Smoking cessation efforts among substance abusers with and without psychiatric comorbidity
11
Citation
13
Reference
10
Related Paper
Citation Trend
Keywords:
Psychiatric comorbidity
Dual diagnosis
ABSTRACT This study examines the offense, substance use, and mental illness characteristics for a subset of adolescent juvenile detainees receiving services through a federally funded system of care initiative. Findings indicate that 65% of these youth were comorbid for both mental and substance use disorders. Female detainees were at greater risk on almost every measure of mental health impairment and dual substance use and mental disorders. Study results highlight the need for effective, integrated treatment models that can serve youth involved in multiple child-serving systems, and address the challenging constellation of comorbid conditions faced by many juvenile offenders. KEYWORDS: Comorbid youthjuvenile justicesubstance usemental illnessgender differences
Cite
Citations (24)
Dual diagnosis
Cite
Citations (5)
Dual diagnosis
Conduct disorder
Consumption
Cite
Citations (0)
Dual diagnosis
Cite
Citations (2)
Dual diagnosis
Cite
Citations (2)
The authors studied a cohort of 128 male veterans undergoing preadmission screening for a specialized outpatient program for chronically mentally ill substance abusers. Demographic, substance abuse, and comorbid psychiatric variables were evaluated for their correlation with acceptance (44 patients) or rejection (84 patients) of the treatment offered. A later age at onset of both substance abuse and comorbid psychiatric illness significantly increased the likelihood of acceptance, as did the presence of a primary alcohol use disorder and the absence of current medical problems. A strong correlation was observed between the age at onset of substance abuse and comorbid psychiatric disorder, suggesting that in many dual‐diagnosis patients the two disorders could be manifestations of a single process.
Dual diagnosis
Alcohol abuse
Mentally ill
Cite
Citations (5)
Dual diagnosis
Psychiatric comorbidity
Psychoactive substance
Cite
Citations (0)
This study sought to determine rates of dual disorders (psychiatric and substance use disorders) in a population of low-income inner-city outpatients, to compare the rates in outpatient mental health and substance abuse treatment settings, and to examine the clinical usefulness of classifying patients with dual disorders into three subtypes.A total of 57 low-income urban residents receiving mental health treatment and 73 receiving substance abuse treatment were given semistructured clinical interviews to ascertain lifetime and concurrent DSM-III-R axis I disorders. Patients with dual disorders were classified into subtypes depending on whether their psychiatric or substance use disorder was caused by the comorbid disorder or whether both disorders existed independently.Eighty-three patients had a lifetime history of dual disorders: 34 patients (60 percent) in the mental health settings and 49 (67 percent) in substance abuse treatment. Among the 83 with dual disorders, more than half had experienced symptoms of both disorders within the past year. Each of the disorders was considered primary (that is, no indication was found that one was caused by the other) for 24 patients in the mental health settings (71 percent) and 31 in the substance abuse treatment settings (63 percent).In each type of treatment setting, nearly two-thirds of the patients met criteria for a lifetime diagnosis of a dual disorder. This high rate of comorbidity did not appear to be attributable to substance use causing psychiatric symptoms, or vice versa. The high rate suggests the need for greater integration of mental health and substance abuse treatment, regardless of setting.
Dual diagnosis
Cite
Citations (67)
Article AbstractThe concepts of comorbidity and dual diagnosis have become increasingly important in the treatment of substance use disorders. In fact, it is in the diagnosis and treatment of comorbid psychiatric and medical disorders that psychiatrists can make a special contribution to substance abuse patients. Dual Diagnosis and Treatment: Substance Abuse and Comorbid Medical and Psychiatric Disorders is a new book that provides comprehensive and scientifically based information in this important area.
Dual diagnosis
Psychiatric comorbidity
Cite
Citations (56)