PSYCHIATRIC COMORBIDITY IN PATIENTS WITH OPIOID DEPENDENCE
| Autor: | Shihab Kattukulathil, Abdurazak Kottelassal, Rahul Thovarayi, Mohammed Shafeeq Narippatta, Firoz Kazhungil, Ajitha Cholakottil |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Opioid Dependence lcsh:R5-130.5 business.industry 030508 substance abuse Comorbidity 03 medical and health sciences Psychiatric comorbidity 0302 clinical medicine Opioid Psychiatric Disorders mental disorders medicine In patient 030212 general & internal medicine 0305 other medical science Psychiatry business lcsh:General works medicine.drug |
| Zdroj: | Journal of Evidence Based Medicine and Healthcare, Vol 5, Iss 8, Pp 714-718 (2018) |
| ISSN: | 2349-2570 2349-2562 |
| DOI: | 10.18410/jebmh/2018/145 |
| Popis: | BACKGROUND Opioid dependence is a major public health problem in Kerala. Presence of psychiatric disorder among opioid dependent patients worsens the scenario. To date no attempts have been made to analyse the magnitude and pattern of comorbid psychiatric disorders in the state. MATERIALS AND METHODS We assessed 30 patients with ICD-10 diagnosis of opioid dependence syndrome for the presence of comorbid psychiatric disorders using structured clinical interview for DSM IV Axis 1 disorder (SCID-1). Patients with opioid withdrawal state, delirium and acute medical emergencies were excluded. RESULTS 56.7% of our subjects had a comorbid psychiatric disorder. Major depressive disorder was the most common one (n=7, 23.3%). Prevalence of other disorders were generalised anxiety disorder (n=6, 20%), bipolar affective disorder (n=3, 10%) and schizophrenia (n=1, 3.3%). CONCLUSION Comorbid Psychiatric disorders are highly prevalent in opioid dependence. There is a need for further large sample studies in the areas of comorbidities and in the integrated strategies for the identification and management of both opioid dependence and comorbid psychiatric disorders. |
| Databáze: | OpenAIRE |
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