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Comment & Response |

Does Self-medication Predict the Persistence or Rather the Recurrence of Alcohol Dependence?—Reply

Rosa M. Crum, MD, MHS1,2,3; Ramin Mojtabai, MD, PhD2,3; Jitender Sareen, MD, FRCPC4,5,6
[+] Author Affiliations
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
2Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland
3Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
4Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada
5Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
6Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
JAMA Psychiatry. 2014;71(2):205-206. doi:10.1001/jamapsychiatry.2013.3521.
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In Reply Boschloo and colleagues suggested an interesting point regarding our analyses of the association between self-medication and persistence of alcohol dependence using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).1 As Boschloo and colleagues noted, in our definition of persistent alcohol dependence, we included individuals with lifetime dependence with or without 12-month dependence at baseline and assessed the association between drinking self-medication among this group with alcohol dependence at follow-up. The association of self-medication drinking with alcohol dependence at wave 2 (follow-up) may vary depending on whether the participant had 12-month (current) alcohol dependence at baseline.

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February 1, 2014
Lynn Boschloo, PhD; Wim van den Brink, MD, PhD; Brenda W. J. H. Penninx, PhD
1University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, the Netherlands
2Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands
3Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
JAMA Psychiatry. 2014;71(2):205. doi:10.1001/jamapsychiatry.2013.2985.
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