Comorbid depression and substance use disorder: Longitudinal associations between symptoms in a controlled trial
Autor: | Scott C. Roesch, Susan R. Tate, Sandra A. Brown, Jennifer Mrnak-Meyer, Matthew J. Worley, Ryan S. Trim |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Substance-Related Disorders Frequency of use Medicine (miscellaneous) Article law.invention Randomized controlled trial law Rating scale Outpatients medicine Humans Longitudinal Studies Psychiatry Depressive symptoms Depression (differential diagnoses) Veterans Psychiatric Status Rating Scales Depressive Disorder Major Cognitive Behavioral Therapy Middle Aged medicine.disease Comorbidity Substance abuse Self-Help Groups Psychiatry and Mental health Clinical Psychology Diagnosis Dual (Psychiatry) Psychotherapy Group Female Pshychiatric Mental Health Substance use Psychology Follow-Up Studies |
Zdroj: | Journal of Substance Abuse Treatment. 43:291-302 |
ISSN: | 0740-5472 |
Popis: | The current study examined the longitudinal association between substance use and depressive symptoms, in veterans receiving outpatient treatment for comorbid substance use disorder and major depression. Veterans (N =237, mean age = 48.2 years, 90% male, 70% Caucasian) received either six months of group Integrated Cognitive-Behavioral Therapy or Twelve-Step Facilitation. Hamilton Depression Rating Scale scores and Percent Days Using any substance were assessed every 3 months up to one year post-treatment. Greater substance use predicted time-varying elevations in depression above individual patterns of change in depression. Moreover, change in depressive symptoms was associated with change in both the likelihood of any substance use and the frequency of use during the treatment and follow-up periods. Changes in these symptoms appear to be linked, such that individuals with greater reductions in substance use have greater reductions in depressive symptoms (and vice versa). |
Databáze: | OpenAIRE |
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