| Abstrakt: |
BACKGROUND: Investigators have proposed that the cognitive-behavioral patterns of persons with the dual diagnoses of depression and substance abuse differfrom those of persons with only one of the disorders. However, researchers have not investigated these differences.OBJECTIVE: This study examined differences in severity of depression, cognitions, and adaptivefunctioning among depressed persons with and without coexisting substance abuse.DESIGN: A cross-sectional design was used to compare depressed adult inpatients with (n = 31) and without (n = 32) coexisting substance abuse.RESULTS: Although both groups were found to be moderately depressed and limited in theirfunctional ability, the dual diagnosis group was more severely depressed (F(1,60) = 4.05; p = .05), more limited in functioning (F(1,60) = 3.52; p = .07), and reported more depressive cognitions (F(1,60) = 7.72; p = .01). The groups were similar in severity of depression and adaptive functioning when the effects related to the depressive cognitions were statistically controlled.CONCLUSION: The findings support the importance of using nursing interventions that involve cognitive restructuring to assist persons with the dual diagnoses of depressive illness and substance abuse to change their maladaptive ways of thinking to more healthy and adaptive thought processes. [ABSTRACT FROM PUBLISHER] |
