Work

Co-occurrence of alcohol use disorder and mood disorders in the adult population in Poland: results from the EZOP II study

Year: 2026

Type: article

Abstract: Purpose: The study aimed to assess the prevalence and determinants of co-occurring mood disorders (MD) (depression, dysthymia, mania, neurasthenia) and alcohol use disorders (AUD) in the adult population in Poland. Methods:The analysis was conducted based on data obtained from the EZOP II study, carried out in 2018-2019 using the CAPI method.The study employed a nationally representative random sample of 11,998 individuals.The Composite International Diagnostic Interview (CIDI) v.21.1.4questionnaire was used for diagnostic assessments.Statistical analysis was performed using the cross-tabulations with confidence intervals, phi correlation coefficients, and multivariate logistic regression.Results: The proportion of individuals in the general population diagnosed with co-occurring AUD and MD is 0.79%.AUD was associated with a 2.5-fold increased risk of MD in the entire sample and 2.7-fold increase in men.Among individuals with comorbid disorders, the average age of onset of AUD was lower than the average age of onset of MD.Significant predictors of co-occurrence included gender -women were significantly less likely to experience both disorders concurrently (OR = 0.163; p ≤ 0.01).Among men, risk factors included unemployment (OR = 5.131, p ≤ 0.05), separation or divorce (OR = 12.714; p ≤ 0.01), and being in an informal relationship (OR = 6.821; p ≤ 0.01).Conclusions: Given the well-documented gendered nature of MD diagnosis, current estimates of AUD-MD comorbidity may underestimate its true prevalence.Population-based study indicates that men aged 30-39, who are unemployed, divorced, separated, or cohabiting, and have a basic vocational education are at highest risk of the co-occurrence of MD and AUD.

Source: Postępy Psychiatrii i Neurologii

DOI: 10.5114/ppn.2026.164828

Authors: Agnieszka A. Borowiec, Michał Bujalski, Jakub Stokwiszewski, Justyna I. Klingemann

Institutions: Institute of Psychiatry and Neurology, University of Warsaw, Narodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy

Language: English

Topic: Substance Abuse Treatment and Outcomes

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7214144912