Prevalence of Psychiatric Disorder in a Methadone Maintenance Population

2001 ◽  
Vol 35 (5) ◽  
pp. 601-605 ◽  
Author(s):  
Tom Callaly ◽  
Tom Trauer ◽  
Leigh Munro ◽  
Greg Whelan
Keyword(s):  
Substance Use ◽  
Anxiety Disorder ◽  
Psychiatric Disorder ◽  
Affective Disorder ◽  
Diagnostic Criteria ◽  
Substance Use Disorder ◽  
Psychiatric Illness ◽  
Methadone Maintenance ◽  
Service Planning ◽  
Icd 10

Objective: The objective of this study was to examine the prevalence of psychiatric disorders in a group of patients who had recently entered a methadone maintenance programme. Method: A total of 62 patients were interviewed using the Composite International Diagnostic Interview (CIDI) within 6 months of commencing methadone maintenance. The CIDI was used to establish symptoms of psychiatric illness at interview and in the 12 months prior. Results: In the 12 months prior to interview, 76% of the sample fulfilled ICD-10 criteria for a psychiatric disorder other than substance-use disorder. Over half of the group interviewed fulfilled ICD-10 criteria for an affective disorder, two-thirds fulfilled criteria for an anxiety disorder and just under half fulfilled diagnostic criteria for both an affective disorder and an anxiety disorder in the 12 months prior to interview. At the time of interview, 19% fulfilled ICD-10 diagnostic criteria for a moderate or severe affective disorder. Seventy per cent of males and 89% of females interviewed had a comorbid psychiatric illness. In 71% of the group who had a comorbid psychiatric illness, the onset of psychiatric symptomatology was reported to predate the use of heroin. Conclusion: The prevalence of psychiatric disorder is up to 10 times higher in the population on methadone maintenance than in the general population and is two to three times higher than that found in community surveys of those with a substance-use disorder. These results are consistent with earlier findings and have implications for service planning.

scholarly journals Prevalence of mental health problems in migraine Patients: A hospital-based study

2020 ◽  
Vol 6 (5) ◽  
pp. 212-215
Author(s):  
Prakash Kori ◽  
◽  
Santosh Ramdurg ◽  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Psychiatric Disorder ◽  
Psychiatric Illness ◽  
Depressive Disorders ◽  
Mental Health Problems ◽  
Age Group ◽  
Statistical Tools ◽  
Icd 10 ◽  
Clinical Profiles

Aim and Objectives: To study the prevalence of psychiatric illness in patients with migraine. Methodology: The study was done in outpatient dept (OPD) in the Department of neurology. . Age group was between 15 years to 65 years. Data collected over period of six months. Diagnosis of migraine made by consultant neurologist. Semi-structured perform was designed s to collect data on Demographic and clinical profiles of patients. ICD 10 DCR criteria were used to diagnose psychiatric disorder. Appropriate statistical tools were used to analyze the available data. Results: We recruited 100 cases of migraine among them 38 patients were male and 62 were female. In seventy five cases we found co-morbid psychiatric illness. Commonest illness was Anxiety disorder (38%) followed by depressive disorders (26%). Conclusion: Migraine is having higher prevalence of psychiatric (mood and anxiety) disorder. To treat effectively migraine we need to treat underlying psychiatric disorder.

Substance Use Disorder Comorbidity Among Inpatient Youths With Psychiatric Disorder

2003 ◽  
Vol 37 (3) ◽  
pp. 294-298 ◽  
Author(s):  
Harith Swadi ◽  
Candace Bobier
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Psychiatric Disorder ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Living Arrangements ◽  
Psychiatric Illness ◽  
Suicide Attempts ◽  
Inpatient Unit ◽  
Dsm Iv

