CURRENTLY ACTIVE AND REMITTED ALCOHOL DEPENDENCE IN A NATIONWIDE ADULT GENERAL POPULATION—RESULTS FROM THE FINNISH HEALTH 2000 STUDY

Abstract — Aims: To study the factors relating to remission from alcohol dependence in the general population. Methods: Within a representative, cross-sectional general population sample aged 30 years or more, the characteristics of subjects remitted from alcohol dependence were examined by comparisons with actively alcohol-dependent subjects. Results: The overall lifetime prevalence of alco-hol dependence was 7.9%. Comorbid depressive and anxiety disorders were diagnosed in 22 % of the actively alcohol-dependent and in 19 % of the remitted subjects. There were few sociodemographic, clinical or childhood-related factors differentiating the two groups of subjects. Of comorbid mental disorders, social phobia (6 % vs 1%) and dysthymia (7 % vs 3%) were more common among the actively alcohol-dependent, whereas other common disorders were equally common for both active and remitted alcohol dependence. Health care or other service use for alcohol problems within the previous 12 months was more frequent among the actively dependent (16% vs 4%), and the same was true for health care use for mental health problems (17 % vs 8%). Any service use in the previous year for either type of problem was more common among the actively dependent than the remitted (26 % vs 13%).Conclusions: In an unselected setting, only comorbid social phobia and dysthymia differentiated active alcohol dependence from a remitted state, suggesting either that they are obstacles to remission from an active state, explaining why some alcohol-dependent individuals are unable to recover