Implications of mental and substance use disorders. A comparison of single and dual diagnosis patients
| Autor: | Thompson Jw, Eric Corty, C. P. Myers, Anthony F. Lehman |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Hospitals Psychiatric Male medicine.medical_specialty Adolescent Substance-Related Disorders Comorbidity Severity of Illness Index Life Change Events Prevalence of mental disorders Sex Factors Terminology as Topic medicine Psychiatric hospital Humans Medical diagnosis Psychiatry Male gender Aged Psychiatric Status Rating Scales Antisocial personality disorder Mental Disorders Antisocial Personality Disorder Middle Aged medicine.disease Social Control Formal Hospitalization Psychiatry and Mental health Dual diagnosis Female Substance Abuse Treatment Centers Substance use Psychology Substance abuse treatment Clinical psychology |
| Zdroj: | The Journal of nervous and mental disease. 181(6) |
| ISSN: | 0022-3018 |
| Popis: | To understand better the implications of co-occurring mental and substance use disorders, we examined DSM-III-R diagnoses and life problems among a representative sample of 314 patients admitted to either a psychiatric hospital or a residential substance abuse treatment program from the same inner-city catchment area. Based upon the Structured Clinical Interview for DSM-III-R, the patients were divided into four groups. The first two groups had dual diagnoses, either: a) a primary axis I mental disorder (MD) and a comorbid psychoactive substance use disorder (PSUD); or b) a PSUD-related mental disorder and a PSUD, but no primary axis I MD. The third and fourth groups had a single diagnosis, either: c) a primary axis I MD, but no lifetime PSUD; or d) a PSUD, but no lifetime primary axis I MD. As expected, the two dual disorder groups had more cumulative problems than did either of the single disorder groups. Dually disordered patients with PSUD-related MD most resembled single-diagnosis PSUD patients in terms of substance use profile and life problems. Dually disordered patients with primary MD more resembled single-diagnosis MD patients, but had more severe life problems. Presence of a PSUD was associated with male gender, antisocial personality disorder, and more severe legal problems. Presence of a primary mental disorder was associated with more extensive prior hospitalizations and greater psychiatric severity. |
| Databáze: | OpenAIRE |
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