scholarly journals Associations between Pathological Gambling and Psychiatric Comorbidity among Help-Seeking Populations in Hong Kong

2012 ◽  
Vol 2012 ◽  
pp. 1-15 ◽  
Author(s):  
Daniel T. L. Shek ◽  
Elda M. L. Chan ◽  
Ryan H. Y. Wong
Keyword(s):  
Substance Use ◽  
Pathological Gambling ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Substance Use Disorders ◽  
Mental Health Problems ◽  
Adjustment Disorder ◽  
Pathological Gamblers ◽  
Comorbid Psychiatric Disorders ◽  
Axis I

Problem gambling is complex and often comorbid with other mental health problems. Unfortunately, gambling studies on comorbid psychiatric disorders among Chinese communities are extremely limited. The objectives of this study were to (a) determine the prevalence of comorbid psychiatric disorders among treatment-seeking pathological gamblers; (b) compare the demographic profiles and clinical features of pathological gamblers with and without comorbid psychiatric disorders; (c) explore the associations between pathological gambling and psychiatric disorders and their temporal relationship. Participants (N=201) who sought gambling counseling were examined by making Axis-I diagnoses including mood disorders, schizophrenia spectrum disorders, substance use disorders, anxiety disorders, and adjustment disorder. Results showed that 63.7% of participants had lifetime comorbid psychiatric disorder. The most common comorbid psychiatric mental disorders were mood disorders, adjustment disorder, and substance use disorders. Pathological gamblers with psychiatric comorbidities were significantly more severe in psychopathology, psychosocial functioning impairment, and gambling problems than those without the disorders.

scholarly journals Seasonal Allergies and Psychiatric Disorders in the United States

2018 ◽  
Vol 15 (9) ◽  
pp. 1965 ◽  
Author(s):  
Hans Oh ◽  
Ai Koyanagi ◽  
Jordan DeVylder ◽  
Andrew Stickley
Keyword(s):  
Mental Health ◽  
United States ◽  
Eating Disorders ◽  
Substance Use ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Substance Use Disorders ◽  
Mental Health Problems ◽  
The United States ◽  
Seasonal Allergies

Seasonal allergies have been associated with mental health problems, though the evidence is still emergent, particularly in the United States. We analyzed data from the National Comorbidity Survey Replication and the National Latino and Asian American Survey (years 2001–2003). Multivariable logistic regression models were used to examine the relations between lifetime allergies and lifetime psychiatric disorders (each disorder in a separate model), adjusting for socio-demographic variables (including region of residence) and tobacco use. Analyses were also stratified to test for effect modification by race and sex. A history of seasonal allergies was associated with greater odds of mood disorders, anxiety disorders, and eating disorders, but not alcohol or substance use disorders, after adjusting for socio-demographic characteristics and tobacco use. The associations between seasonal allergies and mood disorders, substance use disorders, and alcohol use disorders were particularly strong for Latino Americans. The association between seasonal allergies and eating disorders was stronger for men than women. Seasonal allergies are a risk factor for psychiatric disorders. Individuals complaining of seasonal allergies should be screened for early signs of mental health problems and referred to specialized services accordingly.

Risk classes of patients diagnosed with substance use disorders in Dutch forensic psychiatric centers

2021 ◽  
Vol 23 (1) ◽  
pp. 39-52
Author(s):  
Michele Schmitter ◽  
Jeroen Vermunt ◽  
Eric Blaauw ◽  
Stefan Bogaerts
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Latent Class ◽  
Mental Health Problems ◽  
Treatment Approach ◽  
Future Research ◽  
Content Type ◽  
Forensic Patients ◽  
Axis I ◽  
Forensic Psychiatric

Purpose Given the complex association between substance use disorders (SUD), comorbid mental health problems and criminal recidivism in forensic patients, homogenous patient classes can contribute to a refined treatment. This paper aims to construct those classes in forensic patients (N = 286) diagnosed with SUD, unconditionally released between 2004 and 2013 of one of ten Dutch forensic psychiatric centers. Design/methodology/approach Retrospective data were derived from electronic patient files. Classes were based on the Dutch risk assessment tool, the Historisch Klinisch Toekomst-Revisie (Historical Clinical Future–Revised [HKT-R]) and identified by means of explorative Latent Class Analysis in Latent Gold version 5.1. In a three-step approach, posterior class memberships were related to external variables (i.e. diagnoses, type of drug and type of offence). Findings Four classes were identified that differ in the risk of recidivism, as well as Axis I and II diagnoses and type of drug consumption. Practical implications This study informed on the heterogeneity of forensic patients with SUD and identified four homogenous classes that differ in important variables for the treatment approach. Based on these classes, a more refined treatment approach can be developed. Possible treatment approaches are discussed, but future research is needed to provide evidence. Originality/value This study is the first to identify classes within forensic patients with SUD and, therefore, sets the first step to develop a tailored treatment approach based on characteristics informative for treatment.

