago.

[16]   Arbuckle, J.L. (2003) Amos 5.0. Smallwaters Corps, Chicago.