Ten Things We Can Do to Meet the Diverse Needs of Children with Dual Diagnoses

The MacAndrews Scale of the MMPI differentiated 21 dual-diagnosis substance abusers with a DSM-III—R, Axis I diagnosis from a group of 21 single-diagnosis substance abusers and 18 dual-diagnosis substance abusers with an Axis II diagnosis. Subjects were 50 substance-abuse only and 39 dual-diagnosis, hospitalized men. Research must take into account the heterogeneous nature of psychiatric diagnoses within the substance-abusing population.

Download Full-text

Assessing the Relationship between Disordered Gamblers with Psychosis and Increased Gambling Severity: The Mediating Role of Impulsivity

The Canadian Journal of Psychiatry ◽

10.1177/0706743717730825 ◽

2017 ◽

Vol 63 (6) ◽

pp. 370-377 ◽

Cited By ~ 3

Author(s):

Hyoun S. Kim ◽

Briana D. Cassetta ◽

David C. Hodgins ◽

Lianne M. Tomfohr-Madsen ◽

Daniel S. McGrath ◽

...

Keyword(s):

Dual Diagnosis ◽

Symptom Assessment ◽

University Hospital ◽

Disordered Gambling ◽

Mediating Role ◽

Dual Diagnoses ◽

Gambling Severity ◽

Symptom Assessment Scale ◽

The Relationship

Objective: Recent research suggests that disordered gambling and psychosis co-occur at higher rates than expected in the general population. Gamblers with psychosis also report greater psychological distress and increased gambling severity. However, the mechanism by which psychosis leads to greater gambling symptomology remains unknown. The objective of the present research was to test whether impulsivity mediated the relationship between comorbid psychosis and gambling severity. Method: The sample consisted of 394 disordered gamblers voluntarily seeking treatment at a large university hospital in São Paulo, Brazil. A semistructured clinical interview (Mini-International Neuropsychiatric Interview) was used to diagnosis the presence of psychosis by registered psychiatrists. Severity of gambling symptoms was assessed using the Gambling Symptom Assessment Scale, and the Barratt Impulsiveness Scale–11 provided a measure of impulsivity. Results: Of the sample, 7.2% met diagnostic criteria for psychosis. Individuals with a dual diagnosis of psychosis did not report greater gambling severity. Conversely, dual diagnoses of psychosis were associated with greater levels of impulsivity. Higher levels of impulsivity were also associated with greater gambling severity. Importantly, support for our hypothesised mediation model was found such that impulsivity mediated the association between disordered gambling and psychosis and gambling severity. Conclusion: Impulsivity appears to be a transdiagnostic process that may be targeted in treatment among disordered gamblers with a dual diagnosis of psychosis to reduce problematic gambling behaviours.

Download Full-text

Counting, Coping, and Navigating the Flux: A Focused Ethnographic Study of HIV and Diabetes Self-Management

Qualitative Health Research ◽

10.1177/10497323211064231 ◽

2021 ◽

pp. 104973232110642

Author(s):

Chelsi W Ohueri ◽

Alexandra A. García ◽

Julie A. Zuñiga

Keyword(s):

Management Practices ◽

Participant Observation ◽

Ethnographic Study ◽

Self Management ◽

People Living With Hiv ◽

Structured Interviews ◽

Familial Support ◽

Multiple Observations ◽

Dual Diagnoses ◽

Living With Hiv

Approximately 10–15% of people living with HIV are also diagnosed with diabetes. To manage their two chronic conditions, people must undertake certain activities and adopt behaviors. Due to overlapping symptoms, complex medication regimens, and heavy patient workloads, implementing these self-management practices can be difficult. In this focused ethnography, data were collected from semi-structured interviews and limited participant-observation with a selected subset of participants to gain insight into self-management challenges and facilitators. We conducted interviews and multiple observations with 22 participants with HIV+T2DM over the period of 9 months. Participants experienced numerous barriers to self-management in the areas of diet, medication adherence, and mental health. Social and familial support, as well as consistent access to care, were facilitators for optimal self-management. At the same time participants’ lives were in a unique flux shaped by the dual diagnoses, and therefore, required constant mental and physical adjustments, thus illustrating challenges of managing chronicity.

Download Full-text

Analysis of Dual Diagnoses in the Practice of the Children’s and Adolescents’ Outpatient Addiction Service. The Study Design

10.35198/01-2020-003-0001 ◽

2020 ◽

Keyword(s):

Study Design ◽

Dual Diagnoses ◽

Addiction Service

Download Full-text

Dual diagnoses.

Cognitive-behavioral group therapy: For specific problems and populations. ◽

10.1037/10352-006 ◽

2000 ◽

pp. 149-173

Author(s):

Tom Greanias ◽

Sandra Siegel

Keyword(s):

Dual Diagnoses

Download Full-text

Consultant Nurse, 18 years’ experience, UK

Non-Epileptic Seizures in Our Experience ◽

10.1093/med/9780190927752.003.0019 ◽

2020 ◽

pp. 51-53

Author(s):

Markus Reuber ◽

Gregg H. Rawlings ◽

Steven C. Schachter

Keyword(s):

Health Professionals ◽

Epileptic Seizures ◽

Dual Diagnoses ◽

Epileptic Attack

This chapter discusses the need for consistency in the diagnosis and support of people with Non-Epileptic Attack Disorder (NEAD). Even within neurology, this is not always the case. Often, a diagnosis of NEAD follows many years of treatment for presumed epilepsy. There is a reluctance by many neurologists completely to undo that diagnosis, whether originally made by themselves or a predecessor. A vague assertion that some episodes may be NEAD while others are due to epilepsy is of no use to anyone, particularly the patient. Estimates of the incidence of dual diagnoses vary, but the literature consistently suggests that either epileptic or non-epileptic seizures will predominate. Therefore, health professionals need to make every effort to identify clearly which seizures are due to epilepsy, remembering that they will be stereotyped, and which are not.

Download Full-text