scholarly journals Lifetime prevalence of psychiatric disorders in South Africa

2008 ◽  
Vol 192 (2) ◽  
pp. 112-117 ◽  
Author(s):  
Dan J. Stein ◽  
Soraya Seedat ◽  
Allen Herman ◽  
Hashim Moomal ◽  
Steven G. Heeringa ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Substance Use ◽  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Ethnic Groups ◽  
Substance Use Disorders ◽  
Age At Onset ◽  
Lifetime Prevalence

BackgroundData on the lifetime prevalence of psychiatric disorders in South Africa are of interest, not only for the purposes of developing evidence-based mental health policy, but also in view of South Africa's particular historical and demographic circumstances.MethodA nationally representative household survey was conducted between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses. The data-set analysed included 4351 adult South Africans of all ethnic groups.ResultsLifetime prevalence of DSM–IV/CIDI disorders was determined for anxiety disorders (15.8%), mood disorders (9.8%), substance use disorders (13.4%) and any disorder (30.3%). Lifetime prevalence of substance use disorders differed significantly across ethnic groups. Median age at onset was earlier for substance use disorders (21 years) than for anxiety disorders (32 years) or mood disorders (37 years).ConclusionsIn comparison with data from other countries, South Africa has a particularly high lifetime prevalence of substance use disorders. These disorders have an early age at onset, providing an important target for the planning of local mental health services.

scholarly journals The role of self-reported impulsivity and reward sensitivity versus neurocognitive measures of disinhibition and decision-making in the prediction of relapse in pathological gamblers

2007 ◽  
Vol 38 (1) ◽  
pp. 41-50 ◽  
Author(s):  
A. E. Goudriaan ◽  
J. Oosterlaan ◽  
E. De Beurs ◽  
W. Van Den Brink
Keyword(s):  
Decision Making ◽  
Substance Use ◽  
Pathological Gambling ◽  
Substance Use Disorders ◽  
Classification Accuracy ◽  
Reward Sensitivity ◽  
Addictive Behaviors ◽  
Pathological Gamblers ◽  
Neurocognitive Measures ◽  
Prediction Of Relapse

BackgroundDisinhibition and decision-making skills play an important role in theories on the cause and outcome of addictive behaviors such as substance use disorders and pathological gambling. In recent studies, both disinhibition and disadvantageous decision-making strategies, as measured by neurocognitive tests, have been found to influence the course of substance use disorders. Research on factors affecting relapse in pathological gambling is scarce.MethodThis study investigated the effect of both self-reported impulsivity and reward sensitivity, and neurocognitively assessed disinhibition and decision-making under conflicting contingencies, on relapse in a group of 46 pathological gamblers.ResultsLogistic regression analysis indicated that longer duration of the disorder and neurocognitive indicators of disinhibition (Stop Signal Reaction Time) and decision-making (Card Playing Task) were significant predictors of relapse (explaining 53% of the variance in relapse), whereas self-reported impulsivity and reward sensitivity did not significantly predict relapse. Overall classification accuracy was 76%, with a positive classification accuracy of 76% and a negative classification accuracy of 75%.ConclusionsDuration of the disorder and neurocognitive measures of disinhibition and decision-making are powerful predictors of relapse in pathological gambling. The results suggest that endophenotypical neurocognitive characteristics are more promising in the prediction of relapse in pathological gambling than phenotypical personality characteristics. Neurocognitive predictors may be useful to guide treatment planning of follow-up contacts and booster sessions.

