Ratings of Patient–Provider Communication Among Veterans: Serious Mental Illnesses, Substance Use Disorders, and the Moderating Role of Trust

The purpose of this review is to describe how pregnant and postpartum women with substance use disorders (SUDs) experience health care encounters in prenatal care, labor and delivery, postpartum, and nursery/neonatal intensive care unit (NICU) settings. Findings from 23 qualitative studies on the topic were synthesized using a metasummary approach. The majority of the studies revealed that pregnant and postpartum women with SUDs tend to experience their health care encounters as conflictual, although some studies revealed that some women experience their health care encounters as supportive. The results of metasummary included a taxonomy of health care encounters. Five types of adverse encounters were identified: judgmental, disparaging, scrutinizing, disempowering, and deficient-care. Three types of beneficial encounters were identified: recovery-based, accepting, and effective-care. The findings suggest the importance of stigma awareness, therapeutic patient-provider communication, patient activation, and integrated care.

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Executive control in schizophrenia: a preliminary study on the moderating role of COMT Val158Met for comorbid alcohol and substance use disorders

Nordic Journal of Psychiatry ◽

10.1080/08039488.2017.1286385 ◽

2017 ◽

Vol 71 (5) ◽

pp. 332-339 ◽

Cited By ~ 4

Author(s):

Giuseppe Carrà ◽

Gabriella Nicolini ◽

Cristina Crocamo ◽

Annamaria Lax ◽

Francesca Amidani ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Executive Control ◽

Comt Val158met ◽

Preliminary Study ◽

Moderating Role

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Serious Mental Illness

10.1093/oxfordhb/9780199381708.013.009 ◽

2014 ◽

Author(s):

Kim T. Mueser ◽

Douglas L. Noordsy ◽

Robert E. Drake

Keyword(s):

Mental Illness ◽

Substance Use ◽

Psychiatric Disorders ◽

Substance Use Disorders ◽

Serious Mental Illness ◽

Integrated Treatment ◽

Mental Illnesses ◽

Clinical Consequences ◽

Social Difficulties ◽

Serious Mental Illnesses

The high comorbidity between substance use disorders and serious mental illnesses is a significant challenge to traditional treatment systems that have historically treated psychiatric and substance use disorders with different providers and agencies. Defining characteristics of serious mental illness include difficulty with work, performing in school or parenting, social difficulties, and problems caring for oneself. Common serious psychiatric disorders include schizophrenia, schizoaffective disorder, bipolar disorder, and severe major depression, posttraumatic stress disorder, and borderline personality disorder. The epidemiology of substance use disorders in serious mental illness is reviewed, including prevalence, correlates, and onset and course of the disorder. The clinical consequences of substance use disorders in this population are devastating for every possible aspect of the illness. Common factors may increase vulnerability to both substance abuse and psychiatric disorders. The principles of treating co-occurring disorders are based on modern integrated methods, as well as research on the effectiveness of integrated treatment.

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Does type and number of used substances affect the severity of illness in patients with substance use disorders?

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-021-00361-w ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Maha Ali Hassan ◽

Mohamed Ayman Abdelhameed ◽

Mostafa Mahmoud Abd El-Naem ◽

Mohamed Helmy Abdelhafeez

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Age Of Onset ◽

Linear Regression Analysis ◽

Severity Of Illness ◽

Severe Form ◽

Mental Illnesses ◽

Related Disorder ◽

Duration Of Illness ◽

Serious Mental Illnesses

Abstract Background Substance use disorders (SUD) are considered as serious mental illnesses, with variability of age of onset, duration of illness, and type of used substance among patients. The effect of type and number of substances used on the severity of such an illness are worth scientific investigation. In this study, we tried to investigate the probable relationship between type and number of used substances with the degree of severity of substance used disorders in a sample of upper Egyptian patients. To predict risk factors associated with the severity of SUD. Results Opiates (including tramadol) were the most frequently used substances followed by cannabis and then heroin. Patients using poly substances scored significantly higher than the ones using a single substance on AIS (p = 0.001), as well as on the legal, drug, and family and social subscales of ASI (0.012 0.006, 0.002 respectively). Multiple stepwise linear regression analysis demonstrated that the number of used substances was the most prominent factor in determining severity of substance-related disorder. Conclusions Using more than one substance is common in patients with substance use disorders. This is usually associated in more severe form and consequences of illness. So, some substances and combinations are associated with more morbidity than others.

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