Objective: Substance abuse/dependence has been reported to show significant association with psychopathology, and is likely to influence the course and outcome of psychiatric illness. The aim of this study was to determine the rate of substance use disorders (other than alcohol) comorbidity among inpatient adolescents with severe Axis 1 psychiatric disorder. Method: A retrospective analysis of systematically collected data was carried out. The subjects were 16–18-year-old youths, admitted to an inpatient unit for severe psychiatric disorder. The data collection process utilized the DSM-IV criteria for diagnostic categorization of psychiatric disorder and substance use disorder. Demographic data, and data on suicide attempts were also collected. Results: Over a period of one year (March 2001–March 2002), 62 patients were admitted to the Christchurch Youth Inpatient Unit; 40 (64.5%) had a comorbid Substance Abuse Disorder (SAD) according to DSM-IV criteria and none had a Substance Dependence Disorder. The vast majority involved cannabis and stimulants. Sixty per cent of those with mood disorder, 63% of those with anxiety disorder and 80% of those with schizophrenia spectrum disorder had a comorbid SAD. Internalizing problems, especially mood disorders, predominated among those with SAD reflecting the Unit's admission criteria. There were no differences in attempted suicide rates between those with SAD and those without SAD, but those with SAD were more likely to have unstable accommodation/living arrangements than those without SAD. Conclusions: Our findings confirm previous reports suggestive of high rates of SAD comorbidity among youth with severe psychiatric illness. There are clinical and process implications for these findings particularly identification of substance use disorders and their treatment as well as resource availability and staff training.

scholarly journals The Effect of Home Environment on Adolescent Substance Use and Depressive Symptoms

1997 ◽  
Vol 27 (4) ◽  
pp. 851-877 ◽  
Author(s):  
S. Susan Su ◽  
John P. Hoffmann ◽  
Dean R. Gerstein ◽  
Robert A. Johnson
Keyword(s):  
Substance Use ◽  
Depressive Symptoms ◽  
Affective Disorder ◽  
Substance Use Disorder ◽  
Structural Equation ◽  
Panel Study ◽  
Adolescent Substance Use ◽  
Equation Modeling ◽  
Adolescent Substance ◽  
Parental Substance Use

We used data from the screening phase and first two waves of a panel study to compare the home environments of families with a substance-abusing parent, families with a depressed parent, and families in a comparison group. We diagnosed substance use disorder and affective disorder by administering the Structural Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (third edition, revised) to each participating parent. The data suggest that families in which parents display a substance use disorder are very similar to those in which parents suffer from affective disorder, in terms of negative life events and lower family cohesion. The results of structural equation modeling indicate that parental substance use disorder and parental affective disorder influence adolescent substance use and depressive symptoms. In addition, parental substance use disorder has a direct influence on adolescent substance use at the time the first-wave data were collected, but this effect does not persist over time.

Bulimia comorbidity in the general population and in the clinic

1994 ◽  
Vol 24 (3) ◽  
pp. 605-611 ◽  
Author(s):  
J. A. Bushnell ◽  
J. E. Wells ◽  
J. M. McKenzie ◽  
A. R. Hornblow ◽  
M. A. Oakley-Browne ◽  
...  
Keyword(s):  
Substance Use ◽  
General Population ◽  
Psychiatric Disorder ◽  
Substance Use Disorder ◽  
Clinical Sample ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Base Rates ◽  
Specific Increase ◽  
Bulimic Women

SynopsisThis study compares rates of comorbidity of lifetime psychiatric disorder in a clinical sample of women with bulimia, with general population base rates, and with rates of comorbidity among bulimic women in the general population. Eighty-four per cent of the clinical sample of bulimic women had a lifetime affective disorder, and 44% a lifetime alcohol or drug disorder. These rates of disorder were significantly higher than the base rates in the general population. Bulimic women in the general population also had more affective and substance-use disorders than the general population base rates, but the rates of these disorders were lower than found in the clinical sample. In the general population, quite similar rates of other disorders including generalized anxiety, panic, phobia and obsessive–compulsive disorder, are found among those with bulimia, substance-use disorder and depression. Furthermore, among those with depression and substance-use disorder in the general population, rates of eating disorder are comparable. Rather than suggesting a specific relationship between bulimia and either depression or substance-use disorder, the data from this study suggest that the presence of any disorder is associated with a non-specific increase in the likelihood of other psychiatric disorder.