Comorbidity of substance use disorder and schizophrenia and mood disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 26-26
Author(s):  
M. Delafariban
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
Mood Disorders ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Social Life ◽  
Normal Population ◽  
High Rate ◽  
Control Group ◽  
Cross Sectional

Individuals with a severe mental illness and substance use disorders tend to have medical and social problems and those who have either disorder alone. Nevertheless, little attention has been paid to the discovery of effective methods of modifying substance use in the mentally ill.The purpose of this study was to examine the prevalence of substance use in schizophrenia and mood disorders.Methods & materialsIn a cross-sectional descriptive study, patients meeting DSM-IV criteria for schizophrenia(n = 30) and mood disorder (n = 30) randomly selected in two psychiatric hospital in Shiraz, Iran, and a control group (30) randomly selected in normal population without history of psychiatric disorders; completed questionnaire for substance use.ResultsResults showed %40 of patients with schizophrenia, %36.6 of subjects with mood disorders and % 36.6 of control group had substance use disorder.ConclusionThese data suggest that schizophrenia and mood disorders can lead to substance use disorders. Also, in our study high rate of substance use in control group is an alarm. Since substance is caused by and can cause psychiatric disorders and substance use can effect various aspects of social life.

Psychiatric Comorbidity in Pathological Gambling: A Critical Review

1998 ◽  
Vol 43 (1) ◽  
pp. 43-50 ◽  
Author(s):  
David Neil Crockford ◽  
Nady el-Guebaly
Keyword(s):  
Substance Use ◽  
Personality Disorder ◽  
Pathological Gambling ◽  
Mood Disorders ◽  
Antisocial Personality Disorder ◽  
Psychiatric Comorbidity ◽  
Future Research ◽  
Gambling Behaviour ◽  
Antisocial Personality ◽  
Pathological Gamblers

Objective: To critically review the current literature on pathological gambling as regards the significant psychiatric comorbidities associated with it. Method: The authors synthesized information found via electronic searches (MEDLINE) and bibliographic-directed searches in over 60 publications. Results: Pathological gamblers frequently have comorbid substance use disorders. In addition, a subset appear to have comorbid antisocial personality disorder, but they represent a minority when compared with those people who have acquired their antisocial traits as a consequence of their gambling behaviour. A comorbidity with the mood disorders is probable, but methodological concerns and inconsistencies with the data prevent further delineation of this. Emerging research for other disorders possibly associated with pathological gambling is also reviewed. Conclusion: Pathological gambling is associated with significant psychiatric comorbidity. Recommendations for future research are described.

scholarly journals Axis I comorbidity in adolescent inpatients referred for treatment of substance use disorders

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Tobias Langenbach ◽  
Alexandra Spönlein ◽  
Eva Overfeld ◽  
Gaby Wiltfang ◽  
Niklas Quecke ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Axis I ◽  
Adolescent Inpatients

Neurobiology of Comorbid Substance Use Disorders and Psychiatric Disorders

2017 ◽  
Vol 28 (1) ◽  
pp. 11-26 ◽  
Author(s):  
Yatan Pal Singh Balhara ◽  
Pooja Patnaik Kuppili ◽  
Rishab Gupta
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
Substance Use Disorders

scholarly journals Substance use Treatment and Harm Reduction Services for Migrants and Refugees in the COVID-19 Pandemic: Findings from a Global Survey

2020 ◽  
Author(s):  
Cornelis De Jong ◽  
Ali Farhoudian ◽  
Mehrnoosh Vahidi ◽  
Mohsen Ebrahimi ◽  
Hamed Ekhtiari ◽  
...  
Keyword(s):  
Substance Use ◽  
Harm Reduction ◽  
Substance Use Disorders ◽  
Mental Health Problems ◽  
World Health ◽  
Substance Use Treatment ◽  
Second Phase ◽  
Addiction Medicine ◽  
Global Survey ◽  
The Impact

Abstract Migrants and refugees are considered vulnerable to mental health problems and substance use disorders; and may be particularly affected by service disruptions associated with the COVID-19 pandemic The International Society of Addiction Medicine (ISAM) ran a multi-phased global survey among clinicians and health professional that are actively working in the field of addiction medicine to investigate the impact of the COVID-19 pandemic on substance use and related services. In March 2020, the first month after the announcement of the pandemic by the World Health Organization, 177 informants from 77 countries took part in the global survey, and only 12.9% of them reported their countries’ substance use treatment and harm reduction services for the migrants and refugees with substance use disorders continued as usual. In May 2020, 11.7% of respondents of the second phase reported that the services for refugees and migrants improved in comparison to March 2020; 11.7% reported that these services in their country discontinued. Results suggest that refugee and migrants access to treatment and harm reduction services has been reduced as a result of COVID-19. It can be concluded that it is crucial to improve the visibility of migrants’ needs and exploit appropriate interventions for those with substance use disorders.

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