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 Are the Psychosocial Factors Associated With Migraine in the Child? Comorbid Psychiatric Disorders, Family Functioning, Parenting Style, or Mom’s Psychiatric Symptoms?

2018 ◽  
Vol 33 (2) ◽  
pp. 174-181 ◽  
Author(s):  
Gozde Kandemir ◽  
Selma Tural Hesapcioglu ◽  
Aysegül N. Citak Kurt
Keyword(s):  
Psychiatric Disorder ◽  
Family Functioning ◽  
Psychiatric Disorders ◽  
Parenting Style ◽  
Psychiatric Comorbidity ◽  
Psychiatric Symptoms ◽  
Treatment Plan ◽  
Depression And Anxiety ◽  
Factors Associated ◽  
Migraine Group

Objective: Psychiatric diagnoses, parenting style, family functioning among children and adolescents with migraine, and psychiatric symptoms of their mothers were examined. Methods: The K-SADS and other measurements were used to assess psychiatric disorders in 50 children with migraine (aged 8-18) and matched 50 controls. Results: At least one psychiatric disorder was diagnosed in 56% of the migraine group. The presence of any psychiatric disorder in children (odds ratio [OR] = 2.765, P = .027) and somatization symptoms in their mothers (OR = 2.061, P = .025) were increasing the risk of migraine diagnosis. The parenting style scale assessments revealed that parents in the migraine group grant their children less autonomy. Conclusion: Psychiatric comorbidity, especially depression and anxiety disorders, is more common in children with migraine. The frequency of eating disorder is also higher. Evaluating comorbidity, family functioning, and particularly affective responsiveness in migraine families may guide the clinician to a targeted treatment plan.

The association between Internet addiction and psychiatric disorder: A review of the literature

2012 ◽  
Vol 27 (1) ◽  
pp. 1-8 ◽  
Author(s):  
C.-H. Ko ◽  
J.-Y. Yen ◽  
C.-F. Yen ◽  
C.-S. Chen ◽  
C.-C. Chen
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Substance Use ◽  
Anxiety Disorder ◽  
Psychiatric Disorders ◽  
Internet Addiction ◽  
The Other ◽  
Review Of The Literature ◽  
Research Directions ◽  
Hyperactivity Disorder ◽  
Pubmed Database

AbstractInternet addiction is a newly emergent disorder. It has been found to be associated with a variety of psychiatric disorders. Information about such coexisting psychiatric disorders is essential to understand the mechanism of Internet addiction. In this review, we have recruited articles mentioning coexisting psychiatric disorders of Internet addiction from the PubMed database as at November 3, 2009. We describe the updated results for such disorders of Internet addiction, which include substance use disorder, attention-deficit hyperactivity disorder, depression, hostility, and social anxiety disorder. We also provide discussion for possible mechanisms accounting for the coexistence of psychiatric disorders and Internet addiction. The review might suggest that combined psychiatric disorders mentioned above should be evaluated and treated to prevent their deteriorating effect on the prognosis of Internet addiction. On the other hand, Internet addiction should be paid more attention to when treating people with these coexisting psychiatric disorders of Internet addiction. Additionally, we also suggest future necessary research directions that could provide further important information for the understanding of this issue.

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.

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.

Early alcohol use as prognostic factor for severity in dually diagnosed patients

2016 ◽  
Vol 33 (S1) ◽  
pp. S307-S308
Author(s):  
R. Martinez-Riera ◽  
G. Mateu-Codina ◽  
A. Farre-Martinez ◽  
J.L. Perez de Heredia ◽  
J. Marti-Bonany ◽  
...  
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Psychiatric Disorders ◽  
Substance Use Disorder ◽  
Dual Diagnosis ◽  
Late Onset ◽  
Long Run ◽  
Other Substances ◽  
Axis I ◽  
Competing Interest

