Overdiagnosis of major psychiatric disorders in individuals with substance use disorders and personality disorders: the downside of the Woodruff principle.

1998 ◽  
Vol 59 (4) ◽  
pp. 477-478 ◽  
Author(s):  
J A Brim
Keyword(s):  
Substance Use ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Substance Use Disorders

scholarly journals Prevalence, Comorbidity, and Sociodemographic Correlates of Psychiatric Disorders in the All Of Us Biobank

2021 ◽  
Author(s):  
Peter B. Barr ◽  
Tim B. Bigdeli ◽  
Jacquelyn M. Meyers
Keyword(s):  
Substance Use ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Low Socioeconomic Status ◽  
Large Scale ◽  
Demographic Correlates ◽  
Sociodemographic Correlates ◽  
Demographic Covariates

ABSTRACTImportanceAll of Us is a landmark initiative for population-scale research into the etiology of psychiatric disorders and disparities across various sociodemographic categories.ObjectiveTo estimate the prevalence, comorbidity, and demographic covariates of psychiatric and substance use disorders in the All of Us biobank.Design, Setting, and ParticipantsWe estimated prevalence, overlap, and demographic correlates for psychiatric disorders derived from electronic health records in the All of Us biobank (release 5; N = 331,380)ExposuresSocial and demographic covariates.Main Outcome and MeasuresPsychiatric disorders derived from ICD10CM codes and grouped into phecodes across six broad domains: mood disorders, anxiety disorders, substance use disorders, stress-related disorders, schizophrenia, and personality disorders.ResultsThe prevalence of various disorders ranges from approximately 15% to less than 1%, with mood and anxiety disorders being the most common, followed by substance use disorders, stress-related disorders, schizophrenia, and personality disorders. There is substantial overlap among disorders, with a large portion of those with a disorder (~57%) having two or more registered diagnoses and tetrachoric correlations ranging from 0.43 – 0.74. The prevalence of disorders across demographic categories demonstrates that non-Hispanic whites, those of low socioeconomic status, women and those assigned female at birth, and sexual minorities are at greatest risk for most disorders.Conclusions and RelevanceAlthough the rates of disorders in All of Us are lower than rates for disorders in the general population, there is considerable variation, comorbidity, and differences across social groups. Large-scale resources like All of Us will prove to be invaluable for understanding the causes and consequences of psychiatric conditions. As we move towards an era of precision medicine, we must work to ensure it is delivered in an equitable manner.

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

Comorbidity of Severe Psychiatric Disorders and Substance Use Disorders Among Women in Jail

2003 ◽  
Vol 160 (5) ◽  
pp. 1007-1010 ◽  
Author(s):  
Karen M. Abram ◽  
Linda A. Teplin ◽  
Gary M. McClelland
Keyword(s):  
Substance Use ◽  
Psychiatric Disorders ◽  
Substance Use 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.

Mental Illness and Substance Use Disorders Among Homeless Veterans

2018 ◽  
pp. 35-60
Author(s):  
Sonya Gabrielian ◽  
Ashton M. Gores ◽  
Lillian Gelberg ◽  
Jack Tsai
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Supported Housing ◽  
United States Armed Forces ◽  
Homeless Veterans ◽  
Veteran Status ◽  
Epidemiology Data ◽  
Housing Outcomes

Mental illness and substance use disorders (SUDs) are strong risk factors for homelessness, regardless of Veteran status. This chapter describes the interplay between mental illness, SUDs, the co-occurrence of these disorders (CoD), and homelessness among Veterans; the authors consider military-specific experiences (e.g., combat) and factors associated with homelessness for both Veteran and non-Veteran adults (e.g., childhood adversity). They present epidemiology data on mental illness and SUDs among homeless Veterans, considering specific diagnoses (e.g., post-traumatic stress disorder) and experiences (e.g., military sexual trauma) that are highly prevalent within or unique to persons who served in the United States Armed Forces. In addition, the authors present qualitative and quantitative data on pathways to homelessness for Veterans with mental illness, SUDs, and/or CoD, considering distinct pathways seen in special populations (e.g., women Veterans, who have high rates of trauma, and the newest cohort of Veterans who served in Iraq or Afghanistan). Last, the authors discuss supported housing outcomes for homeless Veterans with psychiatric disorders and SUDs. They discuss the utility of these programs for homeless Veterans with mental health problems and explore the influence of psychiatric disorders and SUDs among Veterans with poor supported housing outcomes.

Substance Use Disorders, Personality Disorders, and Eating Disorders

2016 ◽  
pp. 711-714
Author(s):  
Brian A. Palmer
Keyword(s):  
Eating Disorders ◽  
Substance Use ◽  
Personality Disorders ◽  
Substance Use Disorders ◽  
Prescription Drugs ◽  
Psychotic Symptoms ◽  
Drug Induced ◽  
Medical Settings ◽  
Generic Term ◽  
And Behavior

Psychosis is a generic term used to describe altered thought and behavior in which the patient is incapable of interpreting his or her situation rationally and accurately. Psychotic symptoms can occur in various medical, neurologic, and psychiatric disorders. Many psychotic reactions seen in medical settings are associated with the use of recreational or prescription drugs. Some of these drug-induced psychotic reactions are nearly indistinguishable from schizophrenia in terms of hallucinations and paranoid delusions.

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