Unintentional alcohol and drug poisoning in association with substance use disorders and mood and anxiety disorders: results from the 2010 Nationwide Inpatient Sample

Aims.While there are effective treatments for psychiatric disorders, many individuals with such disorders do not receive treatment and those that do often take years to get into treatment. Information regarding treatment contact failure and delay in Argentina is needed to guide public health policy and planning. Therefore, this study aimed to provide data on prompt treatment contact, lifetime treatment contact, median duration of treatment delays and socio-demographic predictors of treatment contact after the first onset of a mental disorder.Methods.The Argentinean Study of Mental Health Epidemiology (EAESM) is a multistage probability sample representative of adults (aged 18+) living in large urban areas of Argentina. A total of 2116 participants were evaluated with the World Mental Health Composite International Diagnostic Interview to assess psychiatric diagnosis, treatment contact and delay.Results.Projections of cases that will make treatment contact by 50 years taken from a survival curve suggest that the majority of individuals with a mood (100%) or anxiety disorder (72.5%) in Argentina whose disorder persist for a sufficient period of time eventually make treatment contact while fewer with a substance disorder do so (41.6%). Timely treatment in the year of onset is rare (2.6% for a substance disorder, 14.6% for an anxiety disorder and 31.3% of those with a mood disorder) with mean delays between 8 years for mood disorders and 21 years for anxiety disorders. Younger cohorts are more likely to make treatment contact than older cohorts, whereas those with earlier ages of disorder onset are least likely to make treatment contact. Those with anxiety disorders and major depressive disorder are more likely to make treatment contact when they have comorbid disorders, whereas those with substance use disorders are less likely.Conclusions.Argentina needs to implement strategies to get individuals with substance use disorders into treatment, and to reduce treatment delays for all, but particularly to target early detection and treatment among children and adolescents.

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Heroin Overdose-Related Child and Adolescent Hospitalizations: Insight on Comorbid Psychiatric and Substance Use Disorders

Behavioral Sciences ◽

10.3390/bs9070077 ◽

2019 ◽

Vol 9 (7) ◽

pp. 77 ◽

Cited By ~ 1

Author(s):

Uwandu Queeneth ◽

Narmada N. Bhimanadham ◽

Pranita Mainali ◽

Henry K. Onyeaka ◽

Amaya Pankaj ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Odds Ratio ◽

Nationwide Inpatient Sample ◽

Child And Adolescent ◽

Prescription Opioids ◽

Demographic Trend ◽

Heroin Overdose ◽

Older Adolescents ◽

Study Population

Objective: To evaluate the association between psychiatric comorbidities, substance use disorders and heroin overdose-related hospitalizations (HOD). Next, to understand the demographic trend of HOD hospitalizations and comorbidities. Methods: Using the Nationwide Inpatient Sample (NIS), we included 27,442,808 child and adolescent hospitalizations, and 1432 inpatients (0.005%) were managed primarily for HOD. The odds ratio (OR) of the association of variables in HOD inpatients were measured using a logistic regression model. Results: Adolescents had 56 times higher odds (95% CI 43.36–73.30) for HOD-related hospitalizations compared to 4.6% children under 11 years. About three-fifth of the HOD inpatients were male, and they had 1.5-fold higher odds (95% CI 1.30–1.64) compared to 43% females in the study population. Whites were considerably higher in proportion (81%) than other race/ethnicities. A greater portion of HOD inpatients (40%) were from high-income families. Most common comorbid psychiatric disorders were mood (43.8%) and anxiety (20.4%). The prevalent comorbid substance use disorders were opioid (62.4%), tobacco (36.8%) and cannabis (28.5%) use disorders. Conclusion: HOD-related hospitalizations were predominant in males, White and older adolescents (12–18 years). Prescription opioids are the bridge to heroin abuse, thereby increasing the vulnerability to other substance abuse. This requires more surveillance and should be explored to help reduce the heroin epidemic in children.