ObjectivesDescribe the distinguishing characteristics between patients with early onset of alcohol use (EARLY, age < 15) and late onset of alcohol use (LATE, age > 16), both affected of acute non-substance use psychiatric disorders (non-SUD) and any substance use disorder admitted in a dual diagnosis unit.Material and methodsData on demographic, family, and clinical factors were gathered among subjects admitted to our dual diagnosis unit along three years, all of them meeting DSM-IV criteria of any non-substance related Axis I or II disorder and comorbid substance use disorder (SUD). Statistical analysis was performed by using SPSS program.ResultsWe show results of 748 patients (437 of EARLY group and 311 of LATE group). Predominantly male (73,53%) with a mean age of 39,60 ± 9,7 years. Most prevalent non-SUD psychiatric disorders were psychotic disorder (39,97%) and personality disorder (39,30%). In our sample, most common substances of abuse were Alcohol (45,05%) and Cocaine (30,35%). EARLY patients had an earlier first contact all substances as well as an earlier age of problematic consumption of cocaine, alcohol, opioids and nicotine; they also had major prevalence of opioid SUD, sedatives SUD and amphetamines SUD (see Tables 1, 2 and 3).ConclusionsPatients who began earlier their consumptions of alcohol had major prevalence of opioid, sedatives and amphetamine use. They also had earlier consumptions of other substances and earlier problematic consumptions of cocaine, alcohol, opioids and nicotine, what probably means greater severity of drug addiction in the long run.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Executive functions and emotion regulation in substance use disorder

2021 ◽  
Author(s):  
Mariana Bandeira Formiga ◽  
Melyssa Kellyane Cavalcanti Galdino ◽  
Selene Cordeiro Vasconcelos ◽  
Jayston W. J. Soares Neves ◽  
Murilo Duarte da Costa Lima
Keyword(s):  
Working Memory ◽  
Substance Use ◽  
Emotion Regulation ◽  
Executive Functions ◽  
Substance Use Disorder ◽  
The Other ◽  
Cross Sectional ◽  
Tobacco Use Disorder ◽  
Multiple Substance ◽  
Cross Sectional Design

ABSTRACT Objective The executive functions (EF) and emotion regulation (ER) and their relationship with the substance use disorder (SUD) were analyzed. Methods A cross-sectional design was used. The sample consisted of 130 volunteers divided into three groups: group 01 (n = 60), composed of participants who did not meet the diagnostic criteria for any type of SUD; group 02 (n = 51), with users with alcohol and/or tobacco use disorder; group 03 (n = 19), with users with multiple substance use disorder, including at least one illicit substance. Results Group 02 presented worse performance in EF and ER when compared to group 01, and showed a significant correlation between the working memory and the use of maladaptive ER. Group 03 showed great losses in EF and ER when compared to the other groups. Conclusion This study supports the idea that EF, ER and SUD are related. In addition, it was observed that people with SUD had worse performance in EF and ER when compared to people without SUD, greater damage being observed in people with SUD of polysubstances.

Sensitivity to noise in a community sample: I. Measurement of psychiatric disorder and personality

1985 ◽  
Vol 15 (2) ◽  
pp. 243-254 ◽  
Author(s):  
S. A. Stansfeld ◽  
C. R. Clark ◽  
L. M. Jenkins ◽  
A. Tarnopolsky
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Symptoms ◽  
Community Sample ◽  
Low Noise ◽  
Aircraft Noise ◽  
The Other ◽  
Noise Sensitivity ◽  
Sensory Stimuli ◽  
High Noise ◽  
Low Exposure

SynopsisA sample of 77 women of high and low noise sensitivity, living in areas of high and low exposure to aircraft noise drawn from the 1977 West London Survey, were interviewed in the community in 1980. Women of high, intermediate and low noise sensitivity in 1980 were compared for measures of psychiatric disorder, personality and reactivity to the other sensory stimuli. In addition, the noise sensitivity measures defining the three groups in 1980 were compared with further measures of noise sensitivity. High noise sensitive women exhibited significantly more psychiatric symptoms, higher neuroticism scores, and greater reactivity to other sensory stimuli than intermediate and low noise sensitive women.

Sign in / Sign up

Export Citation Format

Share Document