The effects of unemployment on psychiatric illness during young adulthood

1997 ◽  
Vol 27 (2) ◽  
pp. 371-381 ◽  
Author(s):  
D. M. FERGUSSON ◽  
L. J. HORWOOD ◽  
M. T. LYNSKEY
Keyword(s):  
Substance Use ◽  
Anxiety Disorder ◽  
Young People ◽  
Psychiatric Disorder ◽  
Family Background ◽  
Personal Factors ◽  
The Social ◽  
Dsm Iv ◽  
Before School ◽  
Using Data

Background. The aims of this study were to examine the associations between exposure to unemployment following school leaving and rates of psychiatric disorder using data gathered on a birth cohort of New Zealand young people studied up to the age of 18.Methods. At age 18 cohort members were assessed on: (a) duration of exposure to unemployment from age 16; (b) DSM-IV diagnostic criteria for major depression, anxiety disorders, conduct disorder, nicotine dependence, other substance abuse/dependence and attempted suicide. This information was integrated into longitudinal data gathered on the social circumstances, family background and adjustment of the cohort up to the age of 18.Results. Increasing exposure to unemployment was associated with increasing risks of psychiatric disorder in adolescence. Those exposed to 6 months or more unemployment had rates of disorder that were 1·5 to 5·4 times higher than those not exposed to unemployment. However, most of the elevated risk of disorder among those unemployed was explained by family and personal factors that were present prior to school leaving age. Nonetheless, even after control for these factors those exposed to unemployment had significantly higher rates of anxiety disorder and substance use disorders.Conclusions. To a large extent the relationships between unemployment and psychiatric disorder seen in this cohort were explained by social, family and personal factors that were present before school leaving age. Nonetheless, young people exposed to unemployment had higher rates of substance use and anxiety disorder.

Managing a Co-occurring Psychiatric Disorder

2019 ◽  
pp. 159-168
Author(s):  
Dennis C. Daley ◽  
Antoine Douaihy
Keyword(s):  
Substance Use ◽  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Substance Use Disorder ◽  
Psychiatric Symptoms ◽  
The Other ◽  
Medication Assisted Treatment ◽  
Different Types

The term “co-occurring disorders” refers to the presence of a psychiatric disorder and a substance use disorder. A psychiatric disorder increases the risk of a substance use disorder and vice versa. Treating one disorder improves the outcomes in treating the other. Psychiatric medications can be both effective and appropriate in treating the psychiatric disorder in people with co-occurring disorders. Medication-assisted treatment (MAT) can treat effectively the substance use disorder in people with co-occurring disorders. The goals of this chapter are to learn about the different types of psychiatric disorders, to learn about the causes of psychiatric disorders, and to assess the client’s psychiatric symptoms, if applicable.

What is Comorbidity – Fact or Artefact?

1996 ◽  
Vol 168 (S30) ◽  
pp. 7-8 ◽  
Author(s):  
Hans-Ulrich Wittchen
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Mood Disorders ◽  
Diagnostic Criteria ◽  
Substance Use Disorders ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Icd 10

Comorbidity can be described broadly as the presence of more than one disorder in a person in a defined period of time (Wittchen & Essau, 1993). Stimulated by the introduction of explicit diagnostic criteria and operationalised diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM–III; APA, 1980) and the Diagnostic Criteria for Research in ICD–10 (WHO, 1991), numerous studies in the 1980s and early 1990s, have assessed the extent, the nature, and more recently, the implications of comorbidity for a better understanding of mental disorders. Most studies investigated the association of anxiety and mood disorders, but increasingly there are also studies looking into the association of mood disorders with other disorders (such as somatoform and substance use disorders (Wittchen et al, 1993, 1996)) as well as with somatic conditions (axis II) and personality disorders (axis III).

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