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Factors associated with anxiety disorders among patients with substance use disorders in Lebanon: Results of a cross‐sectional study

Perspectives In Psychiatric Care ◽

10.1111/ppc.12462 ◽

2019 ◽

Vol 56 (4) ◽

pp. 745-752 ◽

Cited By ~ 3

Author(s):

Chadia Haddad ◽

Mouhamad J. Darwich ◽

Sahar Obeid ◽

Hala Sacre ◽

Maha Zakhour ◽

...

Keyword(s):

Substance Use ◽

Anxiety Disorders ◽

Substance Use Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

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Complex Comorbidity of Substance Use Disorders with Anxiety Disorders: Diagnosis and Treatment

New Developments in Anxiety Disorders ◽

10.5772/66247 ◽

2016 ◽

Author(s):

Onat Yilmaz ◽

Nesrin Dilbaz

Keyword(s):

Substance Use ◽

Anxiety Disorders ◽

Substance Use Disorders ◽

Diagnosis And Treatment

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Anxiety disorders moderate the association between externalizing problems and substance use disorders: Data from the National Comorbidity Survey-Revised

Journal of Anxiety Disorders ◽

10.1016/j.janxdis.2008.10.011 ◽

2009 ◽

Vol 23 (4) ◽

pp. 529-534 ◽

Cited By ~ 18

Author(s):

Stefan G. Hofmann ◽

J. Anthony Richey ◽

Todd B. Kashdan ◽

Patrick E. McKnight

Keyword(s):

Substance Use ◽

Anxiety Disorders ◽

Substance Use Disorders ◽

Externalizing Problems ◽

National Comorbidity Survey

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A prospective examination of Axis I psychiatric disorders in the first 5 years following moderate to severe traumatic brain injury

Psychological Medicine ◽

10.1017/s0033291715002986 ◽

2016 ◽

Vol 46 (6) ◽

pp. 1331-1341 ◽

Cited By ~ 41

Author(s):

Y. Alway ◽

K. R. Gould ◽

L. Johnston ◽

D. McKenzie ◽

J. Ponsford

Keyword(s):

Risk Factors ◽

Traumatic Brain Injury ◽

Substance Use ◽

Brain Injury ◽

Anxiety Disorders ◽

Psychiatric Disorders ◽

Substance Use Disorders ◽

First Year ◽

Post Injury ◽

Over Time

BackgroundPsychiatric disorders commonly emerge during the first year following traumatic brain injury (TBI). However, it is not clear whether these disorders soon remit or persist for long periods post-injury. This study aimed to examine, prospectively: (1) the frequency, (2) patterns of co-morbidity, (3) trajectory, and (4) risk factors for psychiatric disorders during the first 5 years following TBI.MethodParticipants were 161 individuals (78.3% male) with moderate (31.2%) or severe (68.8%) TBI. Psychiatric disorders were diagnosed using the Structured Clinical Interview for DSM-IV, administered soon after injury and 3, 6 and 12 months, and 2, 3, 4 and 5 years post-injury. Disorder frequencies and generalized estimating equations were used to identify temporal relationships and risk factors.ResultsIn the first 5 years post-injury, 75.2% received a psychiatric diagnosis, commonly emerging within the first year (77.7%). Anxiety, mood and substance-use disorders were the most common diagnostic classes, often presenting co-morbidly. Many (56.5%) experienced a novel diagnostic class not present prior to injury. Disorder frequency ranged between 61.8 and 35.6% over time, decreasing by 27% [odds ratio (OR) 0.73, 95% confidence interval (CI) 0.65–0.83] with each year post-injury. Anxiety disorders declined significantly over time (OR 0.73, 95% CI 0.63–0.84), whilst mood and substance-use disorder rates remained stable. The strongest predictors of post-injury disorder were pre-injury disorder (OR 2.44, 95% CI 1.41–4.25) and accident-related limb injury (OR 1.78, 95% CI 1.03–3.07).ConclusionsFindings suggest the first year post-injury is a critical period for the emergence of psychiatric disorders. Disorder frequency declines thereafter, with anxiety disorders showing greater resolution than mood and substance-use disorders.

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