SADQ AND SCL-90-R IN ALCOHOL USE DISORDER AND PSYCHIATRIC COMORBIDITY IN A SAMPLE OF ITALIAN DETOXIFIED INPATIENTS

Objectives: We investigated whether or not psychiatric symptomatology correlates with alcohol dependence in alcohol use disorder (AUD) people by comparing self-administered questionnaires and interviews. AUD indicates a plethora of disabilities impairing both mental and physical health. Methods: Alcohol habits of 183 men and 62 women with an AUD were measured by using Life Drinking History (LDH), Time Line Follow Back (TLFB) and the DSM-5 AUD criteria. DSM-5 criteria, SCL-90-R and SADQmeasured respectively psychiatric symptoms and the severity of alcohol dependence under the supervision of psychologists and psychiatrists. Results: Dually diagnosed individuals and AUD people without dual diagnosis were both heavy drinkers by consuming respectively 14.97 12.62 vs. 13.69 10.22 alcohol units per die and had the same AUD severity by DSM-5 criteria (respectively 9.53 1.90 vs. 8.56 1.99). Nevertheless, AUD people with high SCL-90-R scores and dually diagnosed individuals (as defined by the psychiatrist) had significantly higher SADQ scores. Conclusions: Dually diagnosed people describe their AUD condition (by SADQ) dramatically more severe although dually diagnosed individuals and AUD people without dual diagnosis had the same addiction levels as measured by specialist examination (TLFB, DSM-5). In AUD clinical treatment, SADQ may be considered a useful tool for disclosing psychiatric associated conditions.