Mood disorders affect drug treatment success of drug-dependent pregnant women
Autor: | Varsha Vaidya, Michelle Tuten, Hendrée E. Jones, Heather Fitzsimons |
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Rok vydání: | 2007 |
Předmět: |
Adult
medicine.medical_specialty Narcotic Antagonists Medicine (miscellaneous) Suicide Attempted Severity of Illness Index Pregnancy Recurrence Surveys and Questionnaires medicine Humans Psychology Psychiatry Suicidal ideation Mood Disorders Social Behavior Disorders Opioid-Related Disorders medicine.disease Diagnostic and Statistical Manual of Mental Disorders Substance abuse Psychiatry and Mental health Clinical Psychology Treatment Outcome Mood Mood disorders Diagnosis Dual (Psychiatry) Dual diagnosis Female Pshychiatric Mental Health medicine.symptom Psychosocial Methadone Anxiety disorder medicine.drug |
Zdroj: | Journal of Substance Abuse Treatment. 32:19-25 |
ISSN: | 0740-5472 |
Popis: | This study examined the impact of co-occurring Axis I disorders on drug treatment outcomes of drug-dependent pregnant women. Participants (N = 106) were women who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for opioid dependence and were receiving methadone. Based on DSM-IV Axis I criteria, participants were categorized into three groups: (1) absence of mood/anxiety disorder (ND, n = 29), (2) primary mood disorder (MD, n = 39), or (3) primary anxiety disorder (AD, n = 38). Demographically, the groups were similar. The MD group was significantly more likely to be positive for drugs while in treatment compared with both the ND and AD groups. The MD and AD groups had more psychosocial impairment and higher incidence of suicidal ideation compared with the ND group. Interestingly, the AD group spent more days in treatment compared with the ND or MD group. These findings highlight the need to treat co-occurring Axis I disorders, particularly given the higher relapse risk for those with mood disorders. |
Databáze: | OpenAIRE |
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