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Letters COMMENT & RESPONSE age them to consider the potential distinct impact of self- medication with alcohol on the recurrence and persistence of alcohol dependence. Does Self-medication Predict the Persistence or Rather the Recurrence of Alcohol Dependence? Lynn Boschloo, PhD To the Editor Prominent etiologic models that aim to explain Wim van den Brink, MD, PhD the comorbidity of mood disorders and alcohol dependence Brenda W. J. H. Penninx, PhD suggest that alcohol use may be a strategy of self- Author Affiliations: University of Groningen, University Medical Center medicating distressing mood symptoms. This is line with Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, studies that identified depressive and anxiety disorders as Groningen, the Netherlands (Boschloo); Department of Psychiatry, Academic risk factors of the incidence of alcohol dependence. The Medical Center, University of Amsterdam, Amsterdam, the Netherlands (van current study of Crum et al provides convincing evidence den Brink); Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands that self-medication with alcohol indeed plays an important (Penninx). role in the incidence of alcohol dependence. However, we Corresponding Author: Lynn Boschloo, PhD, University of Groningen, have some concerns regarding their analyses on
JAMA Psychiatry – American Medical Association
Published: Feb 1, 